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pdfPopulation Assessment of Tobacco and Health (PATH) Study (NIDA)
Attachment 2
Part B
PATH Study Data Collection Instruments
Population Assessment of Tobacco and Health (PATH) Study (NIDA)
Table of Contents
Section
Page
English
Spanish
IN4-5
Parent Questionnaire – New and Aged-Up Interview ............................. 3
69
IN4-6
Parent Questionnaire – Extended Interview ......................................... 137
196
IN4-7
Youth Questionnaire – New and Aged-Up Interview ......................... 256
614
IN4-8
Youth Questionnaire – Extended Interview .......................................... 976
1312
IN4-9
Adult and Youth Tobacco Use Form .................................................. 1648
1650
IN4-10
Shadow Youth Only Screener............................................................... 1652
1654
IN4-11
Verification Task Wrapper .................................................................... 1656
1794
IN4-12
Telephone Validation Script.................................................................. 1732
1743
IN4-13a
Continuing Adult Field Visit Validation Form................................... 1754
N/A
IN4-13b
Replenishment Sample Adult Field Visit Validation Form .............. 1764
N/A
IN4-13c
Household Screener Field Visit Validation Form .............................. 1773
N/A
IN4-14
Parent and Youth Field Visit Validation Form .................................. 1782
N/A
IN4-15
Blood Data Collection Form ................................................................ 1788
1790
IN4-16
Urine Data Collection Form ................................................................. 1792
1793
IN4-17
Adult Participant Information Form ................................................... 1795
1799
IN4-18
Parent Participant Information Form.................................................. 1803
1807
IN4-19
Parent of Youth Under Age 12 Participant Information Form ...... 1811
1815
Parent Questionnaire – New and Aged-Up Interview
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
Table of Contents
FAMILY COMPOSITION ........................................................................................................... 1
SCHOOL, HOME AND TOBACCO USE ................................................................................. 16
HEALTH .................................................................................................................................. 20
RESPONDENT CHARACTERISTICS .................................................................................... 39
CONTACT INFORMATION ..................................................................................................... 49
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
ii
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
SECTION
# OF QUESTIONS
Family Composition
22
School, Home and Tobacco Use
Health
Respondent Characteristics
Contact Information
9
48
19
31
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
iii
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
POMBIntro
IF RESPONDENT ASKS ABOUT THE OFFICE OF MANAGEMENT AND BUDGET (OMB), READ THE
FOLLOWING PARAGRAPH ALOUD
OMB Control Number: 0925-0664
Expiration Date: XX/XX/XXXX
Public reporting burden for this collection of information is estimated to average 19 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 20892-7974, ATTN: PRA (0925-0664). Do not return the
completed form to this address.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: Parent/guardian of sampled youth.
DISPLAY: Display OMB statement text in grey. Display "IF RESPONDENT ASKS..." statement and
"PRESS 1 TO CONTINUE" in blue. If parent/guardian of new baseline youth respondent
(R04_YOUTHTYPE = 2, 3), display "19" minutes; if parent/guardian of continuing youth respondent
(R04_YOUTHTYPE = 1), display "16" minutes; else display “16” minutes. Pending language selected in F2;
display English OMB statement if English is selected, display Spanish OMB statement if Spanish is
selected. Default to English display.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
iv
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
FAMILY COMPOSITION
BOX ID:
R04_PXV01
PROGRAM: LOAD THE FOLLOWING VARIABLES
R03_PT0001 = Wave 3 parent's relationship to youth SP
R03_PARSPOUSE_PID = ID of Wave 3 parent's spouse
R03_PARREPT_ADHD = Youth has been told that he/she has ADD/ADHD
R03_PARREPT_ASTHMA = Youth has been told that he/she has asthma
R03_PARREPT_DIABETES = Youth has been told that he/she has diabetes
TWINMULT = Are there twins/multiple births in household (Wave 1 or Wave 4 HH Screener)
R04_CONTACTFLAG_LD = Adult SP or parent/guardian of youth SP has provided contact information.
R04_ADULT_COMPLETE_LD = Adult respondent has completed the adult questionnaire.
R04_PARENT_COMPLETE_LD = Parent/guardian of sampled youth has completed one or more
parent questionnaire(s).
R04_LINKED_ADDRESS = Best address from IMS
R04_VTBESTSPPHONE = Best phone number from IMS
R04_PHONE2 = Second phone number from IMS
PROGRAM - LOAD THE FOLLOWING VARIABLES FROM CONSENT WRAPPER:
R04_YOUTHTYPE
(1) ContinuingYouth = Youth completed a youth interview in a previous wave and will do a youth
interview this wave.
(2) NewBaselineYouth = Youth was a shadow youth in previous wave, but will do a youth interview this
wave.
(3) New Cohort Youth = Youth respondents who are new to the PATH Study as part of the
replenishment sample. This is their first interview in the Youth cohort and in the PATH Study.
(4) ContinuingShadowYouth = Youth was a shadow youth in previous wave and is still a shadow youth.
(5) New Cohort Shadow Youth = Youth is new to the PATH Study as part of the replenishment sample
and is a shadow youth.
R04_LASTWVPARENTCOMP
For the parent associated with this youth:
(1) wave 1 = the last time this parent did a parent interview for this youth was in baseline.
(2) wave 2 = the last time this parent did a parent interview for this youth was in wave 2.
(3) wave 3 = the last time this parent did a parent interview for this youth was in wave 3.
(null) this parent has never done a parent interview for this youth.
R04_PARENTTYPE
(1) PriorParent = This parent has completed a parent interview for this youth in a previous wave.
(2) NewParent = This parent has not completed a parent interview for this youth in a previous wave.
R04_PARYTHAGE = age of youth at time of parent consent.
Program Note: In the following specifications, “!=” represents “not equal to”.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
1
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR03
If the W4 parent/guardian is the same respondent as the W3 parent/guardian, and the W3 parent
relationship to youth was not "Other relative", "Non-relative" or Don't Know/Refused, go to
R04_PM0053.
Else, go to R04_PT0001.
PATH ID:
R04_PM0053
I have that you are {Child’s first name}'s {parent's relationship to sampled youth}? Is that correct?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_PTR01
GO TO BOX R04_PTR01
ASK: Parent/guardian of sampled youth who selected a relationship in R03_PT0001.
PATH ID:
R04_PT0001
What is your relationship to {Child’s first name}? In other words, you are {Child’s first name}'s...
[Would you say biological, adoptive or step mother / father?]
1
BIOLOGICAL MOTHER
2
BIOLOGICAL FATHER
3
ADOPTIVE MOTHER
4
ADOPTIVE FATHER
5
STEP MOTHER
6
STEP FATHER
7
FOSTER MOTHER
8
FOSTER FATHER
9
GRANDMOTHER
10
GRANDFATHER
11
AUNT
12
UNCLE
91
OTHER RELATIVE (SPECIFY)
92
NON RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: This item is asked when the W4 parent/guardian is not the same as the W3 parent/guardian; or
any respondent who reported OTHER/SPECIFY, DON'T KNOW, or REFUSED to this question in W3; or
any respondent who did not confirm relationship in R04_PM0053.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
2
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PTR01
If parent/guardian of shadow youth, go to Contact Information section.
Else, if parent has already completed a parent interview for another youth and parent is married and has
provided a valid name for their spouse, go to R04_PT0002.
Else, if parent has already completed a parent interview for another youth and parent is not married or
has not provided a valid name for their spouse, go to R04_PM0057.
Else, go to R04_PT0047.
PATH ID:
R04_PT0047
What is your marital status? Are you currently married, widowed, divorced, separated or never married?
1
MARRIED
2
WIDOWED
3
DIVORCED
4
SEPARATED
5
NEVER MARRIED
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
BOX ID:
R04_PTR03
Parents who are married at W4 and provided the name of their spouse in the previous wave, go to
R04_PM0052.
Else, parents who are married, go to R04_PT0046.
Else, go to R04_PM0057.
PATH ID:
R04_PM0052
I have that your spouse is {Spouse's first name}, is that correct?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PT0045
GO TO R04_PM0057
ASK: Parent/guardian of sampled youth who is married at W4 and provided the name of their spouse in
the previous wave. If parent has already completed a parent interview for another youth, do not re-ask
this item.
DISPLAY: Fill {Spouse's first name} with name selected in R03_PARSPOUSE_PID. Only display the
first name.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
3
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0046
What is your spouse's name?
SELECT NAME AMONG THE LIST. READ NAMES IF NECESSARY. IF SPOUSE'S NAME IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PT0045
2
[First Name and age of person #2]
GO TO R04_PT0045
3
[First Name and age of person #3]
GO TO R04_PT0045
4
[First Name and age of person #4]
GO TO R04_PT0045
5
[First Name and age of person #5]
GO TO R04_PT0045
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF
SPOUSE]
-8
DON'T KNOW
GO TO R04_PM0057
-7
REFUSED
GO TO R04_PM0057
ASK: Parent/guardian whose spouse's name was not confirmed in R04_PM0052, or parents who report
now being married in W4. If parent has already completed a parent interview for another youth, do not
re-ask this item.
DISPLAY: List first names of everyone in the grid who is aged 18 years old or older (and not deceased)
in the HH screener with their age, ordered by oldest to youngest and then new people that were added
earliest to most recent below. For response options, display one row for each person on the grid.
Display interviewer instructions in blue.
PATH ID:
R04_PT0046_OS_1
What is your spouse's first name?
ENTER THE SPOUSE'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
4
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0046_OS_2
What is your spouse's last name?
ENTER THE SPOUSE'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PT0046_OS_3
What is your spouse's age?
ENTER THE SPOUSE'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PT0045
Does {Spouse's first name / your spouse} live here?
[If your spouse or partner is deployed for military active duty, please consider them as living here.]
1
YES
2
NO
GO TO R04_PM0057
-8
DON'T KNOW
GO TO R04_PM0057
-7
REFUSED
GO TO R04_PM0057
ASK: Parent/guardian of sampled youth whose spouse is confirmed in R04_PM0052 or provided in
R04_PT0046. If parent has already completed a parent interview for another youth, do not re-ask this
item.
DISPLAY: IF R04_PT0046_OS_1 = -8, -7, DISPLAY "your spouse". ELSE, DISPLAY FILL WITH
{Spouse's first name}.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
5
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0002
What is {Spouse's first name's / their} relationship to {Child’s first name}? In other words, {Spouse's first
name / they} {is / are} {Child’s first name}'s...
[Would you say biological, step, adoptive or foster mother / father?]
1
BIOLOGICAL MOTHER
2
BIOLOGICAL FATHER
3
ADOPTIVE MOTHER
4
ADOPTIVE FATHER
5
STEP MOTHER
6
STEP FATHER
7
FOSTER MOTHER
8
FOSTER FATHER
9
GRANDMOTHER
10
GRANDFATHER
11
AUNT
12
UNCLE
91
OTHER RELATIVE (SPECIFY)
92
NON RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth whose spouse is confirmed in R04_PM0052 or provided in
R04_PT0046_PID or R04_PT0046_OS_1.
DISPLAY: If R04_PM0052 = 1, fill {Spouse's first name} with R03_PARSPOUSE_PID. Else, fill
{Spouse's first name} with name selected/entered in R04_PT0046_PID or R04_PT0046_OS_1. Only
display the first name. Also display "is".
If spouse's first name is unknown, display "their" and "they" and "are".
PATH ID:
R04_PM0057
Does {Childs' first name} have any other parental figures or guardians who live here?
[If the parental figure or guardian is deployed for military active duty, please consider them as living
here.]
1
YES
2
NO
GO TO R04_PT0003
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
6
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0058
What is the other parental figure or guardian's name?
IF NEEDED, CLARIFY THAT YOU ARE ASKING ABOUT THE PARENTAL FIGURE OR GUARDIAN
WHO LIVES IN THE HOME. READ NAMES IF NECESSARY. IF HOUSEHOLD MEMBER IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PM0059
2
[First Name and age of person #2]
GO TO R04_PM0059
3
[First Name and age of person #3]
GO TO R04_PM0059
4
[First Name and age of person #4]
GO TO R04_PM0059
5
[First Name and age of person #5]
GO TO R04_PM0059
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF
PARENTAL FIGURE/GUARDIAN]
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has another parental figure or guardian who lives in the
home.
DISPLAY: List first names of everyone in the grid who is aged 11 years old or older in the HH screener
with their age, ordered by oldest to youngest and then new people that were added earliest to most
recent below. For response options, display one row for each person on the grid who is age 11 or older.
Display "IF NEEDED,..." statement in blue.
PATH ID:
R04_PM0058_OS_1
What is the other parental figure or guardian's first name?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
7
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0058_OS_2
What is the other parental figure or guardian's last name?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0058_OS_3
What is the other parental figure or guardian's age?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
8
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0059
What is {Parental figure/guardian's first name}'s relationship to {Child’s first name}? In other words,
{Parental figure/guardian's first name} is {Child’s first name}'s...
[Would you say biological, adoptive or step mother / father?]
1
BIOLOGICAL MOTHER
2
BIOLOGICAL FATHER
3
ADOPTIVE MOTHER
4
ADOPTIVE FATHER
5
STEP MOTHER
6
STEP FATHER
7
FOSTER MOTHER
8
FOSTER FATHER
9
GRANDMOTHER
10
GRANDFATHER
11
AUNT
12
UNCLE
91
OTHER RELATIVE (SPECIFY)
92
NON RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who report another parental figure or guardian in R04_PM0058 or
R04_PM0058_OS_1.
PATH ID:
R04_PM0060
Does {Childs' first name} have any other parental figures or guardians who live here?
[If the parental figure or guardian is deployed for military active duty, please consider them as living
here.]
1
YES
2
NO
GO TO R04_PT0003
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has another parental figure or guardian who lives in the
home.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
9
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0061
What is the other parental figure or guardian's name?
IF NEEDED, CLARIFY THAT YOU ARE ASKING ABOUT THE PARENTAL FIGURE OR GUARDIAN
WHO LIVES IN THE HOME. READ NAMES IF NECESSARY. IF HOUSEHOLD MEMBER IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PM0062
2
[First Name and age of person #2]
GO TO R04_PM0062
3
[First Name and age of person #3]
GO TO R04_PM0062
4
[First Name and age of person #4]
GO TO R04_PM0062
5
[First Name and age of person #5]
GO TO R04_PM0062
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF
PARENTAL FIGURE/GUARDIAN]
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has a second other parental figure or guardian who lives in
the home.
DISPLAY: List first names of everyone in the grid who is aged 11 years old or older in the HH screener
with their age, ordered by oldest to youngest and then new people that were added earliest to most
recent below. For response options, display one row for each person on the grid who is age 11 or older.
Display "IF NEEDED,..." statement in blue.
PATH ID:
R04_PM0061_OS_1
What is the other parental figure or guardian's first name?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
10
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0061_OS_2
What is the other parental figure or guardian's last name?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0061_OS_3
What is the other parental figure or guardian's age?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
11
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0062
What is {Parental figure/guardian's first name}'s relationship to {Child’s first name}? In other words,
{Parental figure/guardian's first name} is {Child’s first name}'s...
[Would you say biological, adoptive or step mother / father?]
1
BIOLOGICAL MOTHER
2
BIOLOGICAL FATHER
3
ADOPTIVE MOTHER
4
ADOPTIVE FATHER
5
STEP MOTHER
6
STEP FATHER
7
FOSTER MOTHER
8
FOSTER FATHER
9
GRANDMOTHER
10
GRANDFATHER
11
AUNT
12
UNCLE
91
OTHER RELATIVE (SPECIFY)
92
NON RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who reported another parental figure or guardian in R04_PM0061 or
R04_PM0061_OS_1.
PATH ID:
R04_PT0003
Does {Child’s first name} have another parent who lives somewhere else?
1
YES
2
NO
GO TO BOX R04_PXR01
-8
DON'T KNOW
GO TO BOX R04_PXR01
-7
REFUSED
GO TO BOX R04_PXR01
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
12
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0006
How often does {Child’s first name} stay there? Would you say never, less than half the time, about half
the time, or more than half the time?
1
NEVER
2
LESS THAN HALF THE TIME
3
ABOUT HALF THE TIME
4
MORE THAN HALF THE TIME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth if sampled youth has another parental figure or guardian who
lives somewhere else.
BOX ID:
R04_PXR01
If new baseline youth is a twin or part of a multiple birth, as identified in the Household Screener, ask
twin items following skips appropriately.
Else, go to R04_PT0009.
PATH ID:
R04_PTWININTRO_NB
{CHILD’S FIRST NAME} WAS IDENTIFIED IN THE HOUSEHOLD SCREENER AS PART OF A SET
OF TWINS OR MULTIPLE BIRTHS. THE NEXT SET OF QUESTIONS IS SPECIFIC TO THESE
TWINS OR MULTIPLE BIRTHS.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of new baseline youth who is a twin or part of a multiple birth as identified in the
Household Screener.
DISPLAY: FILL {Child's first name} with first name of sampled youth that was identified as a twin or
multiple birth. Display “{CHILD'S FIRST NAME} WAS IDENTIFIED..." statement in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
13
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0016_NB
In an earlier interview, {Child’s first name] was identified as a twin or part of a multiple birth. Is that
correct?
PROBE, IF NEEDED: [Is {Child’s first name} a twin or a multiple?]
1
YES, TWIN
2
YES, PART OF MULTIPLE BIRTH
GO TO R04_PM0035_NB
3
NO
GO TO R04_PT0009
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is a twin or part of a multiple birth as identified in the
HH Screener.
DISPLAY: Display QxQ words "twin" and "multiple birth" in bold/green. Display “PROBE, IF NEEDED” in
blue.
PATH ID:
R04_PM0030_NB
What is the first name of the child that {Child’s first name} is a twin of?
1
Name: ______________________
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is a twin.
DISPLAY: Display QxQ word “twin” in bold/green.
PATH ID:
R04_PM0017_NB
Are {Child’s first name} and {Twin’s first name from R04_PM0030_NB} identical twins?
1
YES
GO TO R04_PT0009
2
NO
GO TO R04_PT0009
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is a twin.
DISPLAY: Fill “Twin’s first name” with the other twin’s name that was identified in R04_PM0030_NB.
Display QxQ words “identical twins” in bold/green.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
14
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0035_NB
What are the first names of the other children in the multiple birth with {Child’s first name}?
1
Names: ______________________
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is part of a multiple birth.
DISPLAY: Display QxQ words “multiple birth” in bold/green.
PATH ID:
R04_PM0019_NB
Are any of them identical to {Child’s first name}?
IF AT LEAST ONE PERSON IN THE MULTIPLE BIRTH IS IDENTICAL TO THE SP YOUTH, CODE
THIS QUESTION AS ‘YES’.
1
YES
2
NO
GO TO R04_PT0009
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is part of a multiple birth.
DISPLAY: Display QxQ word “identical” in bold/green. Display "IF AT LEAST ONE PERSON..."
statement in blue.
PATH ID:
R04_PM0021_NB
Who is identical to {Child’s first name}?
1
Names: _____________________
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is part of an identical multiple birth.
DISPLAY: Display QxQ word “identical” in bold/green.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
15
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
SCHOOL, HOME AND TOBACCO USE
PATH ID:
R04_PT0009
The next series of questions ask about {Child’s first name}’s life at home and in school.
In general, does {Child’s first name} have a curfew or set time that {he/she} needs to be home on school
nights?
IF THE RESPONDENT IS UNSURE HOW TO ANSWER BECAUSE THE CURFEW VARIES BASED
ON THE SITUATION, CODE YES AS LONG AS THE PARENT IS THE ONE WHO SETS THE
CURFEW TIME.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "IF THE RESPONDENT IS..." statement in blue. Underline "school".
PATH ID:
R04_PT0011
In general, does {Child’s first name} have a curfew or set time that {he/she} needs to be home on
weekend nights?
IF THE RESPONDENT IS UNSURE HOW TO ANSWER BECAUSE THE CURFEW VARIES BASED
ON THE SITUATION, CODE YES AS LONG AS THE PARENT IS THE ONE WHO SETS THE
CURFEW TIME.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "IF THE RESPONDENT IS..." instructions in blue. Underline "weekend".
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
16
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0019
Please look at this list. How would you describe how {Child’s first name} has performed at school in the
past 12 months? Would you say {Child’s first name}’s grades are...
READ RESPONSE OPTIONS ALOUD.
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, or
10
Your child’s school is ungraded?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "past 12 months".
PATH ID:
R04_PT0021
As far as you know, has {Child’s first name} ever smoked a cigarette, used e-cigarettes or other
electronic nicotine products, smoked cigars, a pipe, a hookah, used snus or other smokeless
tobacco?
Please look at this list. Would you say…
READ RESPONSE OPTIONS ALOUD.
1
You know that {she/he} has,
2
You strongly suspect {she/he} has,
3
You don’t think {she/he} has, or
4
You are confident {she/he} has not?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Display QxQ words "electronic
nicotine products” in bold/green.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
17
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR02
If parent has already completed an adult interview or a parent interview for another youth, GO TO
R04_PT0029.
Else, go to R04_PR1045.
PATH ID:
R04_PR1045
These next few questions ask about the rules of using tobacco inside your home. 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 these products inside your home?
Please look at this list. Would you say…
READ RESPONSE OPTIONS ALOUD.
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, or
3
It is allowed anywhere and at any time inside my home?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "burned" and "inside".
PATH ID:
R04_PR1051
Now think about e-cigarettes and other electronic nicotine products.
Which statement best describes the rules about using these products inside your home?
Please look at this list. Would you say…
READ RESPONSE OPTIONS ALOUD.
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, or
3
It is allowed anywhere and at any time inside my home?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "inside". Display QxQ
words "electronic nicotine products” in bold/green.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
18
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PR1050
Now think about other tobacco products that are not burned, like snus and other types of smokeless
tobacco.
Which statement best describes the rules about using these products inside your home?
Please look at this list. Would you say…
READ RESPONSE OPTIONS ALOUD.
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, or
3
It is allowed anywhere and at any time inside my home?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "not" and "inside".
PATH ID:
R04_PT0029
Do you think any tobacco products or electronic nicotine products (such as e-cigarettes) might be
available to {Child’s first name} at your home?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "electronic nicotine products” in bold/green.
BOX ID:
R04_PTR04
If child spends time at another parent’s home, go to R04_PT0005.
Else, go to R04_PT0035.
PATH ID:
R04_PT0005
Do you think any tobacco products or electronic nicotine products (such as e-cigarettes) might be
available to {Child’s first name} when {he/she} is at the other parent’s home?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth where child spends time at another parent’s home.
DISPLAY: Display QxQ words "electronic nicotine products” in bold/green.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
19
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
HEALTH
PATH ID:
R04_PT0035
The next series of questions ask about {Child’s first name}’s health.
In general, would you say {Child’s first name}’s overall health is excellent, very good, good, fair, or
poor?
1
EXCELLENT
2
VERY GOOD
3
GOOD
4
FAIR
5
POOR
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words “overall health” in bold/green.
PATH ID:
R04_PT0007
About how tall is {Child’s first name} without shoes? Please answer in either feet and inches or meters.
1
I___I___I FEET
2
I___I___I INCHES
3
I__I__I.I__I__I METERS
-8
DON'T KNOW
GO TO R04_PT0008
-7
REFUSED
GO TO R04_PT0008
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "FEET" and "INCHES", or "METERS" as a title.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
20
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0007_LC1
I have that {CHILD'S FIRST NAME}’s current height is {[R04_PT0007_FT] feet{ and [R04_PT0007_IN]
inches}/[R04_PT0007_MT] meters} tall.
Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0007
2
SUPPRESS
GO TO R04_PT0008
ASK: IF R04_PT0007_FT < 5 OR (R04_PT0007_FT = 6 AND R04_PT0007_IN > 0) OR
R04_PT0007_FT > 6 OR R04_PT0007_MT < 1.5 OR R04_PT0007_MT > 1.8.
DISPLAY: IF R04_PT0007_FT > 0 AND R04_PT0007_IN = 0, DISPLAY “[R04_PT0007_FT] feet”.
ELSE, IF R04_PT0007_FT > 0 AND R04_PT0007_IN > 0, DISPLAY “[R04_PT0007_FT] feet and
[R04_PT0007_IN] inches”.
ELSE, IF R04_PT0007_MT> 0, DISPLAY “[R04_PT0007_MT] meters”.
PATH ID:
R04_PT0008
About how much does {Child’s first name} weigh without clothes or shoes? Please answer in either
pounds or kilograms.
1
I___I___I___I POUNDS
2
I___I___I___I KILOGRAMS
-8
DON'T KNOW
GO TO BOX R04_PXR04
-7
REFUSED
GO TO BOX R04_PXR04
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "POUNDS" and "KILOGRAMS” as title.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
21
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0008_LC1
I have that {CHILD'S FIRST NAME}'s current weight is [R04_PT0008] {pounds/kilograms}.
Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0008
2
SUPPRESS
GO TO BOX R04_PXR04
ASK: IF (R04_PARYTHAGE < 15 AND ((R04_PT0008_LB < 85 OR R04_PT0008_LB > 170) OR
(R04_PT0008_KG < 38.6 OR R04_PT0008_KG > 77.1))) OR (R04_PARYTHAGE >= 15 AND
((R04_PT0008_LB < 105 OR R04_PT0008_LB > 200) OR (R04_PT0008_KG < 47.6 OR
R04_PT0008_KG > 90.7))).
BOX ID:
R04_PXR04
If parent/guardian of new baseline youth, go to R04_PX0186_NB.
Else, if parent/guardian of continuing youth, go to R04_PT0050_12M.
PATH ID:
R04_PX0186_NB
The next set of questions is about limitations caused by any long-term physical, mental or emotional
problem or illness. Please do not include temporary conditions, such as a cold or broken limbs.
Does {Child’s first name} have serious difficulty walking or climbing stairs?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
PATH ID:
R04_PX0188_NB
Does {Child’s first name} have difficulty dressing or bathing?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
22
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0191_NB
Is {Child’s first name} blind or does {he/she} have serious difficulty seeing, even when wearing glasses?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
PATH ID:
R04_PX0190_NB
Is {Child’s first name} deaf or does {he/she} have serious difficulty hearing?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
PATH ID:
R04_PX0189_NB
Because of a physical, mental, or emotional condition, does {Child’s first name} have serious difficulty
concentrating, remembering, or making decisions?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
BOX ID:
R04_PXR05
If new baseline youth is 15 years old or older, go to R04_PX0187_NB.
Else, go to R04_PT0050_NB.
PATH ID:
R04_PX0187_NB
Because of a physical, mental, or emotional condition, does {Child’s first name} have difficulty doing
errands alone such as visiting a doctor's office or shopping?
1
YES
GO TO R04_PT0050_NB
2
NO
GO TO R04_PT0050_NB
-8
DON'T KNOW
GO TO R04_PT0050_NB
-7
REFUSED
GO TO R04_PT0050_NB
ASK: Parent/guardian of new baseline youth who is 15 years old or older.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
23
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0050_NB
Has {Child’s first name} ever been told by a doctor, nurse or other health professional that {he/she} has
high blood pressure?
1
YES
2
NO
GO TO R04_PT0051_NB
-8
DON'T KNOW
GO TO R04_PT0051_NB
-7
REFUSED
GO TO R04_PT0051_NB
ASK: Parent/guardian of new baseline youth.
DISPLAY: Underline "ever".
PATH ID:
R04_PT0041_NB
How old was {Child’s first name} when {he/she} was first told {he/she} had high blood pressure?
1
|___|___| YEARS OLD
-8
DON'T KNOW
GO TO R04_PT0253_NB
-7
REFUSED
GO TO R04_PT0253_NB
ASK: Parent/guardian of new baseline youth who has ever had high blood pressure.
DISPLAY: Display "YEARS OLD" as title.
PATH ID:
R04_PT0041_NB_LC1
I have that {CHILD'S FIRST NAME} was diagnosed with high blood pressure at age [R04_PT0041_NB].
That is older than {he/she} is now. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0041_NB
2
SUPPRESS
GO TO R04_PT0051_NB
ASK: IF R04_PT0041_NB > R04_R04_PARYTHAGE.
PATH ID:
R04_PT0253_NB
Was {Child’s first name} less than 12 years old, 12 to 14 years old, or 15 to 17 years old?
1
LESS THAN 12 YEARS OLD
GO TO R04_PT0051_NB
2
12 TO 14 YEARS OLD
GO TO R04_PT0051_NB
3
15 TO 17 YEARS OLD
GO TO R04_PT0051_NB
-8
DON’T KNOW
GO TO R04_PT0051_NB
-7
REFUSED
GO TO R04_PT0051_NB
ASK: Parent/guardian of new baseline youth who did not know or refused to give age when youth was
told they had high blood pressure.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
24
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0051_NB
Has {Child’s first name} ever been told by a doctor, nurse or other health professional that {he/she} has
high cholesterol?
1
YES
2
NO
GO TO R04_PT0031_NB
-8
DON'T KNOW
GO TO R04_PT0031_NB
-7
REFUSED
GO TO R04_PT0031_NB
ASK: Parent/guardian of new baseline youth.
DISPLAY: Underline "ever".
PATH ID:
R04_PT0043_NB
How old was {Child’s first name} when {he/she} was first told {he/she} had high cholesterol?
1
|___|___|___| YEARS OLD
-8
DON'T KNOW
GO TO R04_PT0254_NB
-7
REFUSED
GO TO R04_PT0254_NB
ASK: Parent/guardian of new baseline youth who has ever had high cholesterol.
DISPLAY: Display "YEARS OLD" as title.
PATH ID:
R04_PT0043_NB_LC1
I have that {CHILD'S FIRST NAME} was diagnosed with high cholesterol at age [R04_PT0043_NB].
That is older than {he/she} is now. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0043_NB
2
SUPPRESS
GO TO R04_PT0031_NB
ASK: IF R04_PT0043_NB > R04_PARYTHAGE.
PATH ID:
R04_PT0254_NB
Was {Child’s first name} less than 12 years old, 12 to 14 years old, or 15 to 17 years old?
1
LESS THAN 12 YEARS OLD
GO TO R04_PT0031_NB
2
12 TO 14 YEARS OLD
GO TO R04_PT0031_NB
3
15 TO 17 YEARS OLD
GO TO R04_PT0031_NB
-8
DON’T KNOW
GO TO R04_PT0031_NB
-7
REFUSED
GO TO R04_PT0031_NB
ASK: Parent/guardian of new baseline youth who did not know or refused to give age when youth was
told they had high cholesterol.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
25
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PTR06
If the parent of a continuing youth ever reported that youth has asthma, go to R04_PT0022.
Else, if the continuing youth has never been told they have asthma, go to R04_PT0033.
PATH ID:
R04_PT0031_NB
Has {Child’s first name} ever been told by a doctor, nurse or other health professional that {he/she} has
asthma?
1
YES
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of new baseline youth.
DISPLAY: Display QxQ word “asthma” in bold/green. Underline "ever".
PATH ID:
R04_PT0038_NB
How old was {Child’s first name} when {he/she} was first told {he/she} had asthma?
1
|___|___|___| YEARS OLD
-8
DON'T KNOW
GO TO R04_PT0260_NB
-7
REFUSED
GO TO R04_PT0260_NB
ASK: Parent/guardian of new baseline youth who ever had asthma.
DISPLAY: Display QxQ word “asthma” in bold/green. Display "YEARS OLD" as title.
PATH ID:
R04_PT0038_NB_LC1
I have that {CHILD'S FIRST NAME} was diagnosed with asthma at age [R04_PT0038_NB]. That is
older than {he/she} is now. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0038_NB
2
SUPPRESS
GO TO R04_PT0022
ASK: IF R04_PT0038_NB > R04_PARYTHAGE.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
26
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0260_NB
Was {Child’s first name} less than 12 years old, 12 to 14 years old, or 15 to 17 years old?
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: Parent/guardian of new baseline youth who did not know or refused to give age when youth was
first told they had asthma.
PATH ID:
R04_PT0022
[In a previous interview, it was reported that {Child's first name} had asthma.
]In the past 12 months, has {Child’s first name} taken medications regularly for asthma?
[Taken regularly means according to a health care provider’s instructions.]
1
YES
2
NO
GO TO R04_PT0125
3
YOUTH SP HAS NEVER HAD ASTHMA
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0125
-7
REFUSED
GO TO R04_PT0125
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "past 12 months". Display QxQ word “asthma” in bold/green.
IF R03_PARREPT_ASTHMA = 1 AND R04_PT0031_12M != 1, DISPLAY "In a previous interview, it
was reported that {Child's first name} had asthma." ELSE, DO NOT DISPLAY THIS TEXT.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
27
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0036
Please look at this list. In the past 12 months, which of the following medications did {Child’s first
name} regularly take for asthma? Choose all that apply.
READ TEXT BEFORE THE HYPHEN ALOUD.
1
Quick-relief inhaler - FOR EXAMPLE: ALBUTEROL (PROAIR, VENTOLIN,
XOPENEX), IPRATROPIUM (ATROVENT), OR A COMBINATION INHALER
(COMBIVENT)
2
Controller or long-acting inhaler including steroid inhaler – FOR EXAMPLE:
BECLOMETHASONE (QVAR), FLUTICASONE (FLOVENT), SALMETEROL
(SEREVENT), TIOTROPIUM (SPIRIVA), OR A COMBINATION INHALER (ADVAIR)
3
Other controlling medication – FOR EXAMPLE: MONTELUKAST (SINGULAIR),
ZAFIRLUKAST (ACCOLATE), THEOPHYLLINE, ROFLUMILAST (DALIRESP)
4
Other asthma medication
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who regularly took medications for asthma.
DISPLAY: Underline "past 12 months". Display QxQ words “medications” and “asthma” in bold/green.
Display "READ TEXT BEFORE THE HYPHEN ALOUD." in blue.
PATH ID:
R04_PT0125
In the past 12 months, has {Child’s first name} 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 R04_PT0127
-8
DON'T KNOW
GO TO R04_PT0127
-7
REFUSED
GO TO R04_PT0127
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "past 12 months". Display QxQ words “asthma attack” in bold/green.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
28
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0039
In the past 12 months, how many asthma attacks has {Child’s first name} 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: Parent/guardian of sampled youth who had an asthma attack in the past 12 months that required
medication.
DISPLAY: Underline "past 12 months". Display QxQ words “asthma attacks” in bold/green. Allow 0999.
PATH ID:
R04_PT0039_LC1
I have that in the past 12 months {CHILD'S FIRST NAME} had [R04_PT0039] asthma attacks that
required use of an oral or injected steroid medication at the time of the attack. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0039
2
SUPPRESS
GO TO R04_PT0127
ASK: IF R04_PT0039 > 20.
PATH ID:
R04_PT0127
In the past 12 months, has {Child’s first name} had to visit an emergency room or urgent care center
because of asthma?
1
YES
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "past 12 months". Display QxQ words “urgent care center” and “asthma” in
bold/green.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
29
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0282
In the past 12 months, how many times has {Child’s first name} had to visit an emergency room or
urgent care center because of asthma?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_PXR07
-7
REFUSED
GO TO R04_PXR07
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma.
DISPLAY: Underline "past 12 months". Display QxQ words “urgent care center” and “asthma” in
bold/green. Allow 0-999.
PATH ID:
R04_PT0282_LC1
I have that in the past 12 months {CHILD'S FIRST NAME} had to visit the emergency room or urgent
care center [R04_PT0282] times because of asthma. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0282
2
SUPPRESS
GO TO BOX R04_PXR07
ASK: IF R04_PT0282 > 10.
BOX ID:
R04_PXR07
Parent/guardian of sampled youth who has visited the emergency room or urgent care once in the past
12 months for asthma, go to R04_PX0692.
Else, parent/guardian of sampled youth who has visited the emergency room or urgent care more than
once in the past 12 months for asthma, go to R04_PX0720.
Else, go to R04_PT0033.
PATH ID:
R04_PX0692
Was that visit due to an asthma attack?
1
YES
GO TO R04_PT0033
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma once in the past
12 months.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
30
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0720
How many of those visits were due to an asthma attack?
1
|___|___|___|
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma multiple times in
the past 12 months.
PATH ID:
R04_PX0720_LC1
I have that in the past 12 months {CHILD'S FIRST NAME} had to visit the emergency room or urgent
care center [R04_PX0720] times because of an asthma attack. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PX0720
2
SUPPRESS
GO TO R04_PT0033
ASK: IF R04_PX0720 > R04_PT0282.
PATH ID:
R04_PT0033
In the past 12 months, has {Child’s first name} been told by a doctor, nurse or other health professional
that {he/she} has bronchitis, pneumonia, or chronic cough?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "past 12 months".
BOX ID:
R04_PTR07
Parent/guardian of new baseline youth that have never been told they had bronchitis or said don't know,
go to R04_PT0040_NB.
Else, go to R04_PT0052_12M.
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Parent Questionnaire – New and Aged-Up Interview
31
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0040_NB
Has {Child’s first name} ever been told by a doctor, nurse or other health professional that {he/she} had
bronchitis, pneumonia, or chronic cough?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth who have not been told they had bronchitis in past 12
months.
DISPLAY: Underline "ever".
PATH ID:
R04_PT0052_12M
In the past 12 months, has {Child’s first name} been told by a doctor, nurse or other health professional
that {he/she} has ADHD or ADD?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "past 12 months". Display QxQ words "ADHD" and "ADD" in bold/green.
BOX ID:
R04_PTR08
Parent/guardian of new baseline youth that has not been told they had ADD/ADHD in past year or said
don't know, go to R04_PT0052_NB.
Else, if youth has ever been told they have ADD/ADHD, go to R04_PT0048.
Else, go to R04_PT0049.
PATH ID:
R04_PT0052_NB
Has {Child’s first name} ever been told by a doctor, nurse or other health professional that {he/she} has
ADHD or ADD?
1
YES
2
NO
GO TO R04_PT0049
-8
DON'T KNOW
GO TO R04_PT0049
-7
REFUSED
GO TO R04_PT0049
ASK: Parent/guardian of new baseline youth that were not told they had ADD/ADHD in past year.
DISPLAY: Underline "ever". Display QxQ words "ADHD" and "ADD" in bold/green.
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Parent Questionnaire – New and Aged-Up Interview
32
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0048
[In a previous interview, it was reported that {Child's first name} had ADHD or ADD.
]In the past 12 months, has {Child’s first name} taken medications regularly for ADHD or ADD?
[Taken regularly means according to a health care provider’s instructions.]
1
YES
2
NO
3
YOUTH SP HAS NEVER HAD ADHD OR ADD
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of youth who have ever been told they had ADD/ADHD.
DISPLAY: Underline "past 12 months". Display QxQ words "ADHD" and "ADD" in bold/green.
IF R03_PARREPT_ADHD = 1 AND R04_PT0052_12M != 1, DISPLAY "In a previous interview, it was
reported that {Child's first name} had ADHD or ADD." ELSE, DO NOT DISPLAY THIS TEXT.
PATH ID:
R04_PT0049
In the past 12 months, has {Child’s first name} been told by a doctor, dentist or other health professional
that {he/she} has 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: Parent/guardian of sampled youth.
DISPLAY: Underline "past 12 months".
BOX ID:
R04_PTR09
Parent/guardian of new baseline youth that have not been told they had dental issues in past year or
said refused/dont' know, go to R04_PT0044_NB.
Else, parent/guardian of new baseline youth, go to R04_PT0281_NB.
Else, parent/guardian of continuing youth, go to R04_PT0281_12M.
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Parent Questionnaire – New and Aged-Up Interview
33
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0044_NB
Has {Child’s first name} ever been told by a doctor, dentist, or other health professional that {he/she}
has dental health issues, such as cavities, gum disease, or dental stains?
[Dental health issues do NOT include orthodontia or braces.]
1
YES
GO TO R04_PT0281_NB
2
NO
GO TO R04_PT0281_NB
-8
DON'T KNOW
GO TO R04_PT0281_NB
-7
REFUSED
GO TO R04_PT0281_NB
ASK: Parent/guardian of new baseline youth who were not told they had dental issues in past year.
DISPLAY: Underline "ever".
PATH ID:
R04_PT0281_NB
Has {Child’s first name} ever been told by a doctor, nurse or other health professional that {he/she} has
diabetes, sugar diabetes, high blood sugar, or borderline diabetes?
1
YES
2
NO
GO TO BOX R04_PTR10
-8
DON'T KNOW
GO TO BOX R04_PTR10
-7
REFUSED
GO TO BOX R04_PTR10
ASK: Parent/guardian of new baseline youth.
DISPLAY: Underline "ever".
PATH ID:
R04_PT0042_NB
How old was {Child’s first name} when {he/she} was first told {he/she} had diabetes, sugar diabetes,
high blood sugar, or borderline diabetes?
1
|___|___| YEARS OLD
-8
DON'T KNOW
GO TO R04_PT0263_NB
-7
REFUSED
GO TO R04_PT0263_NB
ASK: Parent/guardian of new baseline youth who ever had diabetes.
DISPLAY: Display "YEARS OLD" as title.
PATH ID:
R04_PT0042_NB_LC1
I have that {CHILD'S FIRST NAME} was diagnosed with diabetes, sugar diabetes, high blood sugar, or
borderline diabetes at age [R04_PT0042_NB] That is older than {he/she} is now. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0042_NB
2
SUPPRESS
GO TO BOX R04_PTR10
ASK: IF R04_PT0042_NB > R04_PARYTHAGE
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Parent Questionnaire – New and Aged-Up Interview
34
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0263_NB
Was {Child’s first name} less than 12 years old, 12 to 14 years old, or 15 to 17 years old?
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: Parent/guardian of new baseline youth who did not know or refused to give age when selected
youth was told he/she had diabetes.
BOX ID:
R04_PTR10
If a parent has ever reported that the youth had diabetes, go to R04_PX0721.
Else, go to R04_PX0756.
PATH ID:
R04_PX0721
[In a previous interview, it was reported that {Child's first name} had diabetes.
]Does [Child's first name] have Type 1 or Type 2 diabetes?
1
TYPE 1
2
TYPE 2
3
YOUTH SP HAS NEVER HAD DIABETES
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who have ever been told they have diabetes.
DISPLAY: If parent reported youth had diabetes in any previous wave, but not Wave 4
[R03_PARREPT_DIABETES = 1 AND R04_PT0281_12M != 1], display "In a previous interview, it was
reported that {Child's first name} had diabetes."
Else, do not display this transition text.
PATH ID:
R04_PX0756
Has {Child’s first name} ever been told by a doctor, therapist or other mental health professional that
{he/she} had schizophrenia, schizoaffective disorder or psychosis?
1
YES
2
NO
GO TO R04_PX0761
-8
DON'T KNOW
GO TO R04_PX0761
-7
REFUSED
GO TO R04_PX0761
ASK: Parent/guardian of sampled youth.
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Parent Questionnaire – New and Aged-Up Interview
35
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0757
How old was {Child’s first name} when {he/she} was first told by a doctor, therapist, or other mental
health professional that {he/she} had schizophrenia, schizoaffective disorder or psychosis?
1
|___|___| YEARS OLD
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of youth who have schizophrenia/pscyhosis.
PATH ID:
R04_PX0758
Was {Child’s first name} less than 12 years old, 12 to 14 years old, or 15 to 17 years old?
1
LESS THAN 12 YEARS OLD
GO TO R04_PX0221
2
12 TO 14 YEARS OLD
GO TO R04_PX0221
3
15 TO 17 YEARS OLD
GO TO R04_PX0221
-8
DON'T KNOW
GO TO R04_PX0221
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian who did not know or refused to give age when sampled youth was told he/she
had schizophrenia/pscyhosis.
PATH ID:
R04_PX0761
Has {Child’s first name} ever been told by a doctor, therapist or other mental health professional that
{he/she} had a psychotic illness or episode?
1
YES
2
NO
GO TO R04_PX0221
-8
DON'T KNOW
GO TO R04_PX0221
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of sampled youth who have not been diagnosed with schizophrenia,
schizoaffective disorder or psychosis.
PATH ID:
R04_PX0762
How old was {Child’s first name} when {he/she} was first told by a doctor, therapist, or other mental
health professional that {he/she} had a psychotic illness or episode?
1
|___|___| YEARS OLD
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of youth who have schizophrenia/pscyhosis.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
36
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0772
Was {Child’s first name} less than 12 years old, 12 to 14 years old, or 15 to 17 years old?
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: Parent/guardian who did not know or refused to give age when sampled youth was told he/she
had a psychotic illness or episode.
PATH ID:
R04_PX0221
The next questions ask about {Child's first name}'s close biological or blood relatives, including {his|her}
father, mother, or brothers or sisters, both living and deceased.
Were any of {Child's first name}'s close biological or blood relatives ever told by a health professional
that they had high blood pressure?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0222
Were any of {Child's first name}'s close biological or blood relatives ever told by a health professional
that they had high cholesterol?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
37
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0707
Have any of {Child's first name}'s close biological or blood relatives used any tobacco products? By this
we mean cigarettes, e-cigarettes or other electronic nicotine products, cigars, pipe, hookah, snus or
other types of smokeless tobacco (such as dip, spit or chew), and dissolvable tobacco.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "electronic nicotine products” in bold/green.
PATH ID:
R04_PX0731
Have any of {Child's first name}'s close biological or blood relatives ever been an alcoholic or problem
drinker? By this we mean a person whose drinking causes problems with their physical or emotional
health, family or friends, work or school, or the police.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0732
Have any of {Child's first name}'s close biological or blood relatives ever had problems with drugs? By
this we mean a person whose drug use causes problems with their physical or emotional health, family
or friends, work or school, or the police.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
38
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
RESPONDENT CHARACTERISTICS
BOX ID:
R04_PMR02
If parent has already completed a parent interview for another youth, go to R04_PL0030
Else, if the parent has already completed the adult interview, go to Box R04_PMR03.
Else, go to R04_PM0069.
PATH ID:
R04_PM0069
The next few questions are about you and your household.
Are you a citizen of the United States? Please look at this list. Would you say...
READ RESPONSE OPTIONS ALOUD.
1
Yes, born in the United States
2
Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas
3
Yes, born abroad of U.S. citizen parent or parents
4
Yes, U.S. citizen by naturalization
5
No, not a U.S. citizen
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0065
About how many years have you lived in the United States?
1
R HAS LIVED IN US THEIR WHOLE LIFE
2
ENTER NUMBER OF YEARS
GO TO R04_PM0066
-8
DON'T KNOW
GO TO R04_PM0066
-7
REFUSED
GO TO R04_PM0066
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
39
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0065_NN
ENTER THE NUMBER OF YEARS. IF LESS THAN 1 YEAR, ENTER 1.
1
I___I___I___I NUMBER OF YEARS
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview, and
reported the number of years they have lived in the United States.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0066
How well do you speak English? Would you say very well, well, not well, or not at all?
1
VERY WELL
2
WELL
3
NOT WELL
4
NOT AT ALL
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0070
How well do you read English? Would you say very well, well, not well, or not at all?
1
VERY WELL
2
WELL
3
NOT WELL
4
NOT AT ALL
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0073
How well do you write in English? Would you say very well, well, not well, or not at all?
1
VERY WELL
2
WELL
3
NOT WELL
4
NOT AT ALL
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
40
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0071
Do you speak a language other than English at home?
1
YES
2
NO
GO TO R04_PM0001
-8
DON'T KNOW
GO TO R04_PM0001
-7
REFUSED
GO TO R04_PM0001
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0072
What other languages do you speak at home?
CODE ALL THAT APPLY.
1
SPANISH
2
CHINESE
3
TAGALOG
4
VIETNAMESE
5
FRENCH
6
KOREAN
7
GERMAN
8
ARABIC
9
RUSSIAN
10
SOME OTHER LANGUAGE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview and
speaks another language at home.
DISPLAY: DISPLAY INTERVIEWER INSTRUCTION IN BLUE.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
41
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0001
What is the highest grade or level of school that you have completed?
1
LESS THAN HIGH SCHOOL
2
SOME HIGH SCHOOL, NO DIPLOMA
3
GED
4
HIGH SCHOOL GRADUATE—DIPLOMA
5
SOME COLLEGE BUT NO DEGREE
6
ASSOCIATE DEGREE—OCCUPATIONAL/VOCATIONAL
7
ASSOCIATE DEGREE—ACADEMIC PROGRAM
8
BACHELOR’S DEGREE (EX: BA, AB, BS)
9
MASTER’S DEGREE (EX: MA, MS, MENG, MED, MSW)
10
PROFESSIONAL SCHOOL DEGREE (EX: MD, DDS, DVM, JD)
11
DOCTORATE DEGREE (EX: PHD, EDD)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Underline "you".
BOX ID:
R04_PMR03
If parent/guardian of sampled youth reports having a spouse living in the household, go to
R04_PM0118.
Else, go to Box R04_PMR04.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
42
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0118
What is the highest grade or level of school that [Spouse/Guardian's First name] has completed?
1
LESS THAN HIGH SCHOOL
2
SOME HIGH SCHOOL, NO DIPLOMA
3
GED
4
HIGH SCHOOL GRADUATE—DIPLOMA
5
SOME COLLEGE BUT NO DEGREE
6
ASSOCIATE DEGREE—OCCUPATIONAL/VOCATIONAL
7
ASSOCIATE DEGREE—ACADEMIC PROGRAM
8
BACHELOR’S DEGREE (EX: BA, AB, BS)
9
MASTER’S DEGREE (EX: MA, MS, MENG, MED, MSW)
10
PROFESSIONAL SCHOOL DEGREE (EX: MD, DDS, DVM, JD)
11
DOCTORATE DEGREE (EX: PHD, EDD)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who reports having a spouse living in the household and did not
already complete a parent interview.
DISPLAY: FILL "{Spouse/Guardian's First name}" as follows:
If R04_PM0052=1, FILL with spouse name loaded from R03_PARSPOUSE_PID. Else fill with name of
spouse selected or entered in R04_PT0046. If R04_PM0057=1 and R04_PM0059=1 or 2, FILL with
name of parental figure selected or entered in R04_PM0058.
BOX ID:
R04_PMR04
If the parent has already completed the adult interview, go to R04_PT0060.
Else, go to R04_PM0130.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
43
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0130
Please look at this list. Which of the following categories best describes your total household income in
the past 12 months?
This is the total income before taxes of all persons in your household combined. Please include money
from jobs, relatives, pensions, dividends, interest, social security payments or retirement benefits, net
income from business, farm or rent, and any other money received by household members.
1
LESS THAN $10,000
GO TO R04_PL0040
2
$10,000 TO $14,999
GO TO R04_PL0040
3
$15,000 TO $24,999
GO TO R04_PL0040
4
$25,000 TO $34,999
GO TO R04_PL0040
5
$35,000 TO $49,999
GO TO R04_PL0040
6
$50,000 TO $74,999
GO TO R04_PL0040
7
$75,000 TO $99,999
GO TO R04_PL0040
8
$100,000 TO $149,999
GO TO R04_PL0040
9
$150,000 TO $199,999
GO TO R04_PL0040
10
$200,000 OR MORE
GO TO R04_PL0040
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Underline "total household income" and "all persons in your household combined".
PATH ID:
R04_PM0031
Is your total household income during the past 12 months above or below $50,000?
1
ABOVE $50,000
2
BELOW $50,000
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview and
did not know or refused to give total household income.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
44
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0040
Do you own or rent your home?
IF NEEDED: [Ownership includes having a mortgage or loan.]
1
OWN
2
RENT
3
OTHER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: DISPLAY INTERVIEWER INSTRUCTIONS IN BLUE.
PATH ID:
R04_PX0691
Please look at this list. In what type of living space do you currently live?
1
SINGLE FAMILY HOME
2
DUPLEX
3
DOUBLE OR MULTI-FAMILY HOME
4
CONDOMINIUM
5
TOWNHOUSE
6
APARTMENT BUILDING
7
NONE OF THE ABOVE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD04
For R04_PN0335, display as a stem and leaf question. For each leaf, display a yes/no response.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
45
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PN0335
Please look at this picture. In the past 30 days, have you used any of the following products, even one
or two times?
1
Cigarettes
2
Traditional cigars
3
Cigarillos
4
Filtered cigars
5
Pipe
6
Hookah
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD05
For R04_PN0336, display as a stem and leaf question. For each leaf, display a yes/no response.
PATH ID:
R04_PN0336
Please look at this picture. In the past 30 days, have you used any of the following products, even one
or two times?
1
Snus
2
Other types of smokeless tobacco (such as moist snuff, dip, spit, chewing tobacco,
or smokeless tobacco pouches)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD06
For R04_PN0337, display as a stem and leaf question. For each leaf, display a yes/no response.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
46
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PN0337
Please look at this picture. In the past 30 days, have you used any of the following products, even one
or two times?
1
E-cigarettes or other electronic nicotine products (IF NEEDED: [Electronic
nicotine products include e-cigarettes, vape pens, personal vaporizers and mods,
e-cigars, e-pipes, e-hookahs and hookah pens.])
2
Dissolvable tobacco
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: In response option 1, display words "IF NEEDED:" in blue.
PATH ID:
R04_PT0060
How much do you think people harm themselves when they smoke tobacco products that are burned
(such as cigarettes, cigars, pipes or hookah)?
Would you say no harm, a little harm, some harm, or a lot of harm?
1
NO HARM
2
A LITTLE HARM
3
SOME HARM
4
A LOT OF HARM
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
PATH ID:
R04_PT0061
Now think about e-cigarettes and other electronic nicotine products. How much do you think people
harm themselves when they use these products?
Would you say no harm, a little harm, some harm, or a lot of harm?
1
NO HARM
2
A LITTLE HARM
3
SOME HARM
4
A LOT OF HARM
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
DISPLAY: Display QxQ words "electronic nicotine products” in bold/green.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
47
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0062
And finally, how much do you think people harm themselves when they use smokeless tobacco
products (products in which you chew, suck or spit such as snus pouches, loose snus, moist snuff, dip,
spit, and chewing tobacco)?
Would you say no harm, a little harm, some harm, or a lot of harm?
1
NO HARM
2
A LITTLE HARM
3
SOME HARM
4
A LOT OF HARM
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
48
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
CONTACT INFORMATION
BOX ID:
R04_PLV03
If Parent/guardian of sampled youth or shadow youth has completed one or more parent
questionnaire(s), set R04_PARENT_COMPLETE = 1 FOR Int431_ParentID.
BOX ID:
R04_PLR01
ASK CONTACT INFORMATION 1 TIME FOR EACH PARENT RESPONDENT.
IF PARENT IS AN SP AND HAS ALREADY PROVIDED CONTACT INFORMATION AT THE END OF
THE ADULT INTERVIEW OR HAS PROVIDED CONTACT INFORMATION FOR ANOTHER SAMPLED
YOUTH OR SHADOW YOUTH DURING THEIR PARENT INTERVIEW, GO TO R04_PL0030.
ELSE, GO TO R04_PL0041
PATH ID:
R04_PL0041
Since your continued participation in the PATH Study is important to the study’s success, I’d like to take
a brief moment to confirm your contact information for my records. We’ll only use this information to
contact you about your participation in the study.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR03
If parent/guardian of youth has a valid physical address on file, go to R04_PL0001.
Else, go to R04_PL0037.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
49
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0001
I have your address as…
READ ADDRESS ALOUD.
ADDRESS
APT #
CITY, STATE ZIP CODE
Is that correct?
1
YES
2
NO
GO TO R04_PL0002
ASK: Parent/guardian of sampled youth who has a valid W4 physical address (where
R04_LINKED_ADDRESS has any value, and never equal to NULL).
DISPLAY: Display address in an easy to read format. Display instructional text in blue.
PATH ID:
R04_PL0037
What is your address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
GO TO R04_PL0035
-7
REFUSED
GO TO R04_PL0035
ASK: Parent/guardian of sampled youth who needs to correct their physical address or who does not
have a valid Wave 4 physical address.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0002
Do you receive mail at this address?
1
YES
2
NO
GO TO R04_PL0035
-8
DON'T KNOW
GO TO R04_PL0035
-7
REFUSED
GO TO R04_PL0035
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
50
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0003
Can I please have your mailing address?
VERIFY ALL SPELLING
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who does not receive mail at their physical address.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0035
Do you have a second home where you live during the year?
1
YES
2
NO
GO TO BOX R04_PLR05
-8
DON'T KNOW
GO TO BOX R04_PLR05
-7
REFUSED
GO TO BOX R04_PLR05
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH ID:
R04_PL0036
What is the address of the second home?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has a second home.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
51
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR05
If parent/guardian of youth has a valid telephone number on file, go to R04_PL0004_12M.
Else, go to R04_PL0004.
PATH ID:
R04_PL0004_12M
I have your telephone number as [(XXX) XXX-XXXX].
Is that correct?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PL0038
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who has a valid telephone number.
PATH ID:
R04_PL0004
What is the best telephone number to reach you?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who needs to correct their telephone number, who doesn't
know if the telephone number provided is correct, or who does not have a valid Wave 4 telephone
number.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR14
Parent/guardian of sampled youth who provided their telephone number, go to R04_PL0038.
Else, parent/guardian of sampled youth who did not provide, did not know, or refused to report a valid
telephone number, go to R04_PL0012.
PATH ID:
R04_PL0038
Is this a cell phone number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_PLR04
ASK: Parent/guardian of sampled youth who provided a phone number in R04_PL0004.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
52
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0032
May we contact you by text message at this number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who said their telephone number is a cell phone or did not know
or refused to report whether it is a cell phone.
BOX ID:
R04_PLR04
If parent/guardian of youth has a valid second telephone number on file, go to R04_PL0005.
Else, go to R04_PL0006.
PATH ID:
R04_PL0005
I have your second telephone number as [(XXX) XXX-XXXX].
Is that correct?
1
YES
2
NO
GO TO R04_PL0039
-8
DON'T KNOW
GO TO R04_PL0012
-7
REFUSED
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who has a valid W4 second telephone number (where
R04_PHONE2 field has 10 digits, and never equal to NULL).
PATH ID:
R04_PL0006
What is a second telephone number where you can be reached?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who needs to correct their second telehone number or who
does not have a valid Wave 4 second telephone number.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
53
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR15
Parent/guardian of sampled youth who provided their second telephone number, go to R04_PL0039.
Else, parent/guardian of sampled youth who did not provide, did not know, or refused to report a valid
second telephone number, go to R04_PL0012.
PATH ID:
R04_PL0039
Is this a cell phone number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who confirmed their phone number in R04_PL0005 or provided
a phone number in R04_PL0006.
PATH ID:
R04_PL0033
May we contact you by text message at this number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who said their second number is a cell phone or did not know or
refused to report whether it is a cell phone.
PATH ID:
R04_PL0012
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.
1
EMAIL NAME
2
EMAIL PROVIDER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR09
If more than one mode of contact was provided, go to R04_PL0017.
Else, go to R04_PL0018.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
54
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0017
What is the best way to reach you?
1
PHONE
2
TEXT MESSAGE
3
E-MAIL
-8
DON’T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth if more than one contact information field are entered.
PATH ID:
R04_PL0018
Do you anticipate moving or relocating either permanently or temporarily in the next 12 months?
1
YES
2
NO
3
MAYBE
GO TO R04_PL0030
-8
DON'T KNOW
GO TO R04_PL0030
-7
REFUSED
GO TO R04_PL0030
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH ID:
R04_PL0019
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.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who plans to move.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
55
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0030
Do you anticipate {Child’s first name} moving or relocating either permanently or temporarily in the next
12 months?
1
YES
2
NO
3
MAYBE
GO TO BOX R04_PLR02
-8
DON'T KNOW
GO TO BOX R04_PLR02
-7
REFUSED
GO TO BOX R04_PLR02
ASK: Parent/guardian of sampled youth, about each sampled youth and each sampled shadow youth.
PATH ID:
R04_PL0031
Can you tell me more about {Child’s first name}’s plans to move?
[For example, {Child’s first name}’s new street address or the city or state to which {Child’s first name}
plans to move?]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth, about each sampled youth and each sample shadow youth,
who plans to move.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR02
IF PARENT HAS ALREADY PROVIDED CONTACT INFORMATION AT THE END OF THE ADULT
INTERVIEW OR HAS PROVIDED CONTACT INFORMATION FOR ANOTHER SAMPLED YOUTH OR
SHADOW YOUTH, GO TO R04_PL0034.
ELSE, CONTINUE WITH R04_PL0020.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
56
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0020
Since we would like to interview you again, it is important that we are able to contact you in about a
year. In case we cannot reach you, is there a relative or friend who does not live in this household, who
will know how to reach you?
IF NEEDED: [Rest assured, we will only use this information if we have lost contact with you.]
What is the person’s name?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue and bold FIRST NAME.
BOX ID:
R04_PLR10
If FIRST NAME is don’t know or refused, go to R04_PX0769.
Else, go to R04_PL0022.
PATH ID:
R04_PL0022
What is their address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
57
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0023
What is their telephone number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian respondents who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0021
How are they related to you?
1
HUSBAND/WIFE
2
FATHER/MOTHER (INCLUDING IN-LAWS)
3
GRANDPARENT
4
SON/DAUGHTER (INCLUDING IN-LAWS)
5
GRANDCHILD
6
BROTHER/SISTER (INCLUDING IN-LAWS)
7
FRIEND/NEIGHBOR
8
OTHER RELATIVE (SPECIFY)
9
OTHER NON-RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
PATH ID:
R04_PL0025
Could you provide me with the name of a second relative or friend who will know how to reach you?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue and bold FIRST NAME.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
58
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR11
If FIRST NAME is don’t know or refused, go to R04_PX0769.
Else, go to R04_PL0027.
PATH ID:
R04_PL0027
What is their address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0025.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0028
What is their telephone number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian respondents who provided a name in R04_PL0025.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
59
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0026
How are they related to you?
1
HUSBAND/WIFE
2
FATHER/MOTHER (INCLUDING IN-LAWS)
3
GRANDPARENT
4
SON/DAUGHTER (INCLUDING IN-LAWS)
5
GRANDCHILD
6
BROTHER/SISTER (INCLUDING IN-LAWS)
7
FRIEND/NEIGHBOR
8
OTHER RELATIVE (SPECIFY)
9
OTHER NON-RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0025.
PATH ID:
R04_PX0769
In the future, the PATH questionnaire may be available to take online on your personal desktop, laptop,
or tablet. Due to its length, the questionnaire will not be available on smart phones.
You would be able to complete the questionnaire at your convenience, without an interviewer present.
The incentive would arrive in the mail a few days after the questionnaire is completed.
Would you be very interested, somewhat interested, or not at all interested in taking the PATH
questionnaire online on your personal desktop, laptop, or tablet?
1
VERY INTERESTED
GO TO R04_PL0034
2
SOMEWHAT INTERESTED
GO TO R04_PL0034
3
NOT AT ALL INTERESTED
4
UNSURE/DON'T KNOW
GO TO R04_PL0034
-8
DON'T KNOW
GO TO R04_PL0034
-7
REFUSED
GO TO R04_PL0034
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
60
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0770
Why not?
CODE ALL RESPONSES THAT APPLY.
1
DO NOT HAVE INTERNET ACCESS ON DESKTOP/LAPTOP/TABLET
2
CONCERNED ABOUT TECHNICAL DIFFICULTIES
3
PREFER TO HAVE INTERVIEWER
4
CONCERNED ABOUT CONFIDENTIALITY
5
CONCERNED ABOUT NOT RECEIVING INCENTIVE
6
OTHER (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who would not be interested in doing PATH questionnaires
online in the future.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PL0034
[THIS RESPONDENT HAS ALREADY PROVIDED CONTACT INFORMATION.]
If you do move or change your phone numbers please update your contact information on the PATH
Study website or by calling our toll free number. Each year you may receive a $5 thank you on your
debit card for updating your contact information.
Thank you for taking the time to answer these questions.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of sampled youth.
DISPLAY: If the respondent has already provided contact information in another completed interview
(R04_CONTACTFLAG_LD =1), display: “THIS RESPONDENT HAS ALREADY PROVIDED CONTACT
INFORMATION”. Else, do not display this text.
Display instructional text in blue.
BOX ID:
R04_PLV02
Contact information was provided by parent/guardian of youth SP, set R04_CONTACTFLAG.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
61
PATH
Parent Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_LCPT01
INTERVIEWER: IN WHAT LANGUAGE DID YOU MOSTLY CONDUCT THE CAPI PORTIONS OF
THIS INTERVIEW?
1
ENGLISH
END INTERVIEW AND RETURN TO IMS
2
SPANISH
END INTERVIEW AND RETURN TO IMS
ASK: Parent/guardian of sampled youth (asked of Interviewer).
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – New and Aged-Up Interview
62
Parent Questionnaire (Spanish) – New and Aged-Up Interview
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
Table of Contents
FAMILY COMPOSITION ......................................................................................................... 1
SCHOOL, HOME AND TOBACCO USE ............................................................................... 16
HEALTH................................................................................................................................. 21
RESPONDENT CHARACTERISTICS .................................................................................. 41
CONTACT INFORMATION ................................................................................................... 51
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
ii
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
SECTION
# OF QUESTIONS
Family Composition
22
School, Home and Tobacco Use
Health
Respondent Characteristics
Contact Information
9
48
19
31
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
iii
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
POMBIntro
IF RESPONDENT ASKS ABOUT THE OFFICE OF MANAGEMENT AND BUDGET (OMB), READ THE
FOLLOWING PARAGRAPH ALOUD
Número de control de la OMB: 0925-0664
Fecha de vencimiento: XX/XX/XXXX
Se calcula que el tiempo para esta recolección de información es de 19 minutos por cuestionario,
incluyendo el tiempo necesario para revisar las instrucciones, buscar fuentes de datos existentes, reunir y
mantener los datos necesarios y completar y revisar la recolección de información. Ninguna agencia puede
realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha
recolección de información, a menos que esta muestre un número de control vigente de la OMB. Envíe sus
comentarios respecto a este cálculo de tiempo o a otro aspecto de esta recolección de información,
incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance Branch, 6705
Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). No devuelva el
cuestionario contestado a esta dirección.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: Parent/guardian of sampled youth.
DISPLAY: Display OMB statement text in grey. Display "IF RESPONDENT ASKS..." statement and
"PRESS 1 TO CONTINUE" in blue. If parent/guardian of new baseline youth respondent
(R04_YOUTHTYPE = 2, 3), display "19" minutes; if parent/guardian of continuing youth respondent
(R04_YOUTHTYPE = 1), display "16" minutes; else, display "16" minutes. Pending language selected in
F2; display English OMB statement if English is selected, display Spanish OMB statement if Spanish is
selected. Default to English display.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
iv
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
FAMILY COMPOSITION
BOX ID:
R04_PXV01
PROGRAM: LOAD THE FOLLOWING VARIABLES
R03_PT0001 = Wave 3 parent's relationship to youth SP
R03_PARSPOUSE_PID = ID of Wave 3 parent's spouse
R03_PARREPT_ADHD = Youth has been told that he/she has ADD/ADHD
R03_PARREPT_ASTHMA = Youth has been told that he/she has asthma
R03_PARREPT_DIABETES = Youth has been told that he/she has diabetes
TWINMULT = Are there twins/multiple births in household (Wave 1 or Wave 4 HH Screener)
R04_CONTACTFLAG_LD = Adult SP or parent/guardian of youth SP has provided contact information.
R04_ADULT_COMPLETE_LD = Adult respondent has completed the adult questionnaire.
R04_PARENT_COMPLETE_LD = Parent/guardian of sampled youth has completed one or more
parent questionnaire(s).
R04_LINKED_ADDRESS = Best address from IMS
R04_VTBESTSPPHONE = Best phone number from IMS
R04_PHONE2 = Second phone number from IMS
PROGRAM - LOAD THE FOLLOWING VARIABLES FROM CONSENT WRAPPER:
R04_YOUTHTYPE
(1) ContinuingYouth = Youth completed a youth interview in a previous wave and will do a youth
interview this wave.
(2) NewBaselineYouth = Youth was a shadow youth in previous wave, but will do a youth interview this
wave.
(3) New Cohort Youth = Youth respondents who are new to the PATH Study as part of the
replenishment sample. This is their first interview in the Youth cohort and in the PATH Study.
(4) ContinuingShadowYouth = Youth was a shadow youth in previous wave and is still a shadow youth.
(5) New Cohort Shadow Youth = Youth is new to the PATH Study as part of the replenishment sample
and is a shadow youth.
R04_LASTWVPARENTCOMP
For the parent associated with this youth:
(1) wave 1 = the last time this parent did a parent interview for this youth was in baseline.
(2) wave 2 = the last time this parent did a parent interview for this youth was in wave 2.
(3) wave 3 = the last time this parent did a parent interview for this youth was in wave 3.
(null) this parent has never done a parent interview for this youth.
R04_PARENTTYPE
(1) PriorParent = This parent has completed a parent interview for this youth in a previous wave.
(2) NewParent = This parent has not completed a parent interview for this youth in a previous wave.
R04_PARYTHAGE = age of youth at time of parent consent.
Program Note: In the following specifications, “!=” represents “not equal to”.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
1
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR03
If the W4 parent/guardian is the same respondent as the W3 parent/guardian, and the W3 parent
relationship to youth was not "OTRO PARIENTE", "NO ES PARIENTE" or Don't Know/Refused, go to
R04_PM0053.
Else go to R04_PT0001.
PATH ID:
R04_PM0053
Tengo anotado que usted es el/la {parent's relationship to sampled youth} de {Child's first name}. ¿Es
correcto?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_PTR01
GO TO BOX R04_PTR01
ASK: Parent/guardian of sampled youth who selected a relationship in R03_PT0001.
PATH ID:
R04_PT0001
¿Cuál es su parentesco o relación con {Child's first name}? En otras palabras, usted es el/la...de
{Child's first name}.
[¿Diría que es la madre biológica o adoptiva, el padre biológico o adoptivo, la madrastra o el
padrastro?]
1
MADRE BIOLÓGICA
2
PADRE BIOLÓGICO
3
MADRE ADOPTIVA
4
PADRE ADOPTIVO
5
MADRASTRA
6
PADRASTRO
7
MADRE TEMPORAL (FOSTER)
8
PADRE TEMPORAL (FOSTER)
9
ABUELA
10
ABUELO
11
TÍA
12
TÍO
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: This item is asked when the W4 parent/guardian is not the same as the W3 parent/guardian; or
any respondent who reported OTHER/SPECIFY, DON'T KNOW, or REFUSED to this question in W3; or
any respondent who did not confirm relationship in R04_PM0053.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
2
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PTR01
If parent/guardian of shadow youth, go to Contact Information section.
Else, if parent has already completed a parent interview for another youth and parent is married and has
provided a valid name for their spouse, go to R04_PT0002.
Else, if parent has already completed a parent interview for another youth and parent is not married or
has not provided a valid name for their spouse, go to R04_PM0057.
Else, go to R04_PT0047.
PATH ID:
R04_PT0047
¿Cuál es su estado civil? ¿Actualmente, está usted casado, viudo, divorciado, separado o nunca se ha
casado?
1
CASADO
2
VIUDO
3
DIVORCIADO
4
SEPARADO
5
NUNCA SE HA CASADO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
BOX ID:
R04_PTR03
Parents who are married at W4 and provided the name of their spouse in the previous wave, go to
R04_PM0052.
Else, parents who are married, go to R04_PT0046.
Else, go to R04_PM0057.
PATH ID:
R04_PM0052
Tengo anotado que su cónyuge es {Spouse's first name}, ¿es correcto?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PT0045
GO TO R04_PM0057
ASK: Parent/guardian of sampled youth who is married at W4 and provided the name of their spouse in
the previous wave. If parent has already completed a parent interview for another youth, do not re-ask
this item.
DISPLAY: Fill {Spouse's first name} with name selected in R03_PARSPOUSE_PID. Only display the
first name.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
3
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0046
¿Cómo se llama su cónyuge?
SELECT NAME AMONG THE LIST. READ NAMES IF NECESSARY. IF SPOUSE'S NAME IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PT0045
2
[First Name and age of person #2]
GO TO R04_PT0045
3
[First Name and age of person #3]
GO TO R04_PT0045
4
[First Name and age of person #4]
GO TO R04_PT0045
5
[First Name and age of person #5]
GO TO R04_PT0045
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF SPOUSE]
-8
DON'T KNOW
GO TO R04_PM0057
-7
REFUSED
GO TO R04_PM0057
ASK: Parent/guardian whose spouse's name was not confirmed in R04_PM0052, or parents who report
now being married in W4. If parent has already completed a parent interview for another youth, do not
re-ask this item.
DISPLAY: List first names of everyone in the grid who is aged 18 years old or older (and not deceased)
in the HH screener with their age, ordered by oldest to youngest and then new people that were added
earliest to most recent below. For response options, display one row for each person on the grid.
Display interviewer instructions in blue.
PATH ID:
R04_PT0046_OS_1
¿Cuál es el primer nombre de su cónyuge?
ENTER THE SPOUSE'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
4
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0046_OS_2
¿Cuál es el apellido de su cónyuge?
ENTER THE SPOUSE'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PT0046_OS_3
¿Qué edad tiene su cónyuge?
ENTER THE SPOUSE'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PT0045
¿Vive {Spouse's first name/ su cónyuge} aquí?
[Si su cónyuge o pareja está fuera en una misión militar, se le debe contar como que vive aquí.]
1
SÍ
2
NO
GO TO R04_PM0057
-8
DON'T KNOW
GO TO R04_PM0057
-7
REFUSED
GO TO R04_PM0057
ASK: Parent/guardian of sampled youth whose spouse is confirmed in R04_PM0052 or provided in
R04_PT0046. If parent has already completed a parent interview for another youth, do not re-ask this
item.
DISPLAY: IF R04_PT0046_OS_1 = -8, -7, DISPLAY "su cónyuge". ELSE, DISPLAY FILL WITH
{Spouse's first name}.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
5
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0002
¿Qué relación o parentesco tiene {Spouse's first name/ } con {Child's first name}? Es decir, ¿es
{Spouse's first name} la madre, el padre, la tía, el tío, o qué parentesco tiene con {Child's first name}?
[¿Diría que es la madre biológica o adoptiva, el padre biológico o adoptivo, la madrastra, el padrastro o
la madre o el padre temporal?]
1
MADRE BIOLÓGICA
2
PADRE BIOLÓGICO
3
MADRE ADOPTIVA
4
PADRE ADOPTIVO
5
MADRASTRA
6
PADRASTRO
7
MADRE TEMPORAL (FOSTER)
8
PADRE TEMPORAL (FOSTER)
9
ABUELA
10
ABUELO
11
TÍA
12
TÍO
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth whose spouse is confirmed in R04_PM0052 or provided in
R04_PT0046_PID or R04_PT0046_OS_1.
DISPLAY: If R04_PM0052 = 1, fill {Spouse's first name} with R03_PARSPOUSE_PID. Else, fill
{Spouse's first name} with name selected/entered in R04_PT0046_PID or R04_PT0046_OS_1. Only
display the first name. Also display "¿es {Spouse's first name} la madre, el padre, la tía, el tío, o qué
parentesco tiene con {Child's first name}? ".
If spouse's first name is unknown, display "¿es la madre, el padre, la tía, el tío, o qué parentesco tiene
con {Child's first name}?".
PATH ID:
R04_PM0057
¿Tiene {Childs' first name} otras figuras paternas o maternas o tutores que vivan aquí?
[Si la figura paterna o materna, o el tutor está fuera en una misión militar, se le debe contar como que
vive aquí.]
1
SÍ
2
NO
GO TO R04_PT0003
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
6
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0058
¿Cómo se llama la otra figura paterna o materna o el otro tutor o tutora?
IF NEEDED, CLARIFY THAT YOU ARE ASKING ABOUT THE PARENTAL FIGURE OR GUARDIAN
WHO LIVES IN THE HOME. READ NAMES IF NECESSARY. IF HOUSEHOLD MEMBER IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PM0059
2
[First Name and age of person #2]
GO TO R04_PM0059
3
[First Name and age of person #3]
GO TO R04_PM0059
4
[First Name and age of person #4]
GO TO R04_PM0059
5
[First Name and age of person #5]
GO TO R04_PM0059
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF PARENTAL
FIGURE/GUARDIAN]
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has another parental figure or guardian who lives in the
home.
DISPLAY: List first names of everyone in the grid who is aged 11 years old or older in the HH screener
with their age, ordered by oldest to youngest and then new people that were added earliest to most
recent below. For response options, display one row for each person on the grid who is age 11 or older.
Display "IF NEEDED,..." statement in blue.
PATH ID:
R04_PM0058_OS_1
¿Cuál es el nombre de la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
7
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0058_OS_2
¿Cuál es el apellido de la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0058_OS_3
¿Qué edad tiene la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
8
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0059
¿Qué relación o parentesco tiene {Parental figure/guardian's first name} con {Child's first name}? Es
decir, ¿es {Parental figure/guardian's first name} la madre, el padre, la tía, el tío, o qué parentesco tiene
con {Child's first name}?
[¿Diría que es la madre biológica o adoptiva, el padre biológico o adoptivo, la madrastra o el
padrastro?]
1
MADRE BIOLÓGICA
2
PADRE BIOLÓGICO
3
MADRE ADOPTIVA
4
PADRE ADOPTIVO
5
MADRASTRA
6
PADRASTRO
7
MADRE TEMPORAL (FOSTER)
8
PADRE TEMPORAL (FOSTER)
9
ABUELA
10
ABUELO
11
TÍA
12
TÍO
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who report another parental figure or guardian in R04_PM0058 or
R04_PM0058_OS_1.
PATH ID:
R04_PM0060
¿Tiene {Childs' first name} otras figuras paternas o maternas o tutores que vivan aquí?
[Si la figura paterna o materna, o el tutor está fuera en una misión militar, se le debe contar como que
vive aquí.]
1
SÍ
2
NO
GO TO R04_PT0003
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has another parental figure or guardian who lives in the
home.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
9
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0061
¿Cómo se llama la otra figura paterna o materna o el otro tutor o tutora?
IF NEEDED, CLARIFY THAT YOU ARE ASKING ABOUT THE PARENTAL FIGURE OR GUARDIAN
WHO LIVES IN THE HOME. READ NAMES IF NECESSARY. IF HOUSEHOLD MEMBER IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PM0062
2
[First Name and age of person #2]
GO TO R04_PM0062
3
[First Name and age of person #3]
GO TO R04_PM0062
4
[First Name and age of person #4]
GO TO R04_PM0062
5
[First Name and age of person #5]
GO TO R04_PM0062
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF PARENTAL
FIGURE/GUARDIAN]
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has a second other parental figure or guardian who lives in
the home.
DISPLAY: List first names of everyone in the grid who is aged 11 years old or older in the HH screener
with their age, ordered by oldest to youngest and then new people that were added earliest to most
recent below. For response options, display one row for each person on the grid who is age 11 or older.
Display "IF NEEDED,..." statement in blue.
PATH ID:
R04_PM0061_OS_1
¿Cuál es el nombre de la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
10
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0061_OS_2
¿Cuál es el apellido de la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0061_OS_3
¿Qué edad tiene la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
11
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0062
¿Qué relación o parentesco tiene {Parental figure/guardian's first name} con {Child's first name}? Es
decir, ¿es {Parental figure/guardian's first name} la madre, el padre, la tía, el tío, o qué parentesco tiene
con {Child's first name}?
[¿Diría que es la madre biológica o adoptiva, el padre biológico o adoptivo, la madrastra o el
padrastro?]
1
MADRE BIOLÓGICA
2
PADRE BIOLÓGICO
3
MADRE ADOPTIVA
4
PADRE ADOPTIVO
5
MADRASTRA
6
PADRASTRO
7
MADRE TEMPORAL (FOSTER)
8
PADRE TEMPORAL (FOSTER)
9
ABUELA
10
ABUELO
11
TÍA
12
TÍO
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who reported another parental figure or guardian in R04_PM0061 or
R04_PM0061_OS_1.
PATH ID:
R04_PT0003
¿Vive en otra parte el padre o la madre de {Child's first name}?
1
SÍ
2
NO
GO TO BOX R04_PXR01
-8
DON'T KNOW
GO TO BOX R04_PXR01
-7
REFUSED
GO TO BOX R04_PXR01
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
12
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0006
¿Cuánto tiempo pasa {Child's first name} ahí? ¿Diría que nunca, menos de la mitad del tiempo, casi la
mitad del tiempo o más de la mitad del tiempo?
1
NUNCA
2
MENOS DE LA MITAD DEL TIEMPO
3
CASI LA MITAD DEL TIEMPO
4
MÁS DE LA MITAD DEL TIEMPO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth if sampled youth has another parental figure or guardian who
lives somewhere else.
BOX ID:
R04_PXR01
If new baseline youth is a twin or part of a multiple birth, as identified in the Household Screener, ask
twin items following skips appropriately.
Else, go to R04_PT0009.
PATH ID:
R04_PTWININTRO_NB
{CHILD'S FIRST NAME} WAS IDENTIFIED IN THE HOUSEHOLD SCREENER AS PART OF A SET
OF TWINS OR MULTIPLE BIRTHS. THE NEXT SET OF QUESTIONS IS SPECIFIC TO THESE
TWINS OR MULTIPLE BIRTHS.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of new baseline youth who is a twin or part of a multiple birth as identified in the
Household Screener.
DISPLAY: FILL {Child's first name} with first name of sampled youth that was identified as a twin or
multiple birth. Display “{CHILD'S FIRST NAME} WAS IDENTIFIED..." statement in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
13
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0016_NB
En una entrevista anterior, se identificó a {Child's first name] como gemelo o parte de un nacimiento
múltiple. ¿Es correcto?
PROBE, IF NEEDED: [¿Es {Child's first name} gemelo o gemela o nació en un parto múltiple?]
1
SÍ. ES GEMELO O GEMELA
2
SÍ. ES PARTE DE UN PARTO MÚLTIPLE
GO TO R04_PM0035_NB
3
NO
GO TO R04_PT0009
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is a twin or part of a multiple birth as identified in the
HH Screener.
DISPLAY: Display QxQ words "gemelo" and "nacimiento múltiple" in bold/green. Display "PROBE, IF
NEEDED" in blue.
PATH ID:
R04_PM0030_NB
¿Cuál es el nombre del hermano o de la hermana gemela de {Child's first name}?
1
Nombre: ______________________
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is a twin.
DISPLAY: Display QxQ word "gemela" in bold/green.
PATH ID:
R04_PM0017_NB
¿Son {Child's first name} y {Twin's first name from R04_PM0030_NB} gemelos o gemelas idénticos?
1
SÍ
GO TO R04_PT0009
2
NO
GO TO R04_PT0009
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is a twin.
DISPLAY: Fill "Twin's first name" with the other twin's name that was identified in R04_PM0030_NB.
Display QxQ words "gemelos o gemelas idénticos" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
14
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0035_NB
¿Cuáles son los nombres de los otros niños que nacieron en el parto múltiple con {Child's first name}?
1
Nombres: ______________________
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is part of a multiple birth.
DISPLAY: Display QxQ words "parto múltiple" in bold/green.
PATH ID:
R04_PM0019_NB
¿Es alguno de ellos idéntico a {Child's first name}?
IF AT LEAST ONE PERSON IN THE MULTIPLE BIRTH IS IDENTICAL TO THE SP YOUTH, CODE
THIS QUESTION AS ‘YES'.
1
SÍ
2
NO
GO TO R04_PT0009
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is part of a multiple birth.
DISPLAY: Display QxQ word "idéntico" in bold/green. Display "IF AT LEAST ONE PERSON..."
statement in blue.
PATH ID:
R04_PM0021_NB
¿Quién es idéntico o idéntica a {Child's first name}?
1
Nombres: _____________________
-8
DON'T KNOW
GO TO R04_PT0009
-7
REFUSED
GO TO R04_PT0009
ASK: Parent/guardian of new baseline youth who is part of an identical multiple birth.
DISPLAY: Display QxQ words "idéntico o idéntica" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
15
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
SCHOOL, HOME AND TOBACCO USE
PATH ID:
R04_PT0009
Las siguientes preguntas son acerca de la vida de {Child's first name} en casa y en la escuela.
Por lo general, ¿se le prohíbe a {Child's first name} estar fuera de casa después de una hora específica
durante los días de escuela?
IF THE RESPONDENT IS UNSURE HOW TO ANSWER BECAUSE THE CURFEW VARIES BASED
ON THE SITUATION, CODE YES AS LONG AS THE PARENT IS THE ONE WHO SETS THE
CURFEW TIME.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "IF THE RESPONDENT IS..." statement in blue. Underline "escuela".
PATH ID:
R04_PT0011
Por lo general, ¿se le prohíbe a {Child's first name} estar fuera de casa después de una hora específica
durante el fin de semana?
IF THE RESPONDENT IS UNSURE HOW TO ANSWER BECAUSE THE CURFEW VARIES BASED
ON THE SITUATION, CODE YES AS LONG AS THE PARENT IS THE ONE WHO SETS THE
CURFEW TIME.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "IF THE RESPONDENT IS..." instructions in blue. Underline "fin de semana".
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
16
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0019
Por favor mire esta lista. ¿Cómo describiría el rendimiento escolar de {Child's first name} en los últimos
12 meses? ¿Diría que las calificaciones de {Child's first name} son...?
READ RESPONSE OPTIONS ALOUD.
1
mayormente A,
2
A y B,
3
mayormente B,
4
B y C,
5
mayormente C,
6
C y D,
7
mayormente D,
8
D y F,
9
mayormente F o
10
en la escuela de su hijo no se dan calificaciones
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "últimos 12 meses".
PATH ID:
R04_PT0021
Que usted sepa, ¿alguna vez ha fumado {Child's first name} un cigarrillo, un cigarrillo electrónico u
otros productos electrónicos con nicotina, puros, tabaco en pipa, tabaco en hookah, o ha consumido
snus u otro tabaco que no se fuma?
Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
sabe que {ella/él} lo ha hecho
2
tiene fuertes sospechas de que {ella/él} lo ha hecho
3
no cree que {ella/él} lo ha hecho
4
está seguro de que {ella/él} no lo ha hecho
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Display QxQ words "productos
electrónicos con nicotina" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
17
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR02
If parent has already completed an adult interview or a parent interview for another youth, GO TO
R04_PT0029.
Else, go to R04_PR1045.
PATH ID:
R04_PR1045
Las siguientes preguntas son acerca de las normas o reglas de consumir tabaco dentro de su casa.
Piense en todas las personas que podrían estar en su casa, incluyendo a niños, adultos, visitas,
invitados o trabajadores.
Para los productos de tabaco que se queman, tales como cigarrillos, puros, pipas o hookahs, ¿cuál de
las siguientes afirmaciones describe mejor las reglas acerca de fumar estos productos dentro de su
casa?
Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
No está permitido en ninguna parte o en ningún momento dentro de mi casa,
2
Está permitido en algunas partes o en algunos momentos dentro de mi casa o
3
Está permitido en todas partes y en cualquier momento dentro de mi casa
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "queman" and "dentro".
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
18
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PR1051
Ahora piense acerca de los cigarrillos electrónicos y de otros productos electrónicos con nicotina.
¿Cuál de las siguientes afirmaciones describe mejor las reglas acerca del consumo de estos productos
dentro de su casa?
Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
No está permitido en ninguna parte o en ningún momento dentro de mi casa,
2
Está permitido en algunas partes o en algunos momentos dentro de mi casa o
3
Está permitido en todas partes y en cualquier momento dentro de mi casa
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "dentro". Display QxQ
words "productos electrónicos con nicotina" in bold/green.
PATH ID:
R04_PR1050
Ahora piense en los productos de tabaco que no se queman, tales como el snus y otros tipos de tabaco
que no se fuma.
¿Cuál de las siguientes afirmaciones describe mejor las reglas acerca del consumo de estos productos
dentro de su casa?
Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
No está permitido en ninguna parte o en ningún momento dentro de mi casa,
2
Está permitido en algunas partes o en algunos momentos dentro de mi casa o
3
Está permitido en todas partes y en cualquier momento dentro de mi casa
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "no" and "dentro".
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
19
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0029
¿Cree que {Child's first name} pueda tener acceso a algún producto de tabaco o a productos
electrónicos con nicotina (como cigarrillos electrónicos) cuando está en su casa?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "productos electrónicos con nicotina" in bold/green.
BOX ID:
R04_PTR04
If child spends time at another parent’s home, go to R04_PT0005.
Else, go to R04_PT0035.
PATH ID:
R04_PT0005
¿Cree que {Child's first name} pueda tener acceso a algún producto de tabaco o a productos
electrónicos con nicotina (como cigarrillos electrónicos) cuando {él/ella} está en casa del otro padre?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth where child spends time at another parent’s home.
DISPLAY: Display QxQ words "productos electrónicos con nicotina" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
20
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
HEALTH
PATH ID:
R04_PT0035
Las siguientes preguntas son acerca de la salud de {Child's first name}.
En general, ¿diría que la salud general de {Child's first name} es excelente, muy buena, buena, regular
o mala?
1
EXCELENTE
2
MUY BUENA
3
BUENA
4
REGULAR
5
MALA
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "salud general" in bold/green.
PATH ID:
R04_PT0007
Aproximadamente, ¿cuánto mide {Child's first name} sin zapatos? Puede anotar la respuesta en pies y
pulgadas o en metros.
1
I___I___I PIES
2
I___I___I PULGADAS
3
I__I__I.I__I__I METROS
-8
DON'T KNOW
GO TO R04_PT0008
-7
REFUSED
GO TO R04_PT0008
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "PIES" and "PULGADAS", or "METROS" as a title.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
21
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0007_LC1
Tengo anotado que la estatura actual de {CHILD'S FIRST NAME} es {[R04_PT0007_FT] pies{ y
[R04_PT0007_IN] pulgadas}/[R04_PT0007_MT] metros}.
¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0007
2
SUPPRESS
GO TO R04_PT0008
ASK: IF R04_PT0007_FT < 5 OR (R04_PT0007_FT = 6 AND R04_PT0007_IN > 0) OR
R04_PT0007_FT > 6 OR R04_PT0007_MT < 1.5 OR R04_PT0007_MT > 1.8.
DISPLAY: IF R04_PT0007_FT > 0 AND R04_PT0007_IN = 0, DISPLAY “[R04_PT0007_FT] pies”.
ELSE, IF R04_PT0007_FT > 0 AND R04_PT0007_IN > 0, DISPLAY “[R04_PT0007_FT] pies y
[R04_PT0007_IN] pulgadas”.
ELSE, IF R04_PT0007_MT> 0, DISPLAY “[R04_PT0007_MT] metros”.
PATH ID:
R04_PT0008
Aproximadamente, ¿cuánto pesa {Child's first name} sin ropa ni zapatos? Puede anotar la respuesta en
libras o kilogramos.
1
I___I___I___I LIBRAS
2
I___I___I___I KILOGRAMOS
-8
DON'T KNOW
GO TO BOX R04_PXR04
-7
REFUSED
GO TO BOX R04_PXR04
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "LIBRAS" and "KILOGRAMOS” as title.
PATH ID:
R04_PT0008_LC1
Tengo anotado que el peso actual de {CHILD'S FIRST NAME} es [R04_PT0008] {libras/kilos}.
¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0008
2
SUPPRESS
GO TO BOX R04_PXR04
ASK: IF (R04_PARYTHAGE < 15 AND ((R04_PT0008_LB < 85 OR R04_PT0008_LB > 170) OR
(R04_PT0008_KG < 38.6 OR R04_PT0008_KG > 77.1))) OR (R04_PARYTHAGE >= 15 AND
((R04_PT0008_LB < 105 OR R04_PT0008_LB > 200) OR (R04_PT0008_KG < 47.6 OR
R04_PT0008_KG > 90.7))).
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
22
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR04
If parent/guardian of new baseline youth, go to R04_PX0186_NB.
Else, if parent/guardian of continuing youth, go to R04_PT0050_12M.
PATH ID:
R04_PX0186_NB
Las siguientes preguntas son sobre las limitaciones ocasionadas por algún problema físico, mental o
emocional a largo plazo. No incluya los problemas de salud temporales, tales como un resfriado o
fracturas.
¿Tiene {Child's first name} serias dificultades para caminar o subir escaleras?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
PATH ID:
R04_PX0188_NB
¿Tiene {Child's first name} dificultad para vestirse o bañarse?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
PATH ID:
R04_PX0191_NB
¿Es {Child's first name} ciego o ciega o tiene serias dificultades para ver, incluso cuando usa anteojos?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
23
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0190_NB
¿Es {Child's first name} sordo o sorda o tiene serias dificultades para oír?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
PATH ID:
R04_PX0189_NB
Debido a un problema físico, mental o emocional, ¿tiene {Child's first name} serias dificultades para
concentrarse, recordar cosas o tomar decisiones?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth.
BOX ID:
R04_PXR05
If new baseline youth is 15 years old or older, go to R04_PX0187_NB.
Else, go to R04_PT0050_NB.
PATH ID:
R04_PX0187_NB
Debido a un problema físico, mental o emocional, ¿tiene {Child's first name} dificultad para hacer
diligencias solo o sola, como por ejemplo ir al médico o ir de compras?
1
SÍ
GO TO R04_PT0050_NB
2
NO
GO TO R04_PT0050_NB
-8
DON'T KNOW
GO TO R04_PT0050_NB
-7
REFUSED
GO TO R04_PT0050_NB
ASK: Parent/guardian of new baseline youth who is 15 years old or older.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
24
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0050_NB
Alguna vez, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a {Child's first name}
que {él/ella} tenía hipertensión?
1
SÍ
2
NO
GO TO R04_PT0051_NB
-8
DON'T KNOW
GO TO R04_PT0051_NB
-7
REFUSED
GO TO R04_PT0051_NB
ASK: Parent/guardian of new baseline youth.
DISPLAY: Underline "Alguna vez".
PATH ID:
R04_PT0041_NB
¿Qué edad tenía {Child's first name} la primera vez que le dijeron que {él/ella} tenía hipertensión?
1
|___|___| AÑOS DE EDAD
-8
DON'T KNOW
GO TO R04_PT0253_NB
-7
REFUSED
GO TO R04_PT0253_NB
ASK: Parent/guardian of new baseline youth who has ever had high blood pressure.
DISPLAY: Display "AÑOS DE EDAD" as title.
PATH ID:
R04_PT0041_NB_LC1
Tengo anotado que a {CHILD'S FIRST NAME} le diagnosticaron hipertensión a la edad de
[R04_PT0041_NB] años. Son más años que la edad actual de {él/ella}. ¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0041_NB
2
SUPPRESS
GO TO R04_PT0051_NB
ASK: IF R04_PT0041_NB > R04_R04_PARYTHAGE.
PATH ID:
R04_PT0253_NB
¿Tenía {Child's first name} menos de 12 años de edad, entre 12 y 14 años de edad o entre 15 y 17
años de edad?
1
MENOS DE 12 AÑOS DE EDAD
GO TO R04_PT0051_NB
2
ENTRE 12 Y 14 AÑOS DE EDAD
GO TO R04_PT0051_NB
3
ENTRE 15 Y 17 AÑOS DE EDAD
GO TO R04_PT0051_NB
-8
DON'T KNOW
GO TO R04_PT0051_NB
-7
REFUSED
GO TO R04_PT0051_NB
ASK: Parent/guardian of new baseline youth who did not know or refused to give age when youth was
told they had high blood pressure.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
25
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0051_NB
Alguna vez, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a {Child's first name}
que {él/ella} tenía el colesterol alto?
1
SÍ
2
NO
GO TO R04_PT0031_NB
-8
DON'T KNOW
GO TO R04_PT0031_NB
-7
REFUSED
GO TO R04_PT0031_NB
ASK: Parent/guardian of new baseline youth.
DISPLAY: Underline "Alguna vez".
PATH ID:
R04_PT0043_NB
¿Qué edad tenía {Child's first name} la primera vez que le dijeron que {él/ella} tenía el colesterol alto?
1
|___|___|___| AÑOS DE EDAD
-8
DON'T KNOW
GO TO R04_PT0254_NB
-7
REFUSED
GO TO R04_PT0254_NB
ASK: Parent/guardian of new baseline youth who has ever had high cholesterol.
DISPLAY: Display "AÑOS DE EDAD" as title.
PATH ID:
R04_PT0043_NB_LC1
Tengo anotado que a {CHILD'S FIRST NAME} le diagnosticaron colesterol alto a la edad de
[R04_PT0043_NB] años. Son más años que la edad actual de {él/ella}. ¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0043_NB
2
SUPPRESS
GO TO R04_PT0031_NB
ASK: IF R04_PT0043_NB > R04_PARYTHAGE.
PATH ID:
R04_PT0254_NB
¿Tenía {Child's first name} menos de 12 años de edad, entre 12 y 14 años de edad o entre 15 y 17
años de edad?
1
MENOS DE 12 AÑOS DE EDAD
GO TO R04_PT0031_NB
2
ENTRE 12 Y 14 AÑOS DE EDAD
GO TO R04_PT0031_NB
3
ENTRE 15 Y 17 AÑOS DE EDAD
GO TO R04_PT0031_NB
-8
DON'T KNOW
GO TO R04_PT0031_NB
-7
REFUSED
GO TO R04_PT0031_NB
ASK: Parent/guardian of new baseline youth who did not know or refused to give age when youth was
told they had high cholesterol.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
26
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PTR06
If the parent of a continuing youth ever reported that youth has asthma, go to R04_PT0022.
Else, if the continuing youth has never been told they have asthma, go to R04_PT0033.
PATH ID:
R04_PT0031_NB
Alguna vez, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a {Child's first name}
que {él/ella} tenía asma?
1
SÍ
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of new baseline youth.
DISPLAY: Display QxQ word "asma" in bold/green. Underline "Alguna vez".
PATH ID:
R04_PT0038_NB
¿Qué edad tenía {Child's first name} la primera vez que le dijeron que {él/ella} tenía asma?
1
|___|___|___| AÑOS DE EDAD
-8
DON'T KNOW
GO TO R04_PT0260_NB
-7
REFUSED
GO TO R04_PT0260_NB
ASK: Parent/guardian of new baseline youth who ever had asthma.
DISPLAY: Display QxQ word "asma" in bold/green. Display "AÑOS DE EDAD" as title.
PATH ID:
R04_PT0038_NB_LC1
Tengo anotado que a {CHILD'S FIRST NAME} le diagnosticaron asma a la edad de [R04_PT0038_NB]
años. Son más años que la edad actual de {él/ella}. ¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0038_NB
2
SUPPRESS
GO TO R04_PT0022
ASK: IF R04_PT0038_NB > R04_PARYTHAGE.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
27
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0260_NB
¿Tenía {Child's first name} menos de 12 años de edad, entre 12 y 14 años de edad o entre 15 y 17
años de edad?
1
MENOS DE 12 AÑOS DE EDAD
2
ENTRE 12 Y 14 AÑOS DE EDAD
3
ENTRE 15 Y 17 AÑOS DE EDAD
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth who did not know or refused to give age when youth was
first told they had asthma.
PATH ID:
R04_PT0022
[En una entrevista anterior nos informaron que {Child's first name} tenía asma.
]En los últimos 12 meses, ¿ha tomado {Child's first name} medicamentos para el asma de manera
habitual?
[De manera habitual quiere decir de acuerdo con las instrucciones de un profesional del cuidado de la
salud.]
1
SÍ
2
NO
GO TO R04_PT0125
3
YOUTH SP HAS NEVER HAD ASTHMA
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0125
-7
REFUSED
GO TO R04_PT0125
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ word "asma" in bold/green.
IF R03_PARREPT_ASTHMA = 1 AND R04_PT0031_12M != 1, DISPLAY "En una entrevista anterior
nos informaron que {Child's first name} tenía asma." ELSE, DO NOT DISPLAY THIS TEXT.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
28
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0036
Por favor mire esta lista. En los últimos 12 meses, ¿qué medicamentos para el asma ha tomado
{Child's first name} de manera habitual? Escoja todas las opciones que correspondan.
READ TEXT BEFORE THE HYPHEN ALOUD.
1
Inhalador de alivio inmediato - POR EJEMPLO: ALBUTEROL (PROAIR, VENTOLIN,
XOPENEX), IPRATROPIO (ATROVENT) O UN INHALADOR DE COMBINACIÓN
(COMBIVENT)
2
Controlador o inhalador de acción a largo plazo, incluyendo inhaladores de esteroides - POR
EJEMPLO: BECLOMETASONA (QVAR), FLUTICASONA (FLOVENT), SALMETEROL
(SEREVENT), TIOTROPIO (SPIRIVA) O UN INHALADOR DE COMBINACIÓN (ADVAIR)
3
Otro medicamento para controlar el asma - POR EJEMPLO: MONTELUKAST (SINGULAIR),
ZAFIRLUKAST (ACCOLATE), TEOFILINA, ROFLUMILAST (DALIRESP)
4
Otro medicamento para el asma
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who regularly took medications for asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "medicamentos" and "asma" in
bold/green. Display "READ TEXT BEFORE THE HYPHEN ALOUD." in blue.
PATH ID:
R04_PT0125
En los últimos 12 meses, ¿ha tenido {Child's first name} un ataque de asma que haya requerido el uso
de medicamentos esteroides de uso oral o en inyección en el momento del ataque?
[Ejemplos de medicamentos esteroides por vía oral o en inyección incluyen a prednisona, prednisolona
(Orapred) y dexametasona (Decadrón).]
1
SÍ
2
NO
GO TO R04_PT0127
-8
DON'T KNOW
GO TO R04_PT0127
-7
REFUSED
GO TO R04_PT0127
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "ataque de asma" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
29
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0039
En los últimos 12 meses, ¿cuántos ataques de asma ha tenido {Child's first name} que hayan
requerido el uso de un medicamento esteroide de uso oral o en inyección en el momento del ataque?
1
|___|___|___|
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who had an asthma attack in the past 12 months that required
medication.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "ataques de asma" in bold/green. Allow
0-999.
PATH ID:
R04_PT0039_LC1
Tengo anotado que en los últimos 12 meses {CHILD'S FIRST NAME} tuvo [R04_PT0039] ataques de
asma que requirieron el uso de un medicamento esteroide de uso oral o en inyección al momento del
ataque. ¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0039
2
SUPPRESS
GO TO R04_PT0127
ASK: IF R04_PT0039 > 20.
PATH ID:
R04_PT0127
En los últimos 12 meses, ¿ha tenido {Child's first name} que ir a la sala de emergencias o centro de
atención de urgencias debido al asma?
1
SÍ
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "centro de atención de urgencias" and
"asma" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
30
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0282
En los últimos 12 meses, ¿cuántas veces ha tenido {Child's first name} que ir a la sala de emergencias
o centro de atención de urgencias debido al asma?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_PXR07
-7
REFUSED
GO TO R04_PXR07
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "centro de atención de urgencias" and
"asma" in bold/green. Allow 0-999.
PATH ID:
R04_PT0282_LC1
Tengo anotado que en los últimos 12 meses {CHILD'S FIRST NAME} tuvo que ir [R04_PT0282] veces
a la sala de emergencias o centro de atención de urgencias debido al asma. ¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0282
2
SUPPRESS
GO TO BOX R04_PXR07
ASK: IF R04_PT0282 > 10.
BOX ID:
R04_PXR07
Parent/guardian of sampled youth who has visited the emergency room or urgent care once in the past
12 months for asthma, go to R04_PX0692.
Else, parent/guardian of sampled youth who has visited the emergency room or urgent care more than
once in the past 12 months for asthma, go to R04_PX0720.
Else, go to R04_PT0033.
PATH ID:
R04_PX0692
¿Fue esa visita debido a un ataque de asma?
1
SÍ
GO TO R04_PT0033
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma once in the past
12 months.
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Wave 4 (version 4.0)
PATH ID:
R04_PX0720
¿Cuántas de esas visitas fueron debido a un ataque de asma?
1
|___|___|___|
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma multiple times in
the past 12 months.
PATH ID:
R04_PX0720_LC1
Tengo anotado que en los últimos 12 meses {CHILD'S FIRST NAME} tuvo que ir [R04_PX0720] veces
a la sala de emergencias o centro de atención de urgencias debido a un ataque de asma. ¿Es
correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PX0720
2
SUPPRESS
GO TO R04_PT0033
ASK: IF R04_PX0720 > R04_PT0282.
PATH ID:
R04_PT0033
En los últimos 12 meses, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a
{Child's first name} que {él/ella} tenía bronquitis, neumonía o tos crónica?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "últimos 12 meses".
BOX ID:
R04_PTR07
Parent/guardian of new baseline youth that have never been told they had bronchitis or said don't know,
go to R04_PT0040_NB.
Else, go to R04_PT0052_12M.
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Wave 4 (version 4.0)
PATH ID:
R04_PT0040_NB
¿Le ha dicho alguna vez un médico, una enfermera u otro profesional de la salud a {Child's first name}
que {él/ella} tenía bronquitis, neumonía o tos crónica?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth who have not been told they had bronchitis in past 12
months.
DISPLAY: Underline "alguna vez".
PATH ID:
R04_PT0052_12M
En los últimos 12 meses, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a
{Child's first name} que {él/ella} tenía trastorno por déficit de atención con hiperactividad (ADHD, por
sus siglas en inglés) o trastorno por déficit de atención (ADD, por sus siglas en inglés)?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "ADHD" and "ADD" in bold/green.
BOX ID:
R04_PTR08
Parent/guardian of new baseline youth that has not been told they had ADD/ADHD in past year or said
don't know, go to R04_PT0052_NB.
Else, if youth has ever been told they have ADD/ADHD, go to R04_PT0048.
Else, go to R04_PT0049.
PATH ID:
R04_PT0052_NB
¿Le ha dicho alguna vez un médico, una enfermera u otro profesional de la salud a {Child's first name}
que {él/ella} tenía trastorno por déficit de atención con hiperactividad (ADHD, por sus siglas en inglés) o
trastorno por déficit de atención (ADD, por sus siglas en inglés)?
1
SÍ
2
NO
GO TO R04_PT0049
-8
DON'T KNOW
GO TO R04_PT0049
-7
REFUSED
GO TO R04_PT0049
ASK: Parent/guardian of new baseline youth that were not told they had ADD/ADHD in past year.
DISPLAY: Underline "alguna vez". Display QxQ words "ADHD" and "ADD" in bold/green.
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Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0048
[En una entrevista anterior nos informaron que {Child's first name} tenía trastorno por déficit de atención
con hiperactividad (ADHD, por sus siglas en inglés) o trastorno por déficit de atención (ADD, por sus
siglas en inglés).
]En los últimos 12 meses, ¿ha tomado {Child's first name} de manera habitual medicamentos para el
trastorno por déficit de atención con hiperactividad (ADHD) o trastorno por déficit de atención (ADD)?
[De manera habitual quiere decir de acuerdo con las instrucciones de un profesional del cuidado de la
salud.]
1
SÍ
2
NO
3
YOUTH SP HAS NEVER HAD ADHD OR ADD
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of youth who have ever been told they had ADD/ADHD.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "ADHD" and "ADD" in bold/green.
IF R03_PARREPT_ADHD = 1 AND R04_PT0052_12M != 1, DISPLAY "En una entrevista anterior nos
informaron que {Child's first name} tenía déficit de atención con hiperactividad (ADHD, por sus siglas en
inglés) o trastorno por déficit de atención (ADD, por sus siglas en inglés)." ELSE, DO NOT DISPLAY
THIS TEXT.
PATH ID:
R04_PT0049
En los últimos 12 meses, ¿le ha dicho un médico, dentista u otro profesional de la salud a {Child's first
name} que {él/ella} tenía problemas dentales, tales como caries, enfermedad de las encías o manchas
en los dientes?
[Los problemas dentales NO incluyen ortodoncia ni correctores dentales.]
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "últimos 12 meses".
BOX ID:
R04_PTR09
Parent/guardian of new baseline youth that have not been told they had dental issues in past year or
said refused/dont' know, go to R04_PT0044_NB.
Else, parent/guardian of new baseline youth, go to R04_PT0281_NB.
Else, parent/guardian of continuing youth, go to R04_PT0281_12M.
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Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0044_NB
¿Le ha dicho un médico, dentista u otro profesional de la salud a {Child's first name} alguna vez que
{él/ella} tenía problemas dentales, tales como caries, enfermedad de las encías o manchas en los
dientes?
[Los problemas dentales NO incluyen ortodoncia ni correctores dentales.]
1
SÍ
GO TO R04_PT0281_NB
2
NO
GO TO R04_PT0281_NB
-8
DON'T KNOW
GO TO R04_PT0281_NB
-7
REFUSED
GO TO R04_PT0281_NB
ASK: Parent/guardian of new baseline youth who were not told they had dental issues in past year.
DISPLAY: Underline "alguna vez".
PATH ID:
R04_PT0281_NB
¿Le ha dicho un médico, una enfermera u otro profesional de la salud alguna vez a {Child's first name}
que {él/ella} tenía diabetes, diabetes sacarina, exceso de azúcar en la sangre o prediabetes?
1
SÍ
2
NO
GO TO BOX R04_PTR10
-8
DON'T KNOW
GO TO BOX R04_PTR10
-7
REFUSED
GO TO BOX R04_PTR10
ASK: Parent/guardian of new baseline youth.
DISPLAY: Underline "alguna vez".
PATH ID:
R04_PT0042_NB
¿Qué edad tenía {Child's first name} la primera vez que le dijeron que {él/ella} tenía diabetes, diabetes
sacarina, exceso de azúcar en la sangre o prediabetes?
1
|___|___| AÑOS DE EDAD
-8
DON'T KNOW
GO TO R04_PT0263_NB
-7
REFUSED
GO TO R04_PT0263_NB
ASK: Parent/guardian of new baseline youth who ever had diabetes.
DISPLAY: Display "AÑOS DE EDAD" as title.
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Wave 4 (version 4.0)
PATH ID:
R04_PT0042_NB_LC1
Tengo anotado que a {CHILD'S FIRST NAME} le diagnosticaron diabetes, diabetes sacarina, exceso de
azúcar en la sangre o prediabetes a la edad de [R04_PT0042_NB] años. Son más años que la edad
actual de {él/ella}. ¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0042_NB
2
SUPPRESS
GO TO BOX R04_PTR10
ASK: IF R04_PT0042_NB > R04_PARYTHAGE
PATH ID:
R04_PT0263_NB
¿Tenía {Child's first name} menos de 12 años de edad, entre 12 y 14 años de edad o entre 15 y 17
años de edad?
1
MENOS DE 12 AÑOS DE EDAD
2
ENTRE 12 Y 14 AÑOS DE EDAD
3
ENTRE 15 Y 17 AÑOS DE EDAD
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of new baseline youth who did not know or refused to give age when selected
youth was told he/she had diabetes.
BOX ID:
R04_PTR10
If a parent has ever reported that the youth had diabetes, go to R04_PX0721.
Else, go to R04_PX0756.
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PATH ID:
R04_PX0721
[En una entrevista anterior nos informaron que {Child's first name} tenía diabetes.
]¿Tiene [Child's first name] diabetes del tipo 1 o del tipo 2?
1
TIPO 1
2
TIPO 2
3
YOUTH SP HAS NEVER HAD DIABETES
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who have ever been told they have diabetes.
DISPLAY: If parent reported youth had diabetes in any previous wave, but not Wave 4
[R03_PARREPT_DIABETES = 1 AND R04_PT0281_12M != 1], display "En una entrevista anterior nos
informaron que {Child's first name} tenía diabetes."
Else, do not display this transition text.
PATH ID:
R04_PX0756
¿Le ha dicho un médico, un terapeuta u otro profesional de la salud mental alguna vez a {Child's first
name} que {él/ella} tenía esquizofrenia un trastorno esquizoafectivo o psicosis?
1
SÍ
2
NO
GO TO R04_PX0761
-8
DON'T KNOW
GO TO R04_PX0761
-7
REFUSED
GO TO R04_PX0761
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0757
¿Qué edad tenía {Child's first name} la primera vez que un médico, un terapeuta u otro profesional de la
salud mental le dijo que {él/ella} tenía esquizofrenia un trastorno ezquizoafectivo o psicosis?
1
|___|___| AÑOS DE EDAD
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of youth who have schizophrenia/pscyhosis.
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Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0758
¿Tenía {Child's first name} menos de 12 años de edad, entre 12 y 14 años de edad o entre 15 y 17
años de edad?
1
MENOS DE 12 AÑOS DE EDAD
GO TO R04_PX0221
2
ENTRE 12 Y 14 AÑOS DE EDAD
GO TO R04_PX0221
3
ENTRE 15 Y 17 AÑOS DE EDAD
GO TO R04_PX0221
-8
DON'T KNOW
GO TO R04_PX0221
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian who did not know or refused to give age when sampled youth was told he/she
had schizophrenia/pscyhosis.
PATH ID:
R04_PX0761
¿Le ha dicho un médico, un terapeuta u otro profesional de la salud mental alguna vez a {Child's first
name} que {él/ella} tenía una enfermedad o una crisis psicótica?
1
SÍ
2
NO
GO TO R04_PX0221
-8
DON'T KNOW
GO TO R04_PX0221
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of sampled youth who have not been diagnosed with schizophrenia,
schizoaffective disorder or psychosis.
PATH ID:
R04_PX0762
¿Qué edad tenía {Child's first name} la primera vez que un médico, un terapeuta u otro profesional de la
salud mental le dijo que {él/ella} tenía una enfermedad o una crisis psicótica?
1
|___|___| AÑOS DE EDAD
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of youth who have schizophrenia/pscyhosis.
PATH ID:
R04_PX0772
¿Tenía {Child's first name} menos de 12 años de edad, entre 12 y 14 años de edad o entre 15 y 17
años de edad?
1
MENOS DE 12 AÑOS DE EDAD
2
ENTRE 12 Y 14 AÑOS DE EDAD
3
ENTRE 15 Y 17 AÑOS DE EDAD
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who did not know or refused to give age when sampled youth was told he/she
had a psychotic illness or episode.
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PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0221
Las siguientes preguntas son acerca de los familiares cercanos biológicos o de sangre de {Child's first
name}, incluyendo al padre, la madre, hermanos o hermanas, tanto los que viven como los que hayan
fallecido.
Alguna vez, ¿le ha dicho un médico u otro profesional de la salud a alguno de los familiares cercanos
biológicos o de sangre de {Child's first name} que tenía hipertensión?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0222
Alguna vez, ¿le ha dicho un médico u otro profesional de la salud a alguno de los familiares cercanos
biológicos o de sangre de {Child's first name} que tenía el colesterol alto?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0707
Alguna vez, ¿ha consumido productos de tabaco alguno de los familiares cercanos biológicos o de
sangre de {Child's first name}? Por esto nos referimos a cigarrillos, cigarrillos electrónicos u otros
productos electrónicos con nicotina, puros, pipas, hookah, snus u otro tipo de tabaco que no se
fuma (como tabaco de inhalar o rapé, dip o tabaco de mascar) y tabaco que se disuelve.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "productos electrónicos con nicotina" in bold/green.
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Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0731
Alguna vez, ¿ha sido alguno de los familiares cercanos biológicos o de sangre de {Child's first name} un
alcohólico o bebedor problemático? Por esto nos referimos a una persona cuyo consumo de alcohol le
causa problemas en su salud física o emocional, con su familia o amigos, en el trabajo o en la escuela
o con la policía.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0732
Alguna vez, ¿ha tenido alguno de los familiares cercanos biológicos o de sangre de {Child's first name}
problemas con las drogas? Por esto nos referimos a una persona cuyo consumo de drogas le causa
problemas en su salud física o emocional, con su familia o amigos, en el trabajo o en la escuela o con
la policía.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
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PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
RESPONDENT CHARACTERISTICS
BOX ID:
R04_PMR02
If parent has already completed a parent interview for another youth, go to R04_PL0030
Else, if the parent has already completed the adult interview, go to Box R04_PMR03.
Else, go to R04_PM0069.
PATH ID:
R04_PM0069
Las siguientes preguntas son acerca de usted y su hogar.
¿Es usted ciudadano estadounidense? Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
Sí. Nació en Estados Unidos
2
Sí. Nació en Puerto Rico, Guam, las Islas Vírgenes de los Estados Unidos o las Islas Marianas
del Norte
3
Sí. Nació en el extranjero de padres ciudadanos estadounidenses
4
Sí. Es ciudadano estadounidense por naturalización
5
No. No es ciudadano estadounidense
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0065
Aproximadamente ¿cuánto tiempo lleva viviendo en Estados Unidos?
1
R HAS LIVED IN US THEIR WHOLE LIFE
2
ENTER NUMBER OF YEARS
GO TO R04_PM0066
-8
DON'T KNOW
GO TO R04_PM0066
-7
REFUSED
GO TO R04_PM0066
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
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Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0065_NN
ENTER THE NUMBER OF YEARS. IF LESS THAN 1 YEAR, ENTER 1.
1
I___I___I___I NUMBER OF YEARS
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview, and
reported the number of years they have lived in the United States.
DISPLAY: DIsplay interviewer instructions in blue.
PATH ID:
R04_PM0066
¿Qué tan bien habla usted inglés? ¿Diría que lo habla muy bien, bien, no muy bien o nada en absoluto?
1
MUY BIEN
2
BIEN
3
NO MUY BIEN
4
NADA EN ABSOLUTO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0070
¿Qué tan bien lee usted en inglés? ¿Diría que lo lee muy bien, bien, no muy bien o nada en absoluto?
1
MUY BIEN
2
BIEN
3
NO MUY BIEN
4
NADA EN ABSOLUTO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH – Wave 4
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42
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0073
¿Qué tan bien escribe usted en inglés? ¿Diría que lo escribe muy bien, bien, no muy bien o nada en
absoluto?
1
MUY BIEN
2
BIEN
3
NO MUY BIEN
4
NADA EN ABSOLUTO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0071
¿Habla en su casa un idioma diferente al inglés?
1
SÍ
2
NO
GO TO R04_PM0001
-8
DON'T KNOW
GO TO R04_PM0001
-7
REFUSED
GO TO R04_PM0001
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0072
¿Qué otros idiomas habla en casa?
ESCOJA TODAS LAS OPCIONES QUE CORRESPONDAN.
1
ESPAÑOL
2
CHINO
3
TAGALO
4
VIETNAMITA
5
FRANCÉS
6
COREANO
7
ALEMÁN
8
ÁRABE
9
RUSO
10
OTRO IDIOMA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview and
speaks another language at home.
DISPLAY: DISPLAY INTERVIEWER INSTRUCTIONS IN BLUE.
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Wave 4 (version 4.0)
PATH ID:
R04_PM0001
¿Cuál es el grado o nivel escolar más alto que usted ha completado?
1
SIN EDUCACIÓN SECUNDARIA
2
PARTE DE LA SECUNDARIA, SIN DIPLOMA
3
DIPLOMA DE EQUIVALENCIA GENERAL O GED
4
SECUNDARIA COMPLETA - OBTUVO DIPLOMA
5
UNIVERSIDAD POR TIEMPO BREVE, SIN GRADUARSE
6
TÍTULO PARA UNA CARRERA INTERMEDIA - OCUPACIONAL/VOCACIONAL
7
TÍTULO PARA UNA CARRERA INTERMEDIA - PROGRAMA ACADÉMICO
8
TÍTULO UNIVERSITARIO (POR EJEMPLO: BA, AB O BS)
9
MAESTRÍA (POR EJEMPLO: MA, MS, MENG, MED, MSW)
10
TÍTULO PROFESIONAL UNIVERSITARIO (POR EJEMPLO: MD, DDS, DVM, JD)
11
DOCTORADO (POR EJEMPLO: PHD, EDD)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Underline "usted".
BOX ID:
R04_PMR03
If parent/guardian of sampled youth reports having a spouse living in the household, go to
R04_PM0118.
Else, go to Box R04_PMR04.
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Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0118
¿Cuál es el grado o nivel escolar más alto que [Spouse/Guardian's First name] ha completado?
1
SIN EDUCACIÓN SECUNDARIA
2
PARTE DE LA SECUNDARIA, SIN DIPLOMA
3
DIPLOMA DE EQUIVALENCIA GENERAL O GED
4
SECUNDARIA COMPLETA - OBTUVO DIPLOMA
5
UNIVERSIDAD POR TIEMPO BREVE, SIN GRADUARSE
6
TÍTULO PARA UNA CARRERA INTERMEDIA - OCUPACIONAL/VOCACIONAL
7
TÍTULO PARA UNA CARRERA INTERMEDIA - PROGRAMA ACADÉMICO
8
TÍTULO UNIVERSITARIO (POR EJEMPLO: BA, AB O BS)
9
MAESTRÍA (POR EJEMPLO: MA, MS, MENG, MED, MSW)
10
TÍTULO PROFESIONAL UNIVERSITARIO (POR EJEMPLO: MD, DDS, DVM, JD)
11
DOCTORADO (POR EJEMPLO: PHD, EDD)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who reports having a spouse living in the household and did not
already complete a parent interview.
DISPLAY: FILL "{Spouse/Guardian's First name}" as follows:
If R04_PM0052=1, FILL with spouse name loaded from R03_PARSPOUSE_PID. Else fill with name of
spouse selected or entered in R04_PT0046. If R04_PM0057=1 and R04_PM0059=1 or 2, FILL with
name of parental figure selected or entered in R04_PM0058.
BOX ID:
R04_PMR04
If the parent has already completed the adult interview, go to R04_PT0060.
Else, go to R04_PM0130.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
45
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0130
Por favor mire esta lista. ¿Cuál de las siguientes categorías describe mejor el ingreso total de su hogar
en los últimos 12 meses?
Esto es el ingreso total, antes de impuestos, de todas las personas de su hogar en conjunto. Incluya el
dinero que recibió de trabajos, familiares, pensiones, dividendos, intereses, pagos del Seguro Social o
pensiones de jubilación, ingresos netos de negocios, agricultura o alquiler y cualquier otro dinero
recibido por los miembros del hogar.
1
MENOS DE 10,000 DÓLARES
GO TO R04_PL0040
2
10,000 A 14,999 DÓLARES
GO TO R04_PL0040
3
15,000 A 24,999 DÓLARES
GO TO R04_PL0040
4
25,000 A 34,999 DÓLARES
GO TO R04_PL0040
5
35,000 A 49,999 DÓLARES
GO TO R04_PL0040
6
50,000 A 74,999 DÓLARES
GO TO R04_PL0040
7
75,000 A 99,999 DÓLARES
GO TO R04_PL0040
8
100,000 A 149,999 DÓLARES
GO TO R04_PL0040
9
150,000 A 199,999 DÓLARES
GO TO R04_PL0040
10
200,000 DÓLARES O MÁS
GO TO R04_PL0040
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Underline "ingreso total de su hogar" and "de todas las personas de su hogar en conjunto".
PATH ID:
R04_PM0031
El ingreso total de su hogar en los últimos 12 meses, ¿es mayor o menor de 50,000 dólares?
1
MAYOR DE 50,000 DÓLARES
2
MENOR DE 50,000 DÓLARES
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview and
did not know or refused to give total household income.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
46
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0040
¿Es usted propietario de la casa o la alquila?
IF NEEDED: [Ser propietario incluye tener una hipoteca o un préstamo.]
1
PROPIETARIO
2
ALQUILA
3
OTRA
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: DISPLAY INTERVIEWER INSTRUCTIONS IN BLUE.
PATH ID:
R04_PX0691
Por favor mire esta lista. ¿En qué tipo de lugar vive actualmente?
1
CASA UNIFAMILIAR NO ADOSADA A OTRA CASA
2
DÚPLEX
3
CASA PARA UNA O MÁS FAMILIAS
4
CONDOMINIO
5
CASA ADOSADA A OTRA CASA O TOWNHOUSE
6
EDIFICIO DE APARTAMENTOS
7
NINGUNO DE LOS ANTERIORES
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD04
For R04_PN0335, display as a stem and leaf question. For each leaf, display a sí/no response.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
47
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PN0335
Por favor mire esta imagen. En los últimos 30 días, ¿ha consumido alguno de los siguientes productos
de tabaco, incluso si solo fueron una o dos veces?
1
Cigarrillos
2
Puros tradicionales o "grandes"
3
Puritos
4
Puros con filtro
5
Pipa
6
Hookah
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD05
For R04_PN0336, display as a stem and leaf question. For each leaf, display a sí/no response.
PATH ID:
R04_PN0336
Por favor mire esta imagen. En los últimos 30 días, ¿ha consumido alguno de los siguientes productos
de tabaco, incluso si solo fueron una o dos veces?
1
Snus
2
Otros tipos de tabaco que no se fuma (como tabaco de inhalar o rapé, dip, tabaco de mascar o
bolsitas de tabaco que no se fuma)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD06
For R04_PN0337, display as a stem and leaf question. For each leaf, display a sí/no response.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
48
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PN0337
Por favor mire esta imagen. En los últimos 30 días, ¿ha consumido alguno de los siguientes productos
de tabaco, incluso si solo fueron una o dos veces?
1
Cigarrillos electrónicos u otros productos electrónicos con nicotina (IF NEEDED: [Los productos
electrónicos con nicotina incluyen cigarrillos electrónicos, puros electrónicos, pipas
electrónicas, hookahs electrónicas, vaporizadores personales de fumar y plumas hookah.])
2
Tabaco que se disuelve
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display words "IF NEEDED:" in blue.
PATH ID:
R04_PT0060
¿Cuánto daño se hacen las personas cuando fuman productos de tabaco que se quema (como
cigarrillos, puros, pipas o hookah)?
¿Diría que ningún daño, un poco de daño, algo de daño o mucho daño?
1
NINGÚN DAÑO
2
MUY POCO DAÑO
3
ALGO DE DAÑO
4
MUCHO DAÑO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
PATH ID:
R04_PT0061
Ahora piense en los cigarrillos electrónicos y otros productos electrónicos con nicotina. ¿Cuánto
daño se hacen las personas cuando fuman estos productos?
¿Diría que ningún daño, un poco de daño, algo de daño o mucho daño?
1
NINGÚN DAÑO
2
MUY POCO DAÑO
3
ALGO DE DAÑO
4
MUCHO DAÑO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
DISPLAY: Display QxQ words "productos electrónicos con nicotina" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
49
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0062
Y finalmente, ¿cuánto daño se hacen las personas cuando consumen productos de tabaco que no se
quema (productos que se mastican, chupan o escupen, como las bolsitas o saquitos de snus, el snus
suelto, el tabaco de inhalar o rapé, el dip o el tabaco de mascar)?
¿Diría que ningún daño, un poco de daño, algo de daño o mucho daño?
1
NINGÚN DAÑO
2
MUY POCO DAÑO
3
ALGO DE DAÑO
4
MUCHO DAÑO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
50
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
CONTACT INFORMATION
BOX ID:
R04_PLV03
If Parent/guardian of sampled youth or shadow youth has completed one or more parent
questionnaire(s), set R04_PARENT_COMPLETE = 1 FOR Int431_ParentID.
BOX ID:
R04_PLR01
ASK CONTACT INFORMATION 1 TIME FOR EACH PARENT RESPONDENT.
IF PARENT IS AN SP AND HAS ALREADY PROVIDED CONTACT INFORMATION AT THE END OF
THE ADULT INTERVIEW OR HAS PROVIDED CONTACT INFORMATION FOR ANOTHER SAMPLED
YOUTH OR SHADOW YOUTH DURING THEIR PARENT INTERVIEW, GO TO R04_PL0030.
ELSE, GO TO R04_PL0041
PATH ID:
R04_PL0041
Ya que su continua participación en el Estudio PATH es importante para el éxito del estudio, quisiera
confirmar su información de contacto para mis registros. Únicamente usaremos esta información para
contactarle acerca de su participación en el estudio.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR03
If parent/guardian of youth has a valid physical address on file, go to R04_PL0001.
Else, go to R04_PL0037.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
51
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0001
Tengo anotado que su dirección es ...
READ ADDRESS ALOUD.
ADDRESS
APT #
CITY, STATE ZIP CODE
¿Es correcto?
1
SÍ
2
NO
GO TO R04_PL0002
ASK: Parent/guardian of sampled youth who has a valid W4 physical address (where
R04_LINKED_ADDRESS has any value, and never equal to NULL).
DISPLAY: Display address in an easy to read format. Display instructional text in blue.
PATH ID:
R04_PL0037
¿Cuál es su dirección?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
GO TO R04_PL0035
-7
REFUSED
GO TO R04_PL0035
ASK: Parent/guardian of sampled youth who needs to correct their physical address or who does not
have a valid Wave 4 physical address.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0002
¿Recibe usted el correo en esta dirección?
1
SÍ
2
NO
GO TO R04_PL0035
-8
DON'T KNOW
GO TO R04_PL0035
-7
REFUSED
GO TO R04_PL0035
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
52
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0003
¿Me podría dar su dirección postal?
VERIFY ALL SPELLING
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who does not receive mail at their physical address.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0035
¿Tiene otra vivienda en la que viva durante el año?
1
SÍ
2
NO
GO TO BOX R04_PLR05
-8
DON'T KNOW
GO TO BOX R04_PLR05
-7
REFUSED
GO TO BOX R04_PLR05
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH ID:
R04_PL0036
¿Cuál es la dirección de la otra vivienda?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has a second home.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
53
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR05
If parent/guardian of youth has a valid telephone number on file, go to R04_PL0004_12M.
Else, go to R04_PL0004.
PATH ID:
R04_PL0004_12M
Tengo anotado que su número de teléfono es [(XXX)-XXX-XXXX].
¿Es correcto?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PL0038
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who has a valid telephone number.
PATH ID:
R04_PL0004
¿Cuál es el mejor número de teléfono para comunicarse con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who needs to correct their telephone number, who doesn't
know if the telephone number provided is correct, or who does not have a valid Wave 4 telephone
number.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR14
Parent/guardian of sampled youth who provided their telephone number, go to R04_PL0038.
Else, parent/guardian of sampled youth who did not provide, did not know, or refused to report a valid
telephone number, go to R04_PL0012.
PATH ID:
R04_PL0038
¿Es este número de un celular?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_PLR04
ASK: Parent/guardian of sampled youth who provided a phone number in R04_PL0004.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
54
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0032
¿Podemos comunicarnos con usted con mensajes de texto por este número?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who said their telephone number is a cell phone or did not know
or refused to report whether it is a cell phone.
BOX ID:
R04_PLR04
If parent/guardian of youth has a valid second telephone number on file, go to R04_PL0005.
Else, go to R04_PL0006.
PATH ID:
R04_PL0005
Tengo anotado que su otro número de teléfono es [(XXX)-XXX-XXXX].
¿Es correcto?
1
SÍ
2
NO
GO TO R04_PL0039
-8
DON'T KNOW
GO TO R04_PL0012
-7
REFUSED
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who has a valid W4 second telephone number (where
R04_PHONE2 field has 10 digits, and never equal to NULL).
PATH ID:
R04_PL0006
¿Cuál es un número alterno que podamos utilizar para comunicarnos con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who needs to correct their second telehone number or who
does not have a valid Wave 4 second telephone number.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
55
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR15
Parent/guardian of sampled youth who provided their second telephone number, go to R04_PL0039.
Else, parent/guardian of sampled youth who did not provide, did not know, or refused to report a valid
second telephone number, go to R04_PL0012.
PATH ID:
R04_PL0039
¿Es este número de un celular?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who confirmed their phone number in R04_PL0005 or provided
a phone number in R04_PL0006.
PATH ID:
R04_PL0033
¿Podemos comunicarnos con usted con mensajes de texto por este número?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who said their second number is a cell phone or did not know or
refused to report whether it is a cell phone.
PATH ID:
R04_PL0012
¿Me podría dar su correo electrónico?
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.
1
EMAIL NAME
2
EMAIL PROVIDER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
56
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR09
If more than one mode of contact was provided, go to R04_PL0017.
Else, go to R04_PL0018.
PATH ID:
R04_PL0017
¿Cuál es la mejor manera para comunicarse con usted?
1
PHONE
2
TEXT MESSAGE
3
E-MAIL
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth if more than one contact information field are entered.
PATH ID:
R04_PL0018
¿Tiene pensado mudarse ya sea de manera permanente o temporal dentro de los próximos 12 meses?
1
SÍ
2
NO
3
QUIZÁS
GO TO R04_PL0030
-8
DON'T KNOW
GO TO R04_PL0030
-7
REFUSED
GO TO R04_PL0030
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH ID:
R04_PL0019
¿Me podría decir un poco más acerca de sus planes de mudanza?
[Por ejemplo, su nueva dirección o la ciudad o el estado a donde tiene pensado mudarse.]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who plans to move.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
57
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0030
¿Tiene {Child's first name} pensado mudarse de manera permanente o temporal en los próximos 12
meses?
1
SÍ
2
NO
3
QUIZÁS
GO TO BOX R04_PLR02
-8
DON'T KNOW
GO TO BOX R04_PLR02
-7
REFUSED
GO TO BOX R04_PLR02
ASK: Parent/guardian of sampled youth, about each sampled youth and each sampled shadow youth.
PATH ID:
R04_PL0031
¿Me podría decir un poco más acerca de los planes de mudanza de {Child's first name}?
[Por ejemplo, la nueva dirección de {Child's first name} o la ciudad o el estado adonde {Child's first
name} piensa mudarse?]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth, about each sampled youth and each sample shadow youth,
who plans to move.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR02
IF PARENT HAS ALREADY PROVIDED CONTACT INFORMATION AT THE END OF THE ADULT
INTERVIEW OR HAS PROVIDED CONTACT INFORMATION FOR ANOTHER SAMPLED YOUTH OR
SHADOW YOUTH, GO TO R04_PL0034.
ELSE, CONTINUE WITH R04_PL0020.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
58
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0020
Ya que quisiéramos volver a entrevistarlo es importante que podamos contactarlo en aproximadamente
un año. En caso de que no podamos contactarlo, ¿tiene algún familiar o amigo que no viva con usted y
que sepa cómo comunicarse con usted?
IF NEEDED: [Tenga la certeza de que solo usaremos esta información si no podemos comunicarnos
con usted.]
¿Cómo se llama esa persona?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue and bold FIRST NAME.
BOX ID:
R04_PLR10
If FIRST NAME is don’t know or refused, go to R04_PX0769.
Else, go to R04_PL0022.
PATH ID:
R04_PL0022
¿Cuál es la dirección de esa persona?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
59
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0023
¿Cuál es el número de teléfono de esa persona?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian respondents who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0021
¿Qué relación o parentesco tiene con usted?
1
ESPOSO/ESPOSA
2
PADRE/MADRE (INCLUYENDO LOS SUEGROS)
3
ABUELO/ABUELA
4
HIJO/HIJA (INCLUYENDO YERNOS / NUERAS)
5
NIETO/NIETA
6
HERMANO/HERMANA (INCLUYENDO CUÑADOS / CUÑADAS)
7
AMIGO/AMIGA/VECINO/VECINA
8
OTRO PARIENTE (ESPECIFIQUE)
9
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
PATH ID:
R04_PL0025
¿Podría darme el nombre de otro familiar o amigo que sepa cómo comunicarse con usted?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue and bold FIRST NAME.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
60
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR11
If FIRST NAME is don’t know or refused, go to R04_PX0769.
Else, go to R04_PL0027.
PATH ID:
R04_PL0027
¿Cuál es la dirección de esa persona?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0025.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0028
¿Cuál es el número de teléfono de esa persona?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian respondents who provided a name in R04_PL0025.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
61
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0026
¿Qué relación o parentesco tiene con usted?
1
ESPOSO/ESPOSA
2
PADRE/MADRE (INCLUYENDO LOS SUEGROS)
3
ABUELO/ABUELA
4
HIJO/HIJA (INCLUYENDO YERNOS//NUERAS)
5
NIETO/NIETA
6
HERMANO/HERMANA (INCLUYENDO CUÑADOS/CUÑADAS)
7
AMIGO/AMIGA/VECINO/VECINA
8
OTRO PARIENTE (ESPECIFIQUE)
9
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0025.
PATH ID:
R04_PX0769
En el futuro, es posible que el cuestionario de PATH se pueda contestar por Internet en su
computadora de escritorio, computadora portátil o tableta. Debido a su longitud, el cuestionario no se
podrá contestar en teléfonos inteligentes o smartphones.
Usted podrá contestar el cuestionario cuando le convenga, sin la presencia de un entrevistador. El
incentivo llegaría por correo unos días después de que conteste el cuestionario.
Cree que contestar el cuestionario PATH por Internet en su computadora de escritorio, computadora
portátil o tableta, ¿le interesaría mucho, un poco o en absoluto?
1
VERY INTERESTED
GO TO R04_PL0034
2
SOMEWHAT INTERESTED
GO TO R04_PL0034
3
NOT AT ALL INTERESTED
4
UNSURE/DON'T KNOW
GO TO R04_PL0034
-8
DON'T KNOW
GO TO R04_PL0034
-7
REFUSED
GO TO R04_PL0034
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
62
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0770
¿Por qué no?
CODE ALL RESPONSES THAT APPLY.
1
DO NOT HAVE INTERNET ACCESS ON
DESKTOP/LAPTOP/TABLET
2
CONCERNED ABOUT TECHNICAL DIFFICULTIES
3
PREFER TO HAVE INTERVIEWER
4
CONCERNED ABOUT CONFIDENTIALITY
5
CONCERNED ABOUT NOT RECEIVING INCENTIVE
6
OTHER (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who would not be interested in doing PATH questionnaires
online in the future.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PL0034
[THIS RESPONDENT HAS ALREADY PROVIDED CONTACT INFORMATION.]
Si se muda o cambia de número de teléfono sírvase actualizar su información de contacto en la página
en Internet o llamando a nuestra línea directa y gratuita. Cada año podría recibir 5 dólares en su tarjeta
de débito como agradecimiento por actualizar su información de contacto.
Gracias por su tiempo y por contestar estas preguntas.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of sampled youth.
DISPLAY: If the respondent has already provided contact information in another completed interview
(R04_CONTACTFLAG=1), display: "THIS RESPONDENT HAS ALREADY PROVIDED CONTACT
INFORMATION". Else, do not display this text.
Display instructional text in blue.
BOX ID:
R04_PLV02
Contact information was provided by parent/guardian of youth SP, set R04_CONTACTFLAG.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
63
PATH
Parent Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_LCPT01
INTERVIEWER: IN WHAT LANGUAGE DID YOU MOSTLY CONDUCT THE CAPI PORTIONS OF
THIS INTERVIEW?
1
ENGLISH
END INTERVIEW AND RETURN TO IMS
2
SPANISH
END INTERVIEW AND RETURN TO IMS
ASK: Parent/guardian of sampled youth (asked of Interviewer).
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – New and Aged-Up Interview
64
Parent Questionnaire – Extended Interview
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
Table of Contents
FAMILY COMPOSITION ........................................................................................................... 1
SCHOOL, HOME AND TOBACCO USE ................................................................................. 14
HEALTH .................................................................................................................................. 18
RESPONDENT CHARACTERISTICS .................................................................................... 32
CONTACT INFORMATION ..................................................................................................... 42
PATH – Wave 4
Parent Questionnaire – Extended Interview
ii
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
SECTION
# OF QUESTIONS
Family Composition
School, Home and Tobacco Use
Health
Respondent Characteristics
Contact Information
PATH – Wave 4
Parent Questionnaire – Extended Interview
15
9
31
19
31
iii
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
POMBIntro
IF RESPONDENT ASKS ABOUT THE OFFICE OF MANAGEMENT AND BUDGET (OMB), READ THE
FOLLOWING PARAGRAPH ALOUD
OMB Control Number: 0925-0664
Expiration Date: XX/XX/XXXX
Public reporting burden for this collection of information is estimated to average 16 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 20892-7974, ATTN: PRA (0925-0664). Do not return the
completed form to this address.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: Parent/guardian of sampled youth.
DISPLAY: Display OMB statement text in grey. Display "IF RESPONDENT ASKS..." statement and
"PRESS 1 TO CONTINUE" in blue. If parent/guardian of new baseline youth respondent
(R04_YOUTHTYPE = 2, 3), display "19" minutes; if parent/guardian of continuing youth respondent
(R04_YOUTHTYPE = 1), display "16" minutes; else display “16” minutes. Pending language selected in F2;
display English OMB statement if English is selected, display Spanish OMB statement if Spanish is
selected. Default to English display.
PATH – Wave 4
Parent Questionnaire – Extended Interview
iv
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
FAMILY COMPOSITION
BOX ID:
R04_PXV01
PROGRAM: LOAD THE FOLLOWING VARIABLES
R03_PT0001 = Wave 3 parent's relationship to youth SP
R03_PARSPOUSE_PID = ID of Wave 3 parent's spouse
R03_PARREPT_ADHD = Youth has been told that he/she has ADD/ADHD
R03_PARREPT_ASTHMA = Youth has been told that he/she has asthma
R03_PARREPT_DIABETES = Youth has been told that he/she has diabetes
TWINMULT = Are there twins/multiple births in household (Wave 1 or Wave 4 HH Screener)
R04_CONTACTFLAG_LD = Adult SP or parent/guardian of youth SP has provided contact information.
R04_ADULT_COMPLETE_LD = Adult respondent has completed the adult questionnaire.
R04_PARENT_COMPLETE_LD = Parent/guardian of sampled youth has completed one or more
parent questionnaire(s).
R04_LINKED_ADDRESS = Best address from IMS
R04_VTBESTSPPHONE = Best phone number from IMS
R04_PHONE2 = Second phone number from IMS
PROGRAM - LOAD THE FOLLOWING VARIABLES FROM CONSENT WRAPPER:
R04_YOUTHTYPE
(1) ContinuingYouth = Youth completed a youth interview in a previous wave and will do a youth
interview this wave.
(2) NewBaselineYouth = Youth was a shadow youth in previous wave, but will do a youth interview this
wave.
(3) New Cohort Youth = Youth respondents who are new to the PATH Study as part of the
replenishment sample. This is their first interview in the Youth cohort and in the PATH Study.
(4) ContinuingShadowYouth = Youth was a shadow youth in previous wave and is still a shadow youth.
(5) New Cohort Shadow Youth = Youth is new to the PATH Study as part of the replenishment sample
and is a shadow youth.
R04_LASTWVPARENTCOMP
For the parent associated with this youth:
(1) wave 1 = the last time this parent did a parent interview for this youth was in baseline.
(2) wave 2 = the last time this parent did a parent interview for this youth was in wave 2.
(3) wave 3 = the last time this parent did a parent interview for this youth was in wave 3.
(null) this parent has never done a parent interview for this youth.
R04_PARENTTYPE
(1) PriorParent = This parent has completed a parent interview for this youth in a previous wave.
(2) NewParent = This parent has not completed a parent interview for this youth in a previous wave.
R04_PARYTHAGE = age of youth at time of parent consent.
Program Note: In the following specifications, “!=” represents “not equal to”.
PATH – Wave 4
Parent Questionnaire – Extended Interview
1
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR03
If the W4 parent/guardian is the same respondent as the W3 parent/guardian, and the W3 parent
relationship to youth was not "Other relative", "Non-relative" or Don't Know/Refused, go to
R04_PM0053.
Else, go to R04_PT0001.
PATH ID:
R04_PM0053
I have that you are {Child’s first name}'s {parent's relationship to sampled youth}? Is that correct?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_PTR01
GO TO BOX R04_PTR01
ASK: Parent/guardian of sampled youth who selected a relationship in R03_PT0001.
PATH ID:
R04_PT0001
What is your relationship to {Child’s first name}? In other words, you are {Child’s first name}'s...
[Would you say biological, adoptive or step mother / father?]
1
BIOLOGICAL MOTHER
2
BIOLOGICAL FATHER
3
ADOPTIVE MOTHER
4
ADOPTIVE FATHER
5
STEP MOTHER
6
STEP FATHER
7
FOSTER MOTHER
8
FOSTER FATHER
9
GRANDMOTHER
10
GRANDFATHER
11
AUNT
12
UNCLE
91
OTHER RELATIVE (SPECIFY)
92
NON RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: This item is asked when the W4 parent/guardian is not the same as the W3 parent/guardian; or
any respondent who reported OTHER/SPECIFY, DON'T KNOW, or REFUSED to this question in W3; or
any respondent who did not confirm relationship in R04_PM0053.
PATH – Wave 4
Parent Questionnaire – Extended Interview
2
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PTR01
If parent/guardian of shadow youth, go to Contact Information section.
Else, if parent has already completed a parent interview for another youth and parent is married and has
provided a valid name for their spouse, go to R04_PT0002.
Else, if parent has already completed a parent interview for another youth and parent is not married or
has not provided a valid name for their spouse, go to R04_PM0057.
Else, go to R04_PT0047.
PATH ID:
R04_PT0047
What is your marital status? Are you currently married, widowed, divorced, separated or never married?
1
MARRIED
2
WIDOWED
3
DIVORCED
4
SEPARATED
5
NEVER MARRIED
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
BOX ID:
R04_PTR03
Parents who are married at W4 and provided the name of their spouse in the previous wave, go to
R04_PM0052.
Else, parents who are married, go to R04_PT0046.
Else, go to R04_PM0057.
PATH ID:
R04_PM0052
I have that your spouse is {Spouse's first name}, is that correct?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PT0045
GO TO R04_PM0057
ASK: Parent/guardian of sampled youth who is married at W4 and provided the name of their spouse in
the previous wave. If parent has already completed a parent interview for another youth, do not re-ask
this item.
DISPLAY: Fill {Spouse's first name} with name selected in R03_PARSPOUSE_PID. Only display the
first name.
PATH – Wave 4
Parent Questionnaire – Extended Interview
3
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0046
What is your spouse's name?
SELECT NAME AMONG THE LIST. READ NAMES IF NECESSARY. IF SPOUSE'S NAME IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PT0045
2
[First Name and age of person #2]
GO TO R04_PT0045
3
[First Name and age of person #3]
GO TO R04_PT0045
4
[First Name and age of person #4]
GO TO R04_PT0045
5
[First Name and age of person #5]
GO TO R04_PT0045
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF
SPOUSE]
-8
DON'T KNOW
GO TO R04_PM0057
-7
REFUSED
GO TO R04_PM0057
ASK: Parent/guardian whose spouse's name was not confirmed in R04_PM0052, or parents who report
now being married in W4. If parent has already completed a parent interview for another youth, do not
re-ask this item.
DISPLAY: List first names of everyone in the grid who is aged 18 years old or older (and not deceased)
in the HH screener with their age, ordered by oldest to youngest and then new people that were added
earliest to most recent below. For response options, display one row for each person on the grid.
Display interviewer instructions in blue.
PATH ID:
R04_PT0046_OS_1
What is your spouse's first name?
ENTER THE SPOUSE'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
4
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0046_OS_2
What is your spouse's last name?
ENTER THE SPOUSE'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PT0046_OS_3
What is your spouse's age?
ENTER THE SPOUSE'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PT0045
Does {Spouse's first name / your spouse} live here?
[If your spouse or partner is deployed for military active duty, please consider them as living here.]
1
YES
2
NO
GO TO R04_PM0057
-8
DON'T KNOW
GO TO R04_PM0057
-7
REFUSED
GO TO R04_PM0057
ASK: Parent/guardian of sampled youth whose spouse is confirmed in R04_PM0052 or provided in
R04_PT0046. If parent has already completed a parent interview for another youth, do not re-ask this
item.
DISPLAY: IF R04_PT0046_OS_1 = -8, -7, DISPLAY "your spouse". ELSE, DISPLAY FILL WITH
{Spouse's first name}.
PATH – Wave 4
Parent Questionnaire – Extended Interview
5
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0002
What is {Spouse's first name's / their} relationship to {Child’s first name}? In other words, {Spouse's first
name / they} {is / are} {Child’s first name}'s...
[Would you say biological, step, adoptive or foster mother / father?]
1
BIOLOGICAL MOTHER
2
BIOLOGICAL FATHER
3
ADOPTIVE MOTHER
4
ADOPTIVE FATHER
5
STEP MOTHER
6
STEP FATHER
7
FOSTER MOTHER
8
FOSTER FATHER
9
GRANDMOTHER
10
GRANDFATHER
11
AUNT
12
UNCLE
91
OTHER RELATIVE (SPECIFY)
92
NON RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth whose spouse is confirmed in R04_PM0052 or provided in
R04_PT0046_PID or R04_PT0046_OS_1.
DISPLAY: If R04_PM0052 = 1, fill {Spouse's first name} with R03_PARSPOUSE_PID. Else, fill
{Spouse's first name} with name selected/entered in R04_PT0046_PID or R04_PT0046_OS_1. Only
display the first name. Also display "is".
If spouse's first name is unknown, display "their" and "they" and "are".
PATH ID:
R04_PM0057
Does {Childs' first name} have any other parental figures or guardians who live here?
[If the parental figure or guardian is deployed for military active duty, please consider them as living
here.]
1
YES
2
NO
GO TO R04_PT0003
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire – Extended Interview
6
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0058
What is the other parental figure or guardian's name?
IF NEEDED, CLARIFY THAT YOU ARE ASKING ABOUT THE PARENTAL FIGURE OR GUARDIAN
WHO LIVES IN THE HOME. READ NAMES IF NECESSARY. IF HOUSEHOLD MEMBER IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PM0059
2
[First Name and age of person #2]
GO TO R04_PM0059
3
[First Name and age of person #3]
GO TO R04_PM0059
4
[First Name and age of person #4]
GO TO R04_PM0059
5
[First Name and age of person #5]
GO TO R04_PM0059
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF
PARENTAL FIGURE/GUARDIAN]
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has another parental figure or guardian who lives in the
home.
DISPLAY: List first names of everyone in the grid who is aged 11 years old or older in the HH screener
with their age, ordered by oldest to youngest and then new people that were added earliest to most
recent below. For response options, display one row for each person on the grid who is age 11 or older.
Display "IF NEEDED,..." statement in blue.
PATH ID:
R04_PM0058_OS_1
What is the other parental figure or guardian's first name?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
7
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0058_OS_2
What is the other parental figure or guardian's last name?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0058_OS_3
What is the other parental figure or guardian's age?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
8
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0059
What is {Parental figure/guardian's first name}'s relationship to {Child’s first name}? In other words,
{Parental figure/guardian's first name} is {Child’s first name}'s...
[Would you say biological, adoptive or step mother / father?]
1
BIOLOGICAL MOTHER
2
BIOLOGICAL FATHER
3
ADOPTIVE MOTHER
4
ADOPTIVE FATHER
5
STEP MOTHER
6
STEP FATHER
7
FOSTER MOTHER
8
FOSTER FATHER
9
GRANDMOTHER
10
GRANDFATHER
11
AUNT
12
UNCLE
91
OTHER RELATIVE (SPECIFY)
92
NON RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who report another parental figure or guardian in R04_PM0058 or
R04_PM0058_OS_1.
PATH ID:
R04_PM0060
Does {Childs' first name} have any other parental figures or guardians who live here?
[If the parental figure or guardian is deployed for military active duty, please consider them as living
here.]
1
YES
2
NO
GO TO R04_PT0003
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has another parental figure or guardian who lives in the
home.
PATH – Wave 4
Parent Questionnaire – Extended Interview
9
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0061
What is the other parental figure or guardian's name?
IF NEEDED, CLARIFY THAT YOU ARE ASKING ABOUT THE PARENTAL FIGURE OR GUARDIAN
WHO LIVES IN THE HOME. READ NAMES IF NECESSARY. IF HOUSEHOLD MEMBER IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PM0062
2
[First Name and age of person #2]
GO TO R04_PM0062
3
[First Name and age of person #3]
GO TO R04_PM0062
4
[First Name and age of person #4]
GO TO R04_PM0062
5
[First Name and age of person #5]
GO TO R04_PM0062
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF
PARENTAL FIGURE/GUARDIAN]
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has a second other parental figure or guardian who lives in
the home.
DISPLAY: List first names of everyone in the grid who is aged 11 years old or older in the HH screener
with their age, ordered by oldest to youngest and then new people that were added earliest to most
recent below. For response options, display one row for each person on the grid who is age 11 or older.
Display "IF NEEDED,..." statement in blue.
PATH ID:
R04_PM0061_OS_1
What is the other parental figure or guardian's first name?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
10
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0061_OS_2
What is the other parental figure or guardian's last name?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0061_OS_3
What is the other parental figure or guardian's age?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
11
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0062
What is {Parental figure/guardian's first name}'s relationship to {Child’s first name}? In other words,
{Parental figure/guardian's first name} is {Child’s first name}'s...
[Would you say biological, adoptive or step mother / father?]
1
BIOLOGICAL MOTHER
2
BIOLOGICAL FATHER
3
ADOPTIVE MOTHER
4
ADOPTIVE FATHER
5
STEP MOTHER
6
STEP FATHER
7
FOSTER MOTHER
8
FOSTER FATHER
9
GRANDMOTHER
10
GRANDFATHER
11
AUNT
12
UNCLE
91
OTHER RELATIVE (SPECIFY)
92
NON RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who reported another parental figure or guardian in R04_PM0061 or
R04_PM0061_OS_1.
PATH ID:
R04_PT0003
Does {Child’s first name} have another parent who lives somewhere else?
1
YES
2
NO
GO TO BOX R04_PXR01
-8
DON'T KNOW
GO TO BOX R04_PXR01
-7
REFUSED
GO TO BOX R04_PXR01
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire – Extended Interview
12
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0006
How often does {Child’s first name} stay there? Would you say never, less than half the time, about half
the time, or more than half the time?
1
NEVER
2
LESS THAN HALF THE TIME
3
ABOUT HALF THE TIME
4
MORE THAN HALF THE TIME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth if sampled youth has another parental figure or guardian who
lives somewhere else.
BOX ID:
R04_PXR01
If new baseline youth is a twin or part of a multiple birth, as identified in the Household Screener, ask
twin items following skips appropriately.
Else, go to R04_PT0009.
PATH – Wave 4
Parent Questionnaire – Extended Interview
13
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
SCHOOL, HOME AND TOBACCO USE
PATH ID:
R04_PT0009
The next series of questions ask about {Child’s first name}’s life at home and in school.
In general, does {Child’s first name} have a curfew or set time that {he/she} needs to be home on school
nights?
IF THE RESPONDENT IS UNSURE HOW TO ANSWER BECAUSE THE CURFEW VARIES BASED
ON THE SITUATION, CODE YES AS LONG AS THE PARENT IS THE ONE WHO SETS THE
CURFEW TIME.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "IF THE RESPONDENT IS..." statement in blue. Underline "school".
PATH ID:
R04_PT0011
In general, does {Child’s first name} have a curfew or set time that {he/she} needs to be home on
weekend nights?
IF THE RESPONDENT IS UNSURE HOW TO ANSWER BECAUSE THE CURFEW VARIES BASED
ON THE SITUATION, CODE YES AS LONG AS THE PARENT IS THE ONE WHO SETS THE
CURFEW TIME.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "IF THE RESPONDENT IS..." instructions in blue. Underline "weekend".
PATH – Wave 4
Parent Questionnaire – Extended Interview
14
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0019
Please look at this list. How would you describe how {Child’s first name} has performed at school in the
past 12 months? Would you say {Child’s first name}’s grades are...
READ RESPONSE OPTIONS ALOUD.
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, or
10
Your child’s school is ungraded?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "past 12 months".
PATH ID:
R04_PT0021
As far as you know, has {Child’s first name} ever smoked a cigarette, used e-cigarettes or other
electronic nicotine products, smoked cigars, a pipe, a hookah, used snus or other smokeless
tobacco?
Please look at this list. Would you say…
READ RESPONSE OPTIONS ALOUD.
1
You know that {she/he} has,
2
You strongly suspect {she/he} has,
3
You don’t think {she/he} has, or
4
You are confident {she/he} has not?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Display QxQ words "electronic
nicotine products” in bold/green.
PATH – Wave 4
Parent Questionnaire – Extended Interview
15
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR02
If parent has already completed an adult interview or a parent interview for another youth, GO TO
R04_PT0029.
Else, go to R04_PR1045.
PATH ID:
R04_PR1045
These next few questions ask about the rules of using tobacco inside your home. 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 these products inside your home?
Please look at this list. Would you say…
READ RESPONSE OPTIONS ALOUD.
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, or
3
It is allowed anywhere and at any time inside my home?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "burned" and "inside".
PATH ID:
R04_PR1051
Now think about e-cigarettes and other electronic nicotine products.
Which statement best describes the rules about using these products inside your home?
Please look at this list. Would you say…
READ RESPONSE OPTIONS ALOUD.
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, or
3
It is allowed anywhere and at any time inside my home?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "inside". Display QxQ
words "electronic nicotine products” in bold/green.
PATH – Wave 4
Parent Questionnaire – Extended Interview
16
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PR1050
Now think about other tobacco products that are not burned, like snus and other types of smokeless
tobacco.
Which statement best describes the rules about using these products inside your home?
Please look at this list. Would you say…
READ RESPONSE OPTIONS ALOUD.
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, or
3
It is allowed anywhere and at any time inside my home?
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "not" and "inside".
PATH ID:
R04_PT0029
Do you think any tobacco products or electronic nicotine products (such as e-cigarettes) might be
available to {Child’s first name} at your home?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "electronic nicotine products” in bold/green.
BOX ID:
R04_PTR04
If child spends time at another parent’s home, go to R04_PT0005.
Else, go to R04_PT0035.
PATH ID:
R04_PT0005
Do you think any tobacco products or electronic nicotine products (such as e-cigarettes) might be
available to {Child’s first name} when {he/she} is at the other parent’s home?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth where child spends time at another parent’s home.
DISPLAY: Display QxQ words "electronic nicotine products” in bold/green.
PATH – Wave 4
Parent Questionnaire – Extended Interview
17
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
HEALTH
PATH ID:
R04_PT0035
The next series of questions ask about {Child’s first name}’s health.
In general, would you say {Child’s first name}’s overall health is excellent, very good, good, fair, or
poor?
1
EXCELLENT
2
VERY GOOD
3
GOOD
4
FAIR
5
POOR
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words “overall health” in bold/green.
PATH ID:
R04_PT0007
About how tall is {Child’s first name} without shoes? Please answer in either feet and inches or meters.
1
I___I___I FEET
2
I___I___I INCHES
3
I__I__I.I__I__I METERS
-8
DON'T KNOW
GO TO R04_PT0008
-7
REFUSED
GO TO R04_PT0008
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "FEET" and "INCHES", or "METERS" as a title.
PATH – Wave 4
Parent Questionnaire – Extended Interview
18
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0007_LC1
I have that {CHILD'S FIRST NAME}’s current height is {[R04_PT0007_FT] feet{ and [R04_PT0007_IN]
inches}/[R04_PT0007_MT] meters} tall.
Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0007
2
SUPPRESS
GO TO R04_PT0008
ASK: IF R04_PT0007_FT < 5 OR (R04_PT0007_FT = 6 AND R04_PT0007_IN > 0) OR
R04_PT0007_FT > 6 OR R04_PT0007_MT < 1.5 OR R04_PT0007_MT > 1.8.
DISPLAY: IF R04_PT0007_FT > 0 AND R04_PT0007_IN = 0, DISPLAY “[R04_PT0007_FT] feet”.
ELSE, IF R04_PT0007_FT > 0 AND R04_PT0007_IN > 0, DISPLAY “[R04_PT0007_FT] feet and
[R04_PT0007_IN] inches”.
ELSE, IF R04_PT0007_MT> 0, DISPLAY “[R04_PT0007_MT] meters”.
PATH ID:
R04_PT0008
About how much does {Child’s first name} weigh without clothes or shoes? Please answer in either
pounds or kilograms.
1
I___I___I___I POUNDS
2
I___I___I___I KILOGRAMS
-8
DON'T KNOW
GO TO BOX R04_PXR04
-7
REFUSED
GO TO BOX R04_PXR04
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "POUNDS" and "KILOGRAMS” as title.
PATH – Wave 4
Parent Questionnaire – Extended Interview
19
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0008_LC1
I have that {CHILD'S FIRST NAME}'s current weight is [R04_PT0008] {pounds/kilograms}.
Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0008
2
SUPPRESS
GO TO BOX R04_PXR04
ASK: IF (R04_PARYTHAGE < 15 AND ((R04_PT0008_LB < 85 OR R04_PT0008_LB > 170) OR
(R04_PT0008_KG < 38.6 OR R04_PT0008_KG > 77.1))) OR (R04_PARYTHAGE >= 15 AND
((R04_PT0008_LB < 105 OR R04_PT0008_LB > 200) OR (R04_PT0008_KG < 47.6 OR
R04_PT0008_KG > 90.7))).
BOX ID:
R04_PXR04
If parent/guardian of new baseline youth, go to R04_PX0186_NB.
Else, if parent/guardian of continuing youth, go to R04_PT0050_12M.
BOX ID:
R04_PXR05
If new baseline youth is 15 years old or older, go to R04_PX0187_NB.
Else, go to R04_PT0050_NB.
PATH ID:
R04_PT0050_12M
In the past 12 months, has {Child’s first name} been told by a doctor, nurse or other health professional
that {he/she} has high blood pressure?
1
YES
GO TO R04_PT0051_12M
2
NO
GO TO R04_PT0051_12M
-8
DON'T KNOW
GO TO R04_PT0051_12M
-7
REFUSED
GO TO R04_PT0051_12M
ASK: Parent/guardian of continuing youth.
DISPLAY: Underline "past 12 months".
PATH – Wave 4
Parent Questionnaire – Extended Interview
20
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0051_12M
In the past 12 months, has {Child’s first name} been told by a doctor, nurse or other health professional
that {he/she} has high cholesterol?
1
YES
GO TO R04_PT0031_12M
2
NO
GO TO R04_PT0031_12M
-8
DON'T KNOW
GO TO R04_PT0031_12M
-7
REFUSED
GO TO R04_PT0031_12M
ASK: Parent/guardian of continuing youth.
DISPLAY: Underline "past 12 months".
PATH ID:
R04_PT0031_12M
In the past 12 months, has {Child’s first name} been told by a doctor, nurse or other health professional
that {he/she} has asthma?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of continuing youth.
DISPLAY: Underline "In the past 12 months". Display QxQ word “asthma” in bold/green.
BOX ID:
R04_PTR06
If the parent of a continuing youth ever reported that youth has asthma, go to R04_PT0022.
Else, if the continuing youth has never been told they have asthma, go to R04_PT0033.
PATH ID:
R04_PT0022
[In a previous interview, it was reported that {Child's first name} had asthma.
]In the past 12 months, has {Child’s first name} taken medications regularly for asthma?
[Taken regularly means according to a health care provider’s instructions.]
1
YES
2
NO
GO TO R04_PT0125
3
YOUTH SP HAS NEVER HAD ASTHMA
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0125
-7
REFUSED
GO TO R04_PT0125
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "past 12 months". Display QxQ word “asthma” in bold/green.
IF R03_PARREPT_ASTHMA = 1 AND R04_PT0031_12M != 1, DISPLAY "In a previous interview, it
was reported that {Child's first name} had asthma." ELSE, DO NOT DISPLAY THIS TEXT.
PATH – Wave 4
Parent Questionnaire – Extended Interview
21
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0036
Please look at this list. In the past 12 months, which of the following medications did {Child’s first
name} regularly take for asthma? Choose all that apply.
READ TEXT BEFORE THE HYPHEN ALOUD.
1
Quick-relief inhaler - FOR EXAMPLE: ALBUTEROL (PROAIR, VENTOLIN,
XOPENEX), IPRATROPIUM (ATROVENT), OR A COMBINATION INHALER
(COMBIVENT)
2
Controller or long-acting inhaler including steroid inhaler – FOR EXAMPLE:
BECLOMETHASONE (QVAR), FLUTICASONE (FLOVENT), SALMETEROL
(SEREVENT), TIOTROPIUM (SPIRIVA), OR A COMBINATION INHALER
(ADVAIR)
3
Other controlling medication – FOR EXAMPLE: MONTELUKAST (SINGULAIR),
ZAFIRLUKAST (ACCOLATE), THEOPHYLLINE, ROFLUMILAST (DALIRESP)
4
Other asthma medication
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who regularly took medications for asthma.
DISPLAY: Underline "past 12 months". Display QxQ words “medications” and “asthma” in bold/green.
Display "READ TEXT BEFORE THE HYPHEN ALOUD." in blue.
PATH ID:
R04_PT0125
In the past 12 months, has {Child’s first name} 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 R04_PT0127
-8
DON'T KNOW
GO TO R04_PT0127
-7
REFUSED
GO TO R04_PT0127
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "past 12 months". Display QxQ words “asthma attack” in bold/green.
PATH – Wave 4
Parent Questionnaire – Extended Interview
22
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0039
In the past 12 months, how many asthma attacks has {Child’s first name} 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: Parent/guardian of sampled youth who had an asthma attack in the past 12 months that required
medication.
DISPLAY: Underline "past 12 months". Display QxQ words “asthma attacks” in bold/green. Allow 0999.
PATH ID:
R04_PT0039_LC1
I have that in the past 12 months {CHILD'S FIRST NAME} had [R04_PT0039] asthma attacks that
required use of an oral or injected steroid medication at the time of the attack. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0039
2
SUPPRESS
GO TO R04_PT0127
ASK: IF R04_PT0039 > 20.
PATH ID:
R04_PT0127
In the past 12 months, has {Child’s first name} had to visit an emergency room or urgent care center
because of asthma?
1
YES
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "past 12 months". Display QxQ words “urgent care center” and “asthma” in
bold/green.
PATH – Wave 4
Parent Questionnaire – Extended Interview
23
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0282
In the past 12 months, how many times has {Child’s first name} had to visit an emergency room or
urgent care center because of asthma?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_PXR07
-7
REFUSED
GO TO R04_PXR07
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma.
DISPLAY: Underline "past 12 months". Display QxQ words “urgent care center” and “asthma” in
bold/green. Allow 0-999.
PATH ID:
R04_PT0282_LC1
I have that in the past 12 months {CHILD'S FIRST NAME} had to visit the emergency room or urgent
care center [R04_PT0282] times because of asthma. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0282
2
SUPPRESS
GO TO BOX R04_PXR07
ASK: IF R04_PT0282 > 10.
BOX ID:
R04_PXR07
Parent/guardian of sampled youth who has visited the emergency room or urgent care once in the past
12 months for asthma, go to R04_PX0692.
Else, parent/guardian of sampled youth who has visited the emergency room or urgent care more than
once in the past 12 months for asthma, go to R04_PX0720.
Else, go to R04_PT0033.
PATH ID:
R04_PX0692
Was that visit due to an asthma attack?
1
YES
GO TO R04_PT0033
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma once in the past
12 months.
PATH – Wave 4
Parent Questionnaire – Extended Interview
24
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0720
How many of those visits were due to an asthma attack?
1
|___|___|___|
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma multiple times in
the past 12 months.
PATH ID:
R04_PX0720_LC1
I have that in the past 12 months {CHILD'S FIRST NAME} had to visit the emergency room or urgent
care center [R04_PX0720] times because of an asthma attack. Is that correct?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PX0720
2
SUPPRESS
GO TO R04_PT0033
ASK: IF R04_PX0720 > R04_PT0282.
PATH ID:
R04_PT0033
In the past 12 months, has {Child’s first name} been told by a doctor, nurse or other health professional
that {he/she} has bronchitis, pneumonia, or chronic cough?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "past 12 months".
BOX ID:
R04_PTR07
Parent/guardian of new baseline youth that have never been told they had bronchitis or said don't know,
go to R04_PT0040_NB.
Else, go to R04_PT0052_12M.
PATH – Wave 4
Parent Questionnaire – Extended Interview
25
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0052_12M
In the past 12 months, has {Child’s first name} been told by a doctor, nurse or other health professional
that {he/she} has ADHD or ADD?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "past 12 months". Display QxQ words "ADHD" and "ADD" in bold/green.
BOX ID:
R04_PTR08
Parent/guardian of new baseline youth that has not been told they had ADD/ADHD in past year or said
don't know, go to R04_PT0052_NB.
Else, if youth has ever been told they have ADD/ADHD, go to R04_PT0048.
Else, go to R04_PT0049.
PATH ID:
R04_PT0048
[In a previous interview, it was reported that {Child's first name} had ADHD or ADD.
]In the past 12 months, has {Child’s first name} taken medications regularly for ADHD or ADD?
[Taken regularly means according to a health care provider’s instructions.]
1
YES
2
NO
3
YOUTH SP HAS NEVER HAD ADHD OR ADD
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of youth who have ever been told they had ADD/ADHD.
DISPLAY: Underline "past 12 months". Display QxQ words "ADHD" and "ADD" in bold/green.
IF R03_PARREPT_ADHD = 1 AND R04_PT0052_12M != 1, DISPLAY "In a previous interview, it was
reported that {Child's first name} had ADHD or ADD." ELSE, DO NOT DISPLAY THIS TEXT.
PATH – Wave 4
Parent Questionnaire – Extended Interview
26
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0049
In the past 12 months, has {Child’s first name} been told by a doctor, dentist or other health professional
that {he/she} has 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: Parent/guardian of sampled youth.
DISPLAY: Underline "past 12 months".
BOX ID:
R04_PTR09
Parent/guardian of new baseline youth that have not been told they had dental issues in past year or
said refused/dont' know, go to R04_PT0044_NB.
Else, parent/guardian of new baseline youth, go to R04_PT0281_NB.
Else, parent/guardian of continuing youth, go to R04_PT0281_12M.
PATH ID:
R04_PT0281_12M
In the past 12 months, has {Child’s first name} been told by a doctor, nurse or other health professional
that {he/she} has diabetes, sugar diabetes, high blood sugar, or borderline diabetes?
1
YES
GO TO BOX R04_PTR10
2
NO
GO TO BOX R04_PTR10
-8
DON'T KNOW
GO TO BOX R04_PTR10
-7
REFUSED
GO TO BOX R04_PTR10
ASK: Parent/guardian of continuing youth.
DISPLAY: Underline "past 12 months".
BOX ID:
R04_PTR10
If a parent has ever reported that the youth had diabetes, go to R04_PX0721.
Else, go to R04_PX0756.
PATH – Wave 4
Parent Questionnaire – Extended Interview
27
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0721
[In a previous interview, it was reported that {Child's first name} had diabetes.
]Does [Child's first name] have Type 1 or Type 2 diabetes?
1
TYPE 1
2
TYPE 2
3
YOUTH SP HAS NEVER HAD DIABETES
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who have ever been told they have diabetes.
DISPLAY: If parent reported youth had diabetes in any previous wave, but not Wave 4
[R03_PARREPT_DIABETES = 1 AND R04_PT0281_12M != 1], display "In a previous interview, it was
reported that {Child's first name} had diabetes."
Else, do not display this transition text.
PATH ID:
R04_PX0756
Has {Child’s first name} ever been told by a doctor, therapist or other mental health professional that
{he/she} had schizophrenia, schizoaffective disorder or psychosis?
1
YES
2
NO
GO TO R04_PX0761
-8
DON'T KNOW
GO TO R04_PX0761
-7
REFUSED
GO TO R04_PX0761
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0757
How old was {Child’s first name} when {he/she} was first told by a doctor, therapist, or other mental
health professional that {he/she} had schizophrenia, schizoaffective disorder or psychosis?
1
|___|___| YEARS OLD
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of youth who have schizophrenia/pscyhosis.
PATH – Wave 4
Parent Questionnaire – Extended Interview
28
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0758
Was {Child’s first name} less than 12 years old, 12 to 14 years old, or 15 to 17 years old?
1
LESS THAN 12 YEARS OLD
GO TO R04_PX0221
2
12 TO 14 YEARS OLD
GO TO R04_PX0221
3
15 TO 17 YEARS OLD
GO TO R04_PX0221
-8
DON'T KNOW
GO TO R04_PX0221
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian who did not know or refused to give age when sampled youth was told he/she
had schizophrenia/pscyhosis.
PATH ID:
R04_PX0761
Has {Child’s first name} ever been told by a doctor, therapist or other mental health professional that
{he/she} had a psychotic illness or episode?
1
YES
2
NO
GO TO R04_PX0221
-8
DON'T KNOW
GO TO R04_PX0221
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of sampled youth who have not been diagnosed with schizophrenia,
schizoaffective disorder or psychosis.
PATH ID:
R04_PX0762
How old was {Child’s first name} when {he/she} was first told by a doctor, therapist, or other mental
health professional that {he/she} had a psychotic illness or episode?
1
|___|___| YEARS OLD
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of youth who have schizophrenia/pscyhosis.
PATH ID:
R04_PX0772
Was {Child’s first name} less than 12 years old, 12 to 14 years old, or 15 to 17 years old?
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: Parent/guardian who did not know or refused to give age when sampled youth was told he/she
had a psychotic illness or episode.
PATH – Wave 4
Parent Questionnaire – Extended Interview
29
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0221
The next questions ask about {Child's first name}'s close biological or blood relatives, including {his|her}
father, mother, or brothers or sisters, both living and deceased.
Were any of {Child's first name}'s close biological or blood relatives ever told by a health professional
that they had high blood pressure?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0222
Were any of {Child's first name}'s close biological or blood relatives ever told by a health professional
that they had high cholesterol?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0707
Have any of {Child's first name}'s close biological or blood relatives used any tobacco products? By this
we mean cigarettes, e-cigarettes or other electronic nicotine products, cigars, pipe, hookah, snus or
other types of smokeless tobacco (such as dip, spit or chew), and dissolvable tobacco.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "electronic nicotine products” in bold/green.
PATH – Wave 4
Parent Questionnaire – Extended Interview
30
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0731
Have any of {Child's first name}'s close biological or blood relatives ever been an alcoholic or problem
drinker? By this we mean a person whose drinking causes problems with their physical or emotional
health, family or friends, work or school, or the police.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0732
Have any of {Child's first name}'s close biological or blood relatives ever had problems with drugs? By
this we mean a person whose drug use causes problems with their physical or emotional health, family
or friends, work or school, or the police.
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire – Extended Interview
31
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
RESPONDENT CHARACTERISTICS
BOX ID:
R04_PMR02
If parent has already completed a parent interview for another youth, go to R04_PL0030
Else, if the parent has already completed the adult interview, go to Box R04_PMR03.
Else, go to R04_PM0069.
PATH ID:
R04_PM0069
The next few questions are about you and your household.
Are you a citizen of the United States? Please look at this list. Would you say...
READ RESPONSE OPTIONS ALOUD.
1
Yes, born in the United States
2
Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas
3
Yes, born abroad of U.S. citizen parent or parents
4
Yes, U.S. citizen by naturalization
5
No, not a U.S. citizen
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0065
About how many years have you lived in the United States?
1
R HAS LIVED IN US THEIR WHOLE LIFE
2
ENTER NUMBER OF YEARS
GO TO R04_PM0066
-8
DON'T KNOW
GO TO R04_PM0066
-7
REFUSED
GO TO R04_PM0066
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH – Wave 4
Parent Questionnaire – Extended Interview
32
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0065_NN
ENTER THE NUMBER OF YEARS. IF LESS THAN 1 YEAR, ENTER 1.
1
I___I___I___I NUMBER OF YEARS
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview, and
reported the number of years they have lived in the United States.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0066
How well do you speak English? Would you say very well, well, not well, or not at all?
1
VERY WELL
2
WELL
3
NOT WELL
4
NOT AT ALL
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0070
How well do you read English? Would you say very well, well, not well, or not at all?
1
VERY WELL
2
WELL
3
NOT WELL
4
NOT AT ALL
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0073
How well do you write in English? Would you say very well, well, not well, or not at all?
1
VERY WELL
2
WELL
3
NOT WELL
4
NOT AT ALL
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH – Wave 4
Parent Questionnaire – Extended Interview
33
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0071
Do you speak a language other than English at home?
1
YES
2
NO
GO TO R04_PM0001
-8
DON'T KNOW
GO TO R04_PM0001
-7
REFUSED
GO TO R04_PM0001
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0072
What other languages do you speak at home?
CODE ALL THAT APPLY.
1
SPANISH
2
CHINESE
3
TAGALOG
4
VIETNAMESE
5
FRENCH
6
KOREAN
7
GERMAN
8
ARABIC
9
RUSSIAN
10
SOME OTHER LANGUAGE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview and
speaks another language at home.
DISPLAY: DISPLAY INTERVIEWER INSTRUCTION IN BLUE.
PATH – Wave 4
Parent Questionnaire – Extended Interview
34
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0001
What is the highest grade or level of school that you have completed?
1
LESS THAN HIGH SCHOOL
2
SOME HIGH SCHOOL, NO DIPLOMA
3
GED
4
HIGH SCHOOL GRADUATE—DIPLOMA
5
SOME COLLEGE BUT NO DEGREE
6
ASSOCIATE DEGREE—OCCUPATIONAL/VOCATIONAL
7
ASSOCIATE DEGREE—ACADEMIC PROGRAM
8
BACHELOR’S DEGREE (EX: BA, AB, BS)
9
MASTER’S DEGREE (EX: MA, MS, MENG, MED, MSW)
10
PROFESSIONAL SCHOOL DEGREE (EX: MD, DDS, DVM, JD)
11
DOCTORATE DEGREE (EX: PHD, EDD)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Underline "you".
BOX ID:
R04_PMR03
If parent/guardian of sampled youth reports having a spouse living in the household, go to
R04_PM0118.
Else, go to Box R04_PMR04.
PATH – Wave 4
Parent Questionnaire – Extended Interview
35
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0118
What is the highest grade or level of school that [Spouse/Guardian's First name] has completed?
1
LESS THAN HIGH SCHOOL
2
SOME HIGH SCHOOL, NO DIPLOMA
3
GED
4
HIGH SCHOOL GRADUATE—DIPLOMA
5
SOME COLLEGE BUT NO DEGREE
6
ASSOCIATE DEGREE—OCCUPATIONAL/VOCATIONAL
7
ASSOCIATE DEGREE—ACADEMIC PROGRAM
8
BACHELOR’S DEGREE (EX: BA, AB, BS)
9
MASTER’S DEGREE (EX: MA, MS, MENG, MED, MSW)
10
PROFESSIONAL SCHOOL DEGREE (EX: MD, DDS, DVM, JD)
11
DOCTORATE DEGREE (EX: PHD, EDD)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who reports having a spouse living in the household and did not
already complete a parent interview.
DISPLAY: FILL "{Spouse/Guardian's First name}" as follows:
If R04_PM0052=1, FILL with spouse name loaded from R03_PARSPOUSE_PID. Else fill with name of
spouse selected or entered in R04_PT0046. If R04_PM0057=1 and R04_PM0059=1 or 2, FILL with
name of parental figure selected or entered in R04_PM0058.
BOX ID:
R04_PMR04
If the parent has already completed the adult interview, go to R04_PT0060.
Else, go to R04_PM0130.
PATH – Wave 4
Parent Questionnaire – Extended Interview
36
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0130
Please look at this list. Which of the following categories best describes your total household income in
the past 12 months?
This is the total income before taxes of all persons in your household combined. Please include money
from jobs, relatives, pensions, dividends, interest, social security payments or retirement benefits, net
income from business, farm or rent, and any other money received by household members.
1
LESS THAN $10,000
GO TO R04_PL0040
2
$10,000 TO $14,999
GO TO R04_PL0040
3
$15,000 TO $24,999
GO TO R04_PL0040
4
$25,000 TO $34,999
GO TO R04_PL0040
5
$35,000 TO $49,999
GO TO R04_PL0040
6
$50,000 TO $74,999
GO TO R04_PL0040
7
$75,000 TO $99,999
GO TO R04_PL0040
8
$100,000 TO $149,999
GO TO R04_PL0040
9
$150,000 TO $199,999
GO TO R04_PL0040
10
$200,000 OR MORE
GO TO R04_PL0040
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Underline "total household income" and "all persons in your household combined".
PATH ID:
R04_PM0031
Is your total household income during the past 12 months above or below $50,000?
1
ABOVE $50,000
2
BELOW $50,000
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview and
did not know or refused to give total household income.
PATH – Wave 4
Parent Questionnaire – Extended Interview
37
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0040
Do you own or rent your home?
IF NEEDED: [Ownership includes having a mortgage or loan.]
1
OWN
2
RENT
3
OTHER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: DISPLAY INTERVIEWER INSTRUCTIONS IN BLUE.
PATH ID:
R04_PX0691
Please look at this list. In what type of living space do you currently live?
1
SINGLE FAMILY HOME
2
DUPLEX
3
DOUBLE OR MULTI-FAMILY HOME
4
CONDOMINIUM
5
TOWNHOUSE
6
APARTMENT BUILDING
7
NONE OF THE ABOVE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD04
For R04_PN0335, display as a stem and leaf question. For each leaf, display a yes/no response.
PATH – Wave 4
Parent Questionnaire – Extended Interview
38
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PN0335
Please look at this picture. In the past 30 days, have you used any of the following products, even one
or two times?
1
Cigarettes
2
Traditional cigars
3
Cigarillos
4
Filtered cigars
5
Pipe
6
Hookah
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD05
For R04_PN0336, display as a stem and leaf question. For each leaf, display a yes/no response.
PATH ID:
R04_PN0336
Please look at this picture. In the past 30 days, have you used any of the following products, even one
or two times?
1
Snus
2
Other types of smokeless tobacco (such as moist snuff, dip, spit, chewing
tobacco, or smokeless tobacco pouches)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD06
For R04_PN0337, display as a stem and leaf question. For each leaf, display a yes/no response.
PATH – Wave 4
Parent Questionnaire – Extended Interview
39
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PN0337
Please look at this picture. In the past 30 days, have you used any of the following products, even one
or two times?
1
E-cigarettes or other electronic nicotine products (IF NEEDED: [Electronic nicotine
products include e-cigarettes, vape pens, personal vaporizers and mods, e-cigars,
e-pipes, e-hookahs and hookah pens.])
2
Dissolvable tobacco
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: In response option 1, display words "IF NEEDED:" in blue.
PATH ID:
R04_PT0060
How much do you think people harm themselves when they smoke tobacco products that are burned
(such as cigarettes, cigars, pipes or hookah)?
Would you say no harm, a little harm, some harm, or a lot of harm?
1
NO HARM
2
A LITTLE HARM
3
SOME HARM
4
A LOT OF HARM
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
PATH ID:
R04_PT0061
Now think about e-cigarettes and other electronic nicotine products. How much do you think people
harm themselves when they use these products?
Would you say no harm, a little harm, some harm, or a lot of harm?
1
NO HARM
2
A LITTLE HARM
3
SOME HARM
4
A LOT OF HARM
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
DISPLAY: Display QxQ words "electronic nicotine products” in bold/green.
PATH – Wave 4
Parent Questionnaire – Extended Interview
40
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0062
And finally, how much do you think people harm themselves when they use smokeless tobacco
products (products in which you chew, suck or spit such as snus pouches, loose snus, moist snuff, dip,
spit, and chewing tobacco)?
Would you say no harm, a little harm, some harm, or a lot of harm?
1
NO HARM
2
A LITTLE HARM
3
SOME HARM
4
A LOT OF HARM
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
PATH – Wave 4
Parent Questionnaire – Extended Interview
41
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
CONTACT INFORMATION
BOX ID:
R04_PLV03
If Parent/guardian of sampled youth or shadow youth has completed one or more parent
questionnaire(s), set R04_PARENT_COMPLETE = 1 FOR Int431_ParentID.
BOX ID:
R04_PLR01
ASK CONTACT INFORMATION 1 TIME FOR EACH PARENT RESPONDENT.
IF PARENT IS AN SP AND HAS ALREADY PROVIDED CONTACT INFORMATION AT THE END OF
THE ADULT INTERVIEW OR HAS PROVIDED CONTACT INFORMATION FOR ANOTHER SAMPLED
YOUTH OR SHADOW YOUTH DURING THEIR PARENT INTERVIEW, GO TO R04_PL0030.
ELSE, GO TO R04_PL0041
PATH ID:
R04_PL0041
Since your continued participation in the PATH Study is important to the study’s success, I’d like to take
a brief moment to confirm your contact information for my records. We’ll only use this information to
contact you about your participation in the study.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR03
If parent/guardian of youth has a valid physical address on file, go to R04_PL0001.
Else, go to R04_PL0037.
PATH – Wave 4
Parent Questionnaire – Extended Interview
42
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0001
I have your address as…
READ ADDRESS ALOUD.
ADDRESS
APT #
CITY, STATE ZIP CODE
Is that correct?
1
YES
2
NO
GO TO R04_PL0002
ASK: Parent/guardian of sampled youth who has a valid W4 physical address (where
R04_LINKED_ADDRESS has any value, and never equal to NULL).
DISPLAY: Display address in an easy to read format. Display instructional text in blue.
PATH ID:
R04_PL0037
What is your address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
GO TO R04_PL0035
-7
REFUSED
GO TO R04_PL0035
ASK: Parent/guardian of sampled youth who needs to correct their physical address or who does not
have a valid Wave 4 physical address.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0002
Do you receive mail at this address?
1
YES
2
NO
GO TO R04_PL0035
-8
DON'T KNOW
GO TO R04_PL0035
-7
REFUSED
GO TO R04_PL0035
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH – Wave 4
Parent Questionnaire – Extended Interview
43
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0003
Can I please have your mailing address?
VERIFY ALL SPELLING
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who does not receive mail at their physical address.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0035
Do you have a second home where you live during the year?
1
YES
2
NO
GO TO BOX R04_PLR05
-8
DON'T KNOW
GO TO BOX R04_PLR05
-7
REFUSED
GO TO BOX R04_PLR05
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH ID:
R04_PL0036
What is the address of the second home?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has a second home.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
44
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR05
If parent/guardian of youth has a valid telephone number on file, go to R04_PL0004_12M.
Else, go to R04_PL0004.
PATH ID:
R04_PL0004_12M
I have your telephone number as [(XXX) XXX-XXXX].
Is that correct?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PL0038
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who has a valid telephone number.
PATH ID:
R04_PL0004
What is the best telephone number to reach you?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who needs to correct their telephone number, who doesn't
know if the telephone number provided is correct, or who does not have a valid Wave 4 telephone
number.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR14
Parent/guardian of sampled youth who provided their telephone number, go to R04_PL0038.
Else, parent/guardian of sampled youth who did not provide, did not know, or refused to report a valid
telephone number, go to R04_PL0012.
PATH ID:
R04_PL0038
Is this a cell phone number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_PLR04
ASK: Parent/guardian of sampled youth who provided a phone number in R04_PL0004.
PATH – Wave 4
Parent Questionnaire – Extended Interview
45
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0032
May we contact you by text message at this number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who said their telephone number is a cell phone or did not know
or refused to report whether it is a cell phone.
BOX ID:
R04_PLR04
If parent/guardian of youth has a valid second telephone number on file, go to R04_PL0005.
Else, go to R04_PL0006.
PATH ID:
R04_PL0005
I have your second telephone number as [(XXX) XXX-XXXX].
Is that correct?
1
YES
2
NO
GO TO R04_PL0039
-8
DON'T KNOW
GO TO R04_PL0012
-7
REFUSED
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who has a valid W4 second telephone number (where
R04_PHONE2 field has 10 digits, and never equal to NULL).
PATH ID:
R04_PL0006
What is a second telephone number where you can be reached?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who needs to correct their second telehone number or who
does not have a valid Wave 4 second telephone number.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
46
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR15
Parent/guardian of sampled youth who provided their second telephone number, go to R04_PL0039.
Else, parent/guardian of sampled youth who did not provide, did not know, or refused to report a valid
second telephone number, go to R04_PL0012.
PATH ID:
R04_PL0039
Is this a cell phone number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who confirmed their phone number in R04_PL0005 or provided
a phone number in R04_PL0006.
PATH ID:
R04_PL0033
May we contact you by text message at this number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who said their second number is a cell phone or did not know or
refused to report whether it is a cell phone.
PATH ID:
R04_PL0012
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.
1
EMAIL NAME
2
EMAIL PROVIDER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR09
If more than one mode of contact was provided, go to R04_PL0017.
Else, go to R04_PL0018.
PATH – Wave 4
Parent Questionnaire – Extended Interview
47
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0017
What is the best way to reach you?
1
PHONE
2
TEXT MESSAGE
3
E-MAIL
-8
DON’T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth if more than one contact information field are entered.
PATH ID:
R04_PL0018
Do you anticipate moving or relocating either permanently or temporarily in the next 12 months?
1
YES
2
NO
3
MAYBE
GO TO R04_PL0030
-8
DON'T KNOW
GO TO R04_PL0030
-7
REFUSED
GO TO R04_PL0030
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH ID:
R04_PL0019
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.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who plans to move.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
48
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0030
Do you anticipate {Child’s first name} moving or relocating either permanently or temporarily in the next
12 months?
1
YES
2
NO
3
MAYBE
GO TO BOX R04_PLR02
-8
DON'T KNOW
GO TO BOX R04_PLR02
-7
REFUSED
GO TO BOX R04_PLR02
ASK: Parent/guardian of sampled youth, about each sampled youth and each sampled shadow youth.
PATH ID:
R04_PL0031
Can you tell me more about {Child’s first name}’s plans to move?
[For example, {Child’s first name}’s new street address or the city or state to which {Child’s first name}
plans to move?]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth, about each sampled youth and each sample shadow youth,
who plans to move.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR02
IF PARENT HAS ALREADY PROVIDED CONTACT INFORMATION AT THE END OF THE ADULT
INTERVIEW OR HAS PROVIDED CONTACT INFORMATION FOR ANOTHER SAMPLED YOUTH OR
SHADOW YOUTH, GO TO R04_PL0034.
ELSE, CONTINUE WITH R04_PL0020.
PATH – Wave 4
Parent Questionnaire – Extended Interview
49
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0020
Since we would like to interview you again, it is important that we are able to contact you in about a
year. In case we cannot reach you, is there a relative or friend who does not live in this household, who
will know how to reach you?
IF NEEDED: [Rest assured, we will only use this information if we have lost contact with you.]
What is the person’s name?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue and bold FIRST NAME.
BOX ID:
R04_PLR10
If FIRST NAME is don’t know or refused, go to R04_PX0769.
Else, go to R04_PL0022.
PATH ID:
R04_PL0022
What is their address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
50
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0023
What is their telephone number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian respondents who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0021
How are they related to you?
1
HUSBAND/WIFE
2
FATHER/MOTHER (INCLUDING IN-LAWS)
3
GRANDPARENT
4
SON/DAUGHTER (INCLUDING IN-LAWS)
5
GRANDCHILD
6
BROTHER/SISTER (INCLUDING IN-LAWS)
7
FRIEND/NEIGHBOR
8
OTHER RELATIVE (SPECIFY)
9
OTHER NON-RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
PATH ID:
R04_PL0025
Could you provide me with the name of a second relative or friend who will know how to reach you?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue and bold FIRST NAME.
PATH – Wave 4
Parent Questionnaire – Extended Interview
51
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR11
If FIRST NAME is don’t know or refused, go to R04_PX0769.
Else, go to R04_PL0027.
PATH ID:
R04_PL0027
What is their address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0025.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0028
What is their telephone number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian respondents who provided a name in R04_PL0025.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
52
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0026
How are they related to you?
1
HUSBAND/WIFE
2
FATHER/MOTHER (INCLUDING IN-LAWS)
3
GRANDPARENT
4
SON/DAUGHTER (INCLUDING IN-LAWS)
5
GRANDCHILD
6
BROTHER/SISTER (INCLUDING IN-LAWS)
7
FRIEND/NEIGHBOR
8
OTHER RELATIVE (SPECIFY)
9
OTHER NON-RELATIVE (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0025.
PATH ID:
R04_PX0769
In the future, the PATH questionnaire may be available to take online on your personal desktop, laptop,
or tablet. Due to its length, the questionnaire will not be available on smart phones.
You would be able to complete the questionnaire at your convenience, without an interviewer present.
The incentive would arrive in the mail a few days after the questionnaire is completed.
Would you be very interested, somewhat interested, or not at all interested in taking the PATH
questionnaire online on your personal desktop, laptop, or tablet?
1
VERY INTERESTED
GO TO R04_PL0034
2
SOMEWHAT INTERESTED
GO TO R04_PL0034
3
NOT AT ALL INTERESTED
4
UNSURE/DON'T KNOW
GO TO R04_PL0034
-8
DON'T KNOW
GO TO R04_PL0034
-7
REFUSED
GO TO R04_PL0034
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH – Wave 4
Parent Questionnaire – Extended Interview
53
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0770
Why not?
CODE ALL RESPONSES THAT APPLY.
1
DO NOT HAVE INTERNET ACCESS ON DESKTOP/LAPTOP/TABLET
2
CONCERNED ABOUT TECHNICAL DIFFICULTIES
3
PREFER TO HAVE INTERVIEWER
4
CONCERNED ABOUT CONFIDENTIALITY
5
CONCERNED ABOUT NOT RECEIVING INCENTIVE
6
OTHER (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who would not be interested in doing PATH questionnaires
online in the future.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PL0034
[THIS RESPONDENT HAS ALREADY PROVIDED CONTACT INFORMATION.]
If you do move or change your phone numbers please update your contact information on the PATH
Study website or by calling our toll free number. Each year you may receive a $5 thank you on your
debit card for updating your contact information.
Thank you for taking the time to answer these questions.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of sampled youth.
DISPLAY: If the respondent has already provided contact information in another completed interview
(R04_CONTACTFLAG_LD =1), display: “THIS RESPONDENT HAS ALREADY PROVIDED CONTACT
INFORMATION”. Else, do not display this text.
Display instructional text in blue.
BOX ID:
R04_PLV02
Contact information was provided by parent/guardian of youth SP, set R04_CONTACTFLAG.
PATH – Wave 4
Parent Questionnaire – Extended Interview
54
PATH
Parent Questionnaire – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_LCPT01
INTERVIEWER: IN WHAT LANGUAGE DID YOU MOSTLY CONDUCT THE CAPI PORTIONS OF
THIS INTERVIEW?
1
ENGLISH
END INTERVIEW AND RETURN TO IMS
2
SPANISH
END INTERVIEW AND RETURN TO IMS
ASK: Parent/guardian of sampled youth (asked of Interviewer).
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire – Extended Interview
55
Parent Questionnaire (Spanish) – Extended Interview
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
Table of Contents
FAMILY COMPOSITION ..................................................................................................... 1
SCHOOL, HOME AND TOBACCO USE ........................................................................... 14
HEALTH ............................................................................................................................ 19
RESPONDENT CHARACTERISTICS .............................................................................. 32
CONTACT INFORMATION ............................................................................................... 42
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
ii
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
SECTION
# OF QUESTIONS
Family Composition
School, Home and Tobacco Use
Health
Respondent Characteristics
Contact Information
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
15
9
31
19
31
iii
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
POMBIntro
IF RESPONDENT ASKS ABOUT THE OFFICE OF MANAGEMENT AND BUDGET (OMB), READ THE
FOLLOWING PARAGRAPH ALOUD
Número de control de la OMB: 0925-0664
Fecha de vencimiento: XX/XX/XXXX
Se calcula que el tiempo para esta recolección de información es de 16 minutos por cuestionario,
incluyendo el tiempo necesario para revisar las instrucciones, buscar fuentes de datos existentes, reunir y
mantener los datos necesarios y completar y revisar la recolección de información. Ninguna agencia puede
realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha
recolección de información, a menos que esta muestre un número de control vigente de la OMB. Envíe sus
comentarios respecto a este cálculo de tiempo o a otro aspecto de esta recolección de información,
incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance Branch, 6705
Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). No devuelva el
cuestionario contestado a esta dirección.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: Parent/guardian of sampled youth.
DISPLAY: Display OMB statement text in grey. Display "IF RESPONDENT ASKS..." statement and
"PRESS 1 TO CONTINUE" in blue. If parent/guardian of new baseline youth respondent
(R04_YOUTHTYPE = 2, 3), display "19" minutes; if parent/guardian of continuing youth respondent
(R04_YOUTHTYPE = 1), display "16" minutes; else, display "16" minutes. Pending language selected in
F2; display English OMB statement if English is selected, display Spanish OMB statement if Spanish is
selected. Default to English display.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
iv
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
FAMILY COMPOSITION
BOX ID:
R04_PXV01
PROGRAM: LOAD THE FOLLOWING VARIABLES
R03_PT0001 = Wave 3 parent's relationship to youth SP
R03_PARSPOUSE_PID = ID of Wave 3 parent's spouse
R03_PARREPT_ADHD = Youth has been told that he/she has ADD/ADHD
R03_PARREPT_ASTHMA = Youth has been told that he/she has asthma
R03_PARREPT_DIABETES = Youth has been told that he/she has diabetes
TWINMULT = Are there twins/multiple births in household (Wave 1 or Wave 4 HH Screener)
R04_CONTACTFLAG_LD = Adult SP or parent/guardian of youth SP has provided contact information.
R04_ADULT_COMPLETE_LD = Adult respondent has completed the adult questionnaire.
R04_PARENT_COMPLETE_LD = Parent/guardian of sampled youth has completed one or more
parent questionnaire(s).
R04_LINKED_ADDRESS = Best address from IMS
R04_VTBESTSPPHONE = Best phone number from IMS
R04_PHONE2 = Second phone number from IMS
PROGRAM - LOAD THE FOLLOWING VARIABLES FROM CONSENT WRAPPER:
R04_YOUTHTYPE
(1) ContinuingYouth = Youth completed a youth interview in a previous wave and will do a youth
interview this wave.
(2) NewBaselineYouth = Youth was a shadow youth in previous wave, but will do a youth interview this
wave.
(3) New Cohort Youth = Youth respondents who are new to the PATH Study as part of the
replenishment sample. This is their first interview in the Youth cohort and in the PATH Study.
(4) ContinuingShadowYouth = Youth was a shadow youth in previous wave and is still a shadow youth.
(5) New Cohort Shadow Youth = Youth is new to the PATH Study as part of the replenishment sample
and is a shadow youth.
R04_LASTWVPARENTCOMP
For the parent associated with this youth:
(1) wave 1 = the last time this parent did a parent interview for this youth was in baseline.
(2) wave 2 = the last time this parent did a parent interview for this youth was in wave 2.
(3) wave 3 = the last time this parent did a parent interview for this youth was in wave 3.
(null) this parent has never done a parent interview for this youth.
R04_PARENTTYPE
(1) PriorParent = This parent has completed a parent interview for this youth in a previous wave.
(2) NewParent = This parent has not completed a parent interview for this youth in a previous wave.
R04_PARYTHAGE = age of youth at time of parent consent.
Program Note: In the following specifications, “!=” represents “not equal to”.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
1
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR03
If the W4 parent/guardian is the same respondent as the W3 parent/guardian, and the W3 parent
relationship to youth was not "OTRO PARIENTE", "NO ES PARIENTE" or Don't Know/Refused, go to
R04_PM0053.
Else go to R04_PT0001.
PATH ID:
R04_PM0053
Tengo anotado que usted es el/la {parent's relationship to sampled youth} de {Child's first name}. ¿Es
correcto?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_PTR01
GO TO BOX R04_PTR01
ASK: Parent/guardian of sampled youth who selected a relationship in R03_PT0001.
PATH ID:
R04_PT0001
¿Cuál es su parentesco o relación con {Child's first name}? En otras palabras, usted es el/la...de
{Child's first name}.
[¿Diría que es la madre biológica o adoptiva, el padre biológico o adoptivo, la madrastra o el
padrastro?]
1
MADRE BIOLÓGICA
2
PADRE BIOLÓGICO
3
MADRE ADOPTIVA
4
PADRE ADOPTIVO
5
MADRASTRA
6
PADRASTRO
7
MADRE TEMPORAL (FOSTER)
8
PADRE TEMPORAL (FOSTER)
9
ABUELA
10
ABUELO
11
TÍA
12
TÍO
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: This item is asked when the W4 parent/guardian is not the same as the W3 parent/guardian; or
any respondent who reported OTHER/SPECIFY, DON'T KNOW, or REFUSED to this question in W3; or
any respondent who did not confirm relationship in R04_PM0053.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
2
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PTR01
If parent/guardian of shadow youth, go to Contact Information section.
Else, if parent has already completed a parent interview for another youth and parent is married and has
provided a valid name for their spouse, go to R04_PT0002.
Else, if parent has already completed a parent interview for another youth and parent is not married or
has not provided a valid name for their spouse, go to R04_PM0057.
Else, go to R04_PT0047.
PATH ID:
R04_PT0047
¿Cuál es su estado civil? ¿Actualmente, está usted casado, viudo, divorciado, separado o nunca se ha
casado?
1
CASADO
2
VIUDO
3
DIVORCIADO
4
SEPARADO
5
NUNCA SE HA CASADO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
BOX ID:
R04_PTR03
Parents who are married at W4 and provided the name of their spouse in the previous wave, go to
R04_PM0052.
Else, parents who are married, go to R04_PT0046.
Else, go to R04_PM0057.
PATH ID:
R04_PM0052
Tengo anotado que su cónyuge es {Spouse's first name}, ¿es correcto?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PT0045
GO TO R04_PM0057
ASK: Parent/guardian of sampled youth who is married at W4 and provided the name of their spouse in
the previous wave. If parent has already completed a parent interview for another youth, do not re-ask
this item.
DISPLAY: Fill {Spouse's first name} with name selected in R03_PARSPOUSE_PID. Only display the
first name.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
3
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0046
¿Cómo se llama su cónyuge?
SELECT NAME AMONG THE LIST. READ NAMES IF NECESSARY. IF SPOUSE'S NAME IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PT0045
2
[First Name and age of person #2]
GO TO R04_PT0045
3
[First Name and age of person #3]
GO TO R04_PT0045
4
[First Name and age of person #4]
GO TO R04_PT0045
5
[First Name and age of person #5]
GO TO R04_PT0045
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF SPOUSE]
-8
DON'T KNOW
GO TO R04_PM0057
-7
REFUSED
GO TO R04_PM0057
ASK: Parent/guardian whose spouse's name was not confirmed in R04_PM0052, or parents who report
now being married in W4. If parent has already completed a parent interview for another youth, do not
re-ask this item.
DISPLAY: List first names of everyone in the grid who is aged 18 years old or older (and not deceased)
in the HH screener with their age, ordered by oldest to youngest and then new people that were added
earliest to most recent below. For response options, display one row for each person on the grid.
Display interviewer instructions in blue.
PATH ID:
R04_PT0046_OS_1
¿Cuál es el primer nombre de su cónyuge?
ENTER THE SPOUSE'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PT0046_OS_2
¿Cuál es el apellido de su cónyuge?
ENTER THE SPOUSE'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
4
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0046_OS_3
¿Qué edad tiene su cónyuge?
ENTER THE SPOUSE'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0045
-7
REFUSED
GO TO R04_PT0045
ASK: Parent/guardian of sampled youth who needs to specify the name of their spouse.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PT0045
¿Vive {Spouse's first name/ su cónyuge} aquí?
[Si su cónyuge o pareja está fuera en una misión militar, se le debe contar como que vive aquí.]
1
SÍ
2
NO
GO TO R04_PM0057
-8
DON'T KNOW
GO TO R04_PM0057
-7
REFUSED
GO TO R04_PM0057
ASK: Parent/guardian of sampled youth whose spouse is confirmed in R04_PM0052 or provided in
R04_PT0046. If parent has already completed a parent interview for another youth, do not re-ask this
item.
DISPLAY: IF R04_PT0046_OS_1 = -8, -7, DISPLAY "su cónyuge". ELSE, DISPLAY FILL WITH
{Spouse's first name}.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
5
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0002
¿Qué relación o parentesco tiene {Spouse's first name/ } con {Child's first name}? Es decir, ¿es
{Spouse's first name} la madre, el padre, la tía, el tío, o qué parentesco tiene con {Child's first name}?
[¿Diría que es la madre biológica o adoptiva, el padre biológico o adoptivo, la madrastra, el padrastro o
la madre o el padre temporal?]
1
MADRE BIOLÓGICA
2
PADRE BIOLÓGICO
3
MADRE ADOPTIVA
4
PADRE ADOPTIVO
5
MADRASTRA
6
PADRASTRO
7
MADRE TEMPORAL (FOSTER)
8
PADRE TEMPORAL (FOSTER)
9
ABUELA
10
ABUELO
11
TÍA
12
TÍO
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth whose spouse is confirmed in R04_PM0052 or provided in
R04_PT0046_PID or R04_PT0046_OS_1.
DISPLAY: If R04_PM0052 = 1, fill {Spouse's first name} with R03_PARSPOUSE_PID. Else, fill
{Spouse's first name} with name selected/entered in R04_PT0046_PID or R04_PT0046_OS_1. Only
display the first name. Also display "¿es {Spouse's first name} la madre, el padre, la tía, el tío, o qué
parentesco tiene con {Child's first name}? ".
If spouse's first name is unknown, display "¿es la madre, el padre, la tía, el tío, o qué parentesco tiene
con {Child's first name}?".
PATH ID:
R04_PM0057
¿Tiene {Childs' first name} otras figuras paternas o maternas o tutores que vivan aquí?
[Si la figura paterna o materna, o el tutor está fuera en una misión militar, se le debe contar como que
vive aquí.]
1
SÍ
2
NO
GO TO R04_PT0003
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
6
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0058
¿Cómo se llama la otra figura paterna o materna o el otro tutor o tutora?
IF NEEDED, CLARIFY THAT YOU ARE ASKING ABOUT THE PARENTAL FIGURE OR GUARDIAN
WHO LIVES IN THE HOME. READ NAMES IF NECESSARY. IF HOUSEHOLD MEMBER IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PM0059
2
[First Name and age of person #2]
GO TO R04_PM0059
3
[First Name and age of person #3]
GO TO R04_PM0059
4
[First Name and age of person #4]
GO TO R04_PM0059
5
[First Name and age of person #5]
GO TO R04_PM0059
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF PARENTAL
FIGURE/GUARDIAN]
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has another parental figure or guardian who lives in the
home.
DISPLAY: List first names of everyone in the grid who is aged 11 years old or older in the HH screener
with their age, ordered by oldest to youngest and then new people that were added earliest to most
recent below. For response options, display one row for each person on the grid who is age 11 or older.
Display "IF NEEDED,..." statement in blue.
PATH ID:
R04_PM0058_OS_1
¿Cuál es el nombre de la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
7
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0058_OS_2
¿Cuál es el apellido de la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0058_OS_3
¿Qué edad tiene la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
8
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0059
¿Qué relación o parentesco tiene {Parental figure/guardian's first name} con {Child's first name}? Es
decir, ¿es {Parental figure/guardian's first name} la madre, el padre, la tía, el tío, o qué parentesco tiene
con {Child's first name}?
[¿Diría que es la madre biológica o adoptiva, el padre biológico o adoptivo, la madrastra o el
padrastro?]
1
MADRE BIOLÓGICA
2
PADRE BIOLÓGICO
3
MADRE ADOPTIVA
4
PADRE ADOPTIVO
5
MADRASTRA
6
PADRASTRO
7
MADRE TEMPORAL (FOSTER)
8
PADRE TEMPORAL (FOSTER)
9
ABUELA
10
ABUELO
11
TÍA
12
TÍO
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who report another parental figure or guardian in R04_PM0058 or
R04_PM0058_OS_1.
PATH ID:
R04_PM0060
¿Tiene {Childs' first name} otras figuras paternas o maternas o tutores que vivan aquí?
[Si la figura paterna o materna, o el tutor está fuera en una misión militar, se le debe contar como que
vive aquí.]
1
SÍ
2
NO
GO TO R04_PT0003
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has another parental figure or guardian who lives in the
home.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
9
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0061
¿Cómo se llama la otra figura paterna o materna o el otro tutor o tutora?
IF NEEDED, CLARIFY THAT YOU ARE ASKING ABOUT THE PARENTAL FIGURE OR GUARDIAN
WHO LIVES IN THE HOME. READ NAMES IF NECESSARY. IF HOUSEHOLD MEMBER IS NOT
LISTED, SELECT SPECIFY.
1
[First Name and age of person #1]
GO TO R04_PM0062
2
[First Name and age of person #2]
GO TO R04_PM0062
3
[First Name and age of person #3]
GO TO R04_PM0062
4
[First Name and age of person #4]
GO TO R04_PM0062
5
[First Name and age of person #5]
GO TO R04_PM0062
25
SPECIFY: [ENTER FIRST AND LAST NAME AND AGE OF
PARENTAL FIGURE/GUARDIAN]
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who has a second other parental figure or guardian who lives in
the home.
DISPLAY: List first names of everyone in the grid who is aged 11 years old or older in the HH screener
with their age, ordered by oldest to youngest and then new people that were added earliest to most
recent below. For response options, display one row for each person on the grid who is age 11 or older.
Display "IF NEEDED,..." statement in blue.
PATH ID:
R04_PM0061_OS_1
¿Cuál es el nombre de la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S FIRST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
10
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0061_OS_2
¿Cuál es el apellido de la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S LAST NAME.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0061_OS_3
¿Qué edad tiene la otra figura paterna o materna o tutor?
ENTER THE OTHER PARENTAL FIGURE OR GUARDIAN'S AGE.
1
__________________
-8
DON'T KNOW
GO TO R04_PT0003
-7
REFUSED
GO TO R04_PT0003
ASK: Parent/guardian of sampled youth who needs to specify the other parental figure or guardian who
lives in the home.
DISPLAY: Display interviewer instructions in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
11
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0062
¿Qué relación o parentesco tiene {Parental figure/guardian's first name} con {Child's first name}? Es
decir, ¿es {Parental figure/guardian's first name} la madre, el padre, la tía, el tío, o qué parentesco tiene
con {Child's first name}?
[¿Diría que es la madre biológica o adoptiva, el padre biológico o adoptivo, la madrastra o el
padrastro?]
1
MADRE BIOLÓGICA
2
PADRE BIOLÓGICO
3
MADRE ADOPTIVA
4
PADRE ADOPTIVO
5
MADRASTRA
6
PADRASTRO
7
MADRE TEMPORAL (FOSTER)
8
PADRE TEMPORAL (FOSTER)
9
ABUELA
10
ABUELO
11
TÍA
12
TÍO
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who reported another parental figure or guardian in R04_PM0061 or
R04_PM0061_OS_1.
PATH ID:
R04_PT0003
¿Vive en otra parte el padre o la madre de {Child's first name}?
1
SÍ
2
NO
GO TO BOX R04_PXR01
-8
DON'T KNOW
GO TO BOX R04_PXR01
-7
REFUSED
GO TO BOX R04_PXR01
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
12
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0006
¿Cuánto tiempo pasa {Child's first name} ahí? ¿Diría que nunca, menos de la mitad del tiempo, casi la
mitad del tiempo o más de la mitad del tiempo?
1
NUNCA
2
MENOS DE LA MITAD DEL TIEMPO
3
CASI LA MITAD DEL TIEMPO
4
MÁS DE LA MITAD DEL TIEMPO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth if sampled youth has another parental figure or guardian who
lives somewhere else.
BOX ID:
R04_PXR01
If new baseline youth is a twin or part of a multiple birth, as identified in the Household Screener, ask
twin items following skips appropriately.
Else, go to R04_PT0009.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
13
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
SCHOOL, HOME AND TOBACCO USE
PATH ID:
R04_PT0009
Las siguientes preguntas son acerca de la vida de {Child's first name} en casa y en la escuela.
Por lo general, ¿se le prohíbe a {Child's first name} estar fuera de casa después de una hora específica
durante los días de escuela?
IF THE RESPONDENT IS UNSURE HOW TO ANSWER BECAUSE THE CURFEW VARIES BASED
ON THE SITUATION, CODE YES AS LONG AS THE PARENT IS THE ONE WHO SETS THE
CURFEW TIME.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "IF THE RESPONDENT IS..." statement in blue. Underline "escuela".
PATH ID:
R04_PT0011
Por lo general, ¿se le prohíbe a {Child's first name} estar fuera de casa después de una hora específica
durante el fin de semana?
IF THE RESPONDENT IS UNSURE HOW TO ANSWER BECAUSE THE CURFEW VARIES BASED
ON THE SITUATION, CODE YES AS LONG AS THE PARENT IS THE ONE WHO SETS THE
CURFEW TIME.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "IF THE RESPONDENT IS..." instructions in blue. Underline "fin de semana".
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
14
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0019
Por favor mire esta lista. ¿Cómo describiría el rendimiento escolar de {Child's first name} en los últimos
12 meses? ¿Diría que las calificaciones de {Child's first name} son...?
READ RESPONSE OPTIONS ALOUD.
1
mayormente A,
2
A y B,
3
mayormente B,
4
B y C,
5
mayormente C,
6
C y D,
7
mayormente D,
8
D y F,
9
mayormente F o
10
en la escuela de su hijo no se dan calificaciones
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "últimos 12 meses".
PATH ID:
R04_PT0021
Que usted sepa, ¿alguna vez ha fumado {Child's first name} un cigarrillo, un cigarrillo electrónico u
otros productos electrónicos con nicotina, puros, tabaco en pipa, tabaco en hookah, o ha consumido
snus u otro tabaco que no se fuma?
Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
sabe que {ella/él} lo ha hecho
2
tiene fuertes sospechas de que {ella/él} lo ha hecho
3
no cree que {ella/él} lo ha hecho
4
está seguro de que {ella/él} no lo ha hecho
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Display QxQ words "productos
electrónicos con nicotina" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
15
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR02
If parent has already completed an adult interview or a parent interview for another youth, GO TO
R04_PT0029.
Else, go to R04_PR1045.
PATH ID:
R04_PR1045
Las siguientes preguntas son acerca de las normas o reglas de consumir tabaco dentro de su casa.
Piense en todas las personas que podrían estar en su casa, incluyendo a niños, adultos, visitas,
invitados o trabajadores.
Para los productos de tabaco que se queman, tales como cigarrillos, puros, pipas o hookahs, ¿cuál de
las siguientes afirmaciones describe mejor las reglas acerca de fumar estos productos dentro de su
casa?
Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
No está permitido en ninguna parte o en ningún momento dentro de mi casa,
2
Está permitido en algunas partes o en algunos momentos dentro de mi casa o
3
Está permitido en todas partes y en cualquier momento dentro de mi casa
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "queman" and "dentro".
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
16
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PR1051
Ahora piense acerca de los cigarrillos electrónicos y de otros productos electrónicos con nicotina.
¿Cuál de las siguientes afirmaciones describe mejor las reglas acerca del consumo de estos productos
dentro de su casa?
Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
No está permitido en ninguna parte o en ningún momento dentro de mi casa,
2
Está permitido en algunas partes o en algunos momentos dentro de mi casa o
3
Está permitido en todas partes y en cualquier momento dentro de mi casa
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "dentro". Display QxQ
words "productos electrónicos con nicotina" in bold/green.
PATH ID:
R04_PR1050
Ahora piense en los productos de tabaco que no se queman, tales como el snus y otros tipos de tabaco
que no se fuma.
¿Cuál de las siguientes afirmaciones describe mejor las reglas acerca del consumo de estos productos
dentro de su casa?
Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
No está permitido en ninguna parte o en ningún momento dentro de mi casa,
2
Está permitido en algunas partes o en algunos momentos dentro de mi casa o
3
Está permitido en todas partes y en cualquier momento dentro de mi casa
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display "READ RESPONSE OPTIONS ALOUD" in blue. Underline "no" and "dentro".
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
17
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0029
¿Cree que {Child's first name} pueda tener acceso a algún producto de tabaco o a productos
electrónicos con nicotina (como cigarrillos electrónicos) cuando está en su casa?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "productos electrónicos con nicotina" in bold/green.
BOX ID:
R04_PTR04
If child spends time at another parent’s home, go to R04_PT0005.
Else, go to R04_PT0035.
PATH ID:
R04_PT0005
¿Cree que {Child's first name} pueda tener acceso a algún producto de tabaco o a productos
electrónicos con nicotina (como cigarrillos electrónicos) cuando {él/ella} está en casa del otro padre?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth where child spends time at another parent’s home.
DISPLAY: Display QxQ words "productos electrónicos con nicotina" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
18
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
HEALTH
PATH ID:
R04_PT0035
Las siguientes preguntas son acerca de la salud de {Child's first name}.
En general, ¿diría que la salud general de {Child's first name} es excelente, muy buena, buena, regular
o mala?
1
EXCELENTE
2
MUY BUENA
3
BUENA
4
REGULAR
5
MALA
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "salud general" in bold/green.
PATH ID:
R04_PT0007
Aproximadamente, ¿cuánto mide {Child's first name} sin zapatos? Puede anotar la respuesta en pies y
pulgadas o en metros.
1
I___I___I PIES
2
I___I___I PULGADAS
3
I__I__I.I__I__I METROS
-8
DON'T KNOW
GO TO R04_PT0008
-7
REFUSED
GO TO R04_PT0008
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "PIES" and "PULGADAS", or "METROS" as a title.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
19
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0007_LC1
Tengo anotado que la estatura actual de {CHILD'S FIRST NAME} es {[R04_PT0007_FT] pies{ y
[R04_PT0007_IN] pulgadas}/[R04_PT0007_MT] metros}.
¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0007
2
SUPPRESS
GO TO R04_PT0008
ASK: IF R04_PT0007_FT < 5 OR (R04_PT0007_FT = 6 AND R04_PT0007_IN > 0) OR
R04_PT0007_FT > 6 OR R04_PT0007_MT < 1.5 OR R04_PT0007_MT > 1.8.
DISPLAY: IF R04_PT0007_FT > 0 AND R04_PT0007_IN = 0, DISPLAY “[R04_PT0007_FT] pies”.
ELSE, IF R04_PT0007_FT > 0 AND R04_PT0007_IN > 0, DISPLAY “[R04_PT0007_FT] pies y
[R04_PT0007_IN] pulgadas”.
ELSE, IF R04_PT0007_MT> 0, DISPLAY “[R04_PT0007_MT] metros”.
PATH ID:
R04_PT0008
Aproximadamente, ¿cuánto pesa {Child's first name} sin ropa ni zapatos? Puede anotar la respuesta en
libras o kilogramos.
1
I___I___I___I LIBRAS
2
I___I___I___I KILOGRAMOS
-8
DON'T KNOW
GO TO BOX R04_PXR04
-7
REFUSED
GO TO BOX R04_PXR04
ASK: Parent/guardian of sampled youth.
DISPLAY: Display "LIBRAS" and "KILOGRAMOS” as title.
PATH ID:
R04_PT0008_LC1
Tengo anotado que el peso actual de {CHILD'S FIRST NAME} es [R04_PT0008] {libras/kilos}.
¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0008
2
SUPPRESS
GO TO BOX R04_PXR04
ASK: IF (R04_PARYTHAGE < 15 AND ((R04_PT0008_LB < 85 OR R04_PT0008_LB > 170) OR
(R04_PT0008_KG < 38.6 OR R04_PT0008_KG > 77.1))) OR (R04_PARYTHAGE >= 15 AND
((R04_PT0008_LB < 105 OR R04_PT0008_LB > 200) OR (R04_PT0008_KG < 47.6 OR
R04_PT0008_KG > 90.7))).
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
20
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PXR04
If parent/guardian of new baseline youth, go to R04_PX0186_NB.
Else, if parent/guardian of continuing youth, go to R04_PT0050_12M.
BOX ID:
R04_PXR05
If new baseline youth is 15 years old or older, go to R04_PX0187_NB.
Else, go to R04_PT0050_NB.
PATH ID:
R04_PT0050_12M
En los últimos 12 meses, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a
{Child's first name} que {él/ella} tenía hipertensión?
1
SÍ
GO TO R04_PT0051_12M
2
NO
GO TO R04_PT0051_12M
-8
DON'T KNOW
GO TO R04_PT0051_12M
-7
REFUSED
GO TO R04_PT0051_12M
ASK: Parent/guardian of continuing youth.
DISPLAY: Underline "últimos 12 meses".
PATH ID:
R04_PT0051_12M
En los últimos 12 meses, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a
{Child's first name} que {él/ella} tenía el colesterol alto?
1
SÍ
GO TO R04_PT0031_12M
2
NO
GO TO R04_PT0031_12M
-8
DON'T KNOW
GO TO R04_PT0031_12M
-7
REFUSED
GO TO R04_PT0031_12M
ASK: Parent/guardian of continuing youth.
DISPLAY: Underline "últimos 12 meses".
PATH ID:
R04_PT0031_12M
En los últimos 12 meses, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a
{Child's first name} que {él/ella} tenía asma?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of continuing youth.
DISPLAY: Underline "últimos 12 meses". Display QxQ word “asma” in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
21
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PTR06
If the parent of a continuing youth ever reported that youth has asthma, go to R04_PT0022.
Else, if the continuing youth has never been told they have asthma, go to R04_PT0033.
PATH ID:
R04_PT0022
[En una entrevista anterior nos informaron que {Child's first name} tenía asma.
]En los últimos 12 meses, ¿ha tomado {Child's first name} medicamentos para el asma de manera
habitual?
[De manera habitual quiere decir de acuerdo con las instrucciones de un profesional del cuidado de la
salud.]
1
SÍ
2
NO
GO TO R04_PT0125
3
YOUTH SP HAS NEVER HAD ASTHMA
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0125
-7
REFUSED
GO TO R04_PT0125
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ word "asma" in bold/green.
IF R03_PARREPT_ASTHMA = 1 AND R04_PT0031_12M != 1, DISPLAY "En una entrevista anterior
nos informaron que {Child's first name} tenía asma." ELSE, DO NOT DISPLAY THIS TEXT.
PATH ID:
R04_PT0036
Por favor mire esta lista. En los últimos 12 meses, ¿qué medicamentos para el asma ha tomado
{Child's first name} de manera habitual? Escoja todas las opciones que correspondan.
READ TEXT BEFORE THE HYPHEN ALOUD.
1
Inhalador de alivio inmediato - POR EJEMPLO: ALBUTEROL (PROAIR, VENTOLIN,
XOPENEX), IPRATROPIO (ATROVENT) O UN INHALADOR DE COMBINACIÓN
(COMBIVENT)
2
Controlador o inhalador de acción a largo plazo, incluyendo inhaladores de esteroides - POR
EJEMPLO: BECLOMETASONA (QVAR), FLUTICASONA (FLOVENT), SALMETEROL
(SEREVENT), TIOTROPIO (SPIRIVA) O UN INHALADOR DE COMBINACIÓN (ADVAIR)
3
Otro medicamento para controlar el asma - POR EJEMPLO: MONTELUKAST (SINGULAIR),
ZAFIRLUKAST (ACCOLATE), TEOFILINA, ROFLUMILAST (DALIRESP)
4
Otro medicamento para el asma
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who regularly took medications for asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "medicamentos" and "asma" in
bold/green. Display "READ TEXT BEFORE THE HYPHEN ALOUD." in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
22
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0125
En los últimos 12 meses, ¿ha tenido {Child's first name} un ataque de asma que haya requerido el uso
de medicamentos esteroides de uso oral o en inyección en el momento del ataque?
[Ejemplos de medicamentos esteroides por vía oral o en inyección incluyen a prednisona, prednisolona
(Orapred) y dexametasona (Decadrón).]
1
SÍ
2
NO
GO TO R04_PT0127
-8
DON'T KNOW
GO TO R04_PT0127
-7
REFUSED
GO TO R04_PT0127
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "ataque de asma" in bold/green.
PATH ID:
R04_PT0039
En los últimos 12 meses, ¿cuántos ataques de asma ha tenido {Child's first name} que hayan
requerido el uso de un medicamento esteroide de uso oral o en inyección en el momento del ataque?
1
|___|___|___|
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who had an asthma attack in the past 12 months that required
medication.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "ataques de asma" in bold/green. Allow
0-999.
PATH ID:
R04_PT0039_LC1
Tengo anotado que en los últimos 12 meses {CHILD'S FIRST NAME} tuvo [R04_PT0039] ataques de
asma que requirieron el uso de un medicamento esteroide de uso oral o en inyección al momento del
ataque. ¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0039
2
SUPPRESS
GO TO R04_PT0127
ASK: IF R04_PT0039 > 20.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
23
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0127
En los últimos 12 meses, ¿ha tenido {Child's first name} que ir a la sala de emergencias o centro de
atención de urgencias debido al asma?
1
SÍ
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of sampled youth who has ever had asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "centro de atención de urgencias" and
"asma" in bold/green.
PATH ID:
R04_PT0282
En los últimos 12 meses, ¿cuántas veces ha tenido {Child's first name} que ir a la sala de emergencias
o centro de atención de urgencias debido al asma?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_PXR07
-7
REFUSED
GO TO R04_PXR07
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "centro de atención de urgencias" and
"asma" in bold/green. Allow 0-999.
PATH ID:
R04_PT0282_LC1
Tengo anotado que en los últimos 12 meses {CHILD'S FIRST NAME} tuvo que ir [R04_PT0282] veces
a la sala de emergencias o centro de atención de urgencias debido al asma. ¿Es correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PT0282
2
SUPPRESS
GO TO BOX R04_PXR07
ASK: IF R04_PT0282 > 10.
BOX ID:
R04_PXR07
Parent/guardian of sampled youth who has visited the emergency room or urgent care once in the past
12 months for asthma, go to R04_PX0692.
Else, parent/guardian of sampled youth who has visited the emergency room or urgent care more than
once in the past 12 months for asthma, go to R04_PX0720.
Else, go to R04_PT0033.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
24
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0692
¿Fue esa visita debido a un ataque de asma?
1
SÍ
GO TO R04_PT0033
2
NO
GO TO R04_PT0033
-8
DON'T KNOW
GO TO R04_PT0033
-7
REFUSED
GO TO R04_PT0033
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma once in the past
12 months.
PATH ID:
R04_PX0720
¿Cuántas de esas visitas fueron debido a un ataque de asma?
1
|___|___|___|
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who had to go to emergency room for asthma multiple times in
the past 12 months.
PATH ID:
R04_PX0720_LC1
Tengo anotado que en los últimos 12 meses {CHILD'S FIRST NAME} tuvo que ir [R04_PX0720] veces
a la sala de emergencias o centro de atención de urgencias debido a un ataque de asma. ¿Es
correcto?
YES: PRESS SUPPRESS TO GO TO THE NEXT QUESTION.
NO: PRESS GOTO TO CORRECT THE ANSWER.
1
GOTO
GO TO R04_PX0720
2
SUPPRESS
GO TO R04_PT0033
ASK: IF R04_PX0720 > R04_PT0282.
PATH ID:
R04_PT0033
En los últimos 12 meses, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a
{Child's first name} que {él/ella} tenía bronquitis, neumonía o tos crónica?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "últimos 12 meses".
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
25
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PTR07
Parent/guardian of new baseline youth that have never been told they had bronchitis or said don't know,
go to R04_PT0040_NB.
Else, go to R04_PT0052_12M.
PATH ID:
R04_PT0052_12M
En los últimos 12 meses, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a
{Child's first name} que {él/ella} tenía trastorno por déficit de atención con hiperactividad (ADHD, por
sus siglas en inglés) o trastorno por déficit de atención (ADD, por sus siglas en inglés)?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "ADHD" and "ADD" in bold/green.
BOX ID:
R04_PTR08
Parent/guardian of new baseline youth that has not been told they had ADD/ADHD in past year or said
don't know, go to R04_PT0052_NB.
Else, if youth has ever been told they have ADD/ADHD, go to R04_PT0048.
Else, go to R04_PT0049.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
26
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0048
[En una entrevista anterior nos informaron que {Child's first name} tenía trastorno por déficit de atención
con hiperactividad (ADHD, por sus siglas en inglés) o trastorno por déficit de atención (ADD, por sus
siglas en inglés).
]En los últimos 12 meses, ¿ha tomado {Child's first name} de manera habitual medicamentos para el
trastorno por déficit de atención con hiperactividad (ADHD) o trastorno por déficit de atención (ADD)?
[De manera habitual quiere decir de acuerdo con las instrucciones de un profesional del cuidado de la
salud.]
1
SÍ
2
NO
3
YOUTH SP HAS NEVER HAD ADHD OR ADD
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of youth who have ever been told they had ADD/ADHD.
DISPLAY: Underline "últimos 12 meses". Display QxQ words "ADHD" and "ADD" in bold/green.
IF R03_PARREPT_ADHD = 1 AND R04_PT0052_12M != 1, DISPLAY "En una entrevista anterior nos
informaron que {Child's first name} tenía déficit de atención con hiperactividad (ADHD, por sus siglas en
inglés) o trastorno por déficit de atención (ADD, por sus siglas en inglés)." ELSE, DO NOT DISPLAY
THIS TEXT.
PATH ID:
R04_PT0049
En los últimos 12 meses, ¿le ha dicho un médico, dentista u otro profesional de la salud a {Child's first
name} que {él/ella} tenía problemas dentales, tales como caries, enfermedad de las encías o manchas
en los dientes?
[Los problemas dentales NO incluyen ortodoncia ni correctores dentales.]
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Underline "últimos 12 meses".
BOX ID:
R04_PTR09
Parent/guardian of new baseline youth that have not been told they had dental issues in past year or
said refused/dont' know, go to R04_PT0044_NB.
Else, parent/guardian of new baseline youth, go to R04_PT0281_NB.
Else, parent/guardian of continuing youth, go to R04_PT0281_12M.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
27
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0281_12M
En los últimos 12 meses, ¿le ha dicho un médico, una enfermera u otro profesional de la salud a
{Child's first name} que {él/ella} tenía diabetes, diabetes sacarina, exceso de azúcar en la sangre o
prediabetes?
1
SÍ
GO TO BOX R04_PTR10
2
NO
GO TO BOX R04_PTR10
-8
DON'T KNOW
GO TO BOX R04_PTR10
-7
REFUSED
GO TO BOX R04_PTR10
ASK: Parent/guardian of continuing youth.
DISPLAY: Underline "últimos 12 meses".
BOX ID:
R04_PTR10
If a parent has ever reported that the youth had diabetes, go to R04_PX0721.
Else, go to R04_PX0756.
PATH ID:
R04_PX0721
[En una entrevista anterior nos informaron que {Child's first name} tenía diabetes.
]¿Tiene [Child's first name] diabetes del tipo 1 o del tipo 2?
1
TIPO 1
2
TIPO 2
3
YOUTH SP HAS NEVER HAD DIABETES
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who have ever been told they have diabetes.
DISPLAY: If parent reported youth had diabetes in any previous wave, but not Wave 4
[R03_PARREPT_DIABETES = 1 AND R04_PT0281_12M != 1], display "En una entrevista anterior nos
informaron que {Child's first name} tenía diabetes."
Else, do not display this transition text.
PATH ID:
R04_PX0756
¿Le ha dicho un médico, un terapeuta u otro profesional de la salud mental alguna vez a {Child's first
name} que {él/ella} tenía esquizofrenia un trastorno esquizoafectivo o psicosis?
1
SÍ
2
NO
GO TO R04_PX0761
-8
DON'T KNOW
GO TO R04_PX0761
-7
REFUSED
GO TO R04_PX0761
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
28
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0757
¿Qué edad tenía {Child's first name} la primera vez que un médico, un terapeuta u otro profesional de la
salud mental le dijo que {él/ella} tenía esquizofrenia un trastorno ezquizoafectivo o psicosis?
1
|___|___| AÑOS DE EDAD
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of youth who have schizophrenia/pscyhosis.
PATH ID:
R04_PX0758
¿Tenía {Child's first name} menos de 12 años de edad, entre 12 y 14 años de edad o entre 15 y 17
años de edad?
1
MENOS DE 12 AÑOS DE EDAD
GO TO R04_PX0221
2
ENTRE 12 Y 14 AÑOS DE EDAD
GO TO R04_PX0221
3
ENTRE 15 Y 17 AÑOS DE EDAD
GO TO R04_PX0221
-8
DON'T KNOW
GO TO R04_PX0221
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian who did not know or refused to give age when sampled youth was told he/she
had schizophrenia/pscyhosis.
PATH ID:
R04_PX0761
¿Le ha dicho un médico, un terapeuta u otro profesional de la salud mental alguna vez a {Child's first
name} que {él/ella} tenía una enfermedad o una crisis psicótica?
1
SÍ
2
NO
GO TO R04_PX0221
-8
DON'T KNOW
GO TO R04_PX0221
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of sampled youth who have not been diagnosed with schizophrenia,
schizoaffective disorder or psychosis.
PATH ID:
R04_PX0762
¿Qué edad tenía {Child's first name} la primera vez que un médico, un terapeuta u otro profesional de la
salud mental le dijo que {él/ella} tenía una enfermedad o una crisis psicótica?
1
|___|___| AÑOS DE EDAD
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PX0221
ASK: Parent/guardian of youth who have schizophrenia/pscyhosis.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
29
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0772
¿Tenía {Child's first name} menos de 12 años de edad, entre 12 y 14 años de edad o entre 15 y 17
años de edad?
1
MENOS DE 12 AÑOS DE EDAD
2
ENTRE 12 Y 14 AÑOS DE EDAD
3
ENTRE 15 Y 17 AÑOS DE EDAD
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian who did not know or refused to give age when sampled youth was told he/she
had a psychotic illness or episode.
PATH ID:
R04_PX0221
Las siguientes preguntas son acerca de los familiares cercanos biológicos o de sangre de {Child's first
name}, incluyendo al padre, la madre, hermanos o hermanas, tanto los que viven como los que hayan
fallecido.
Alguna vez, ¿le ha dicho un médico u otro profesional de la salud a alguno de los familiares cercanos
biológicos o de sangre de {Child's first name} que tenía hipertensión?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0222
Alguna vez, ¿le ha dicho un médico u otro profesional de la salud a alguno de los familiares cercanos
biológicos o de sangre de {Child's first name} que tenía el colesterol alto?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
30
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0707
Alguna vez, ¿ha consumido productos de tabaco alguno de los familiares cercanos biológicos o de
sangre de {Child's first name}? Por esto nos referimos a cigarrillos, cigarrillos electrónicos u otros
productos electrónicos con nicotina, puros, pipas, hookah, snus u otro tipo de tabaco que no se
fuma (como tabaco de inhalar o rapé, dip o tabaco de mascar) y tabaco que se disuelve.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
DISPLAY: Display QxQ words "productos electrónicos con nicotina" in bold/green.
PATH ID:
R04_PX0731
Alguna vez, ¿ha sido alguno de los familiares cercanos biológicos o de sangre de {Child's first name} un
alcohólico o bebedor problemático? Por esto nos referimos a una persona cuyo consumo de alcohol le
causa problemas en su salud física o emocional, con su familia o amigos, en el trabajo o en la escuela
o con la policía.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH ID:
R04_PX0732
Alguna vez, ¿ha tenido alguno de los familiares cercanos biológicos o de sangre de {Child's first name}
problemas con las drogas? Por esto nos referimos a una persona cuyo consumo de drogas le causa
problemas en su salud física o emocional, con su familia o amigos, en el trabajo o en la escuela o con
la policía.
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
31
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
RESPONDENT CHARACTERISTICS
BOX ID:
R04_PMR02
If parent has already completed a parent interview for another youth, go to R04_PL0030
Else, if the parent has already completed the adult interview, go to Box R04_PMR03.
Else, go to R04_PM0069.
PATH ID:
R04_PM0069
Las siguientes preguntas son acerca de usted y su hogar.
¿Es usted ciudadano estadounidense? Por favor mire esta lista. ¿Diría que...?
READ RESPONSE OPTIONS ALOUD.
1
Sí. Nació en Estados Unidos
2
Sí. Nació en Puerto Rico, Guam, las Islas Vírgenes de los Estados Unidos o las Islas
Marianas del Norte
3
Sí. Nació en el extranjero de padres ciudadanos estadounidenses
4
Sí. Es ciudadano estadounidense por naturalización
5
No. No es ciudadano estadounidense
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PM0065
Aproximadamente ¿cuánto tiempo lleva viviendo en Estados Unidos?
1
R HAS LIVED IN US THEIR WHOLE LIFE
2
ENTER NUMBER OF YEARS
GO TO R04_PM0066
-8
DON'T KNOW
GO TO R04_PM0066
-7
REFUSED
GO TO R04_PM0066
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
32
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0065_NN
ENTER THE NUMBER OF YEARS. IF LESS THAN 1 YEAR, ENTER 1.
1
I___I___I___I NUMBER OF YEARS
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview, and
reported the number of years they have lived in the United States.
DISPLAY: DIsplay interviewer instructions in blue.
PATH ID:
R04_PM0066
¿Qué tan bien habla usted inglés? ¿Diría que lo habla muy bien, bien, no muy bien o nada en absoluto?
1
MUY BIEN
2
BIEN
3
NO MUY BIEN
4
NADA EN ABSOLUTO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0070
¿Qué tan bien lee usted en inglés? ¿Diría que lo lee muy bien, bien, no muy bien o nada en absoluto?
1
MUY BIEN
2
BIEN
3
NO MUY BIEN
4
NADA EN ABSOLUTO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0073
¿Qué tan bien escribe usted en inglés? ¿Diría que lo escribe muy bien, bien, no muy bien o nada en
absoluto?
1
MUY BIEN
2
BIEN
3
NO MUY BIEN
4
NADA EN ABSOLUTO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
33
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0071
¿Habla en su casa un idioma diferente al inglés?
1
SÍ
2
NO
GO TO R04_PM0001
-8
DON'T KNOW
GO TO R04_PM0001
-7
REFUSED
GO TO R04_PM0001
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
PATH ID:
R04_PM0072
¿Qué otros idiomas habla en casa?
ESCOJA TODAS LAS OPCIONES QUE CORRESPONDAN.
1
ESPAÑOL
2
CHINO
3
TAGALO
4
VIETNAMITA
5
FRANCÉS
6
COREANO
7
ALEMÁN
8
ÁRABE
9
RUSO
10
OTRO IDIOMA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview and
speaks another language at home.
DISPLAY: DISPLAY INTERVIEWER INSTRUCTIONS IN BLUE.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
34
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0001
¿Cuál es el grado o nivel escolar más alto que usted ha completado?
1
SIN EDUCACIÓN SECUNDARIA
2
PARTE DE LA SECUNDARIA, SIN DIPLOMA
3
DIPLOMA DE EQUIVALENCIA GENERAL O GED
4
SECUNDARIA COMPLETA - OBTUVO DIPLOMA
5
UNIVERSIDAD POR TIEMPO BREVE, SIN GRADUARSE
6
TÍTULO PARA UNA CARRERA INTERMEDIA - OCUPACIONAL/VOCACIONAL
7
TÍTULO PARA UNA CARRERA INTERMEDIA - PROGRAMA ACADÉMICO
8
TÍTULO UNIVERSITARIO (POR EJEMPLO: BA, AB O BS)
9
MAESTRÍA (POR EJEMPLO: MA, MS, MENG, MED, MSW)
10
TÍTULO PROFESIONAL UNIVERSITARIO (POR EJEMPLO: MD, DDS, DVM, JD)
11
DOCTORADO (POR EJEMPLO: PHD, EDD)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Underline "usted".
BOX ID:
R04_PMR03
If parent/guardian of sampled youth reports having a spouse living in the household, go to
R04_PM0118.
Else, go to Box R04_PMR04.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
35
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0118
¿Cuál es el grado o nivel escolar más alto que [Spouse/Guardian's First name] ha completado?
1
SIN EDUCACIÓN SECUNDARIA
2
PARTE DE LA SECUNDARIA, SIN DIPLOMA
3
DIPLOMA DE EQUIVALENCIA GENERAL O GED
4
SECUNDARIA COMPLETA - OBTUVO DIPLOMA
5
UNIVERSIDAD POR TIEMPO BREVE, SIN GRADUARSE
6
TÍTULO PARA UNA CARRERA INTERMEDIA - OCUPACIONAL/VOCACIONAL
7
TÍTULO PARA UNA CARRERA INTERMEDIA - PROGRAMA ACADÉMICO
8
TÍTULO UNIVERSITARIO (POR EJEMPLO: BA, AB O BS)
9
MAESTRÍA (POR EJEMPLO: MA, MS, MENG, MED, MSW)
10
TÍTULO PROFESIONAL UNIVERSITARIO (POR EJEMPLO: MD, DDS, DVM, JD)
11
DOCTORADO (POR EJEMPLO: PHD, EDD)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who reports having a spouse living in the household and did not
already complete a parent interview.
DISPLAY: FILL "{Spouse/Guardian's First name}" as follows:
If R04_PM0052=1, FILL with spouse name loaded from R03_PARSPOUSE_PID. Else fill with name of
spouse selected or entered in R04_PT0046. If R04_PM0057=1 and R04_PM0059=1 or 2, FILL with
name of parental figure selected or entered in R04_PM0058.
BOX ID:
R04_PMR04
If the parent has already completed the adult interview, go to R04_PT0060.
Else, go to R04_PM0130.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
36
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PM0130
Por favor mire esta lista. ¿Cuál de las siguientes categorías describe mejor el ingreso total de su hogar
en los últimos 12 meses?
Esto es el ingreso total, antes de impuestos, de todas las personas de su hogar en conjunto. Incluya el
dinero que recibió de trabajos, familiares, pensiones, dividendos, intereses, pagos del Seguro Social o
pensiones de jubilación, ingresos netos de negocios, agricultura o alquiler y cualquier otro dinero
recibido por los miembros del hogar.
1
MENOS DE 10,000 DÓLARES
GO TO R04_PL0040
2
10,000 A 14,999 DÓLARES
GO TO R04_PL0040
3
15,000 A 24,999 DÓLARES
GO TO R04_PL0040
4
25,000 A 34,999 DÓLARES
GO TO R04_PL0040
5
35,000 A 49,999 DÓLARES
GO TO R04_PL0040
6
50,000 A 74,999 DÓLARES
GO TO R04_PL0040
7
75,000 A 99,999 DÓLARES
GO TO R04_PL0040
8
100,000 A 149,999 DÓLARES
GO TO R04_PL0040
9
150,000 A 199,999 DÓLARES
GO TO R04_PL0040
10
200,000 DÓLARES O MÁS
GO TO R04_PL0040
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Underline "ingreso total de su hogar" and "de todas las personas de su hogar en conjunto".
PATH ID:
R04_PM0031
El ingreso total de su hogar en los últimos 12 meses, ¿es mayor o menor de 50,000 dólares?
1
MAYOR DE 50,000 DÓLARES
2
MENOR DE 50,000 DÓLARES
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview and
did not know or refused to give total household income.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
37
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0040
¿Es usted propietario de la casa o la alquila?
IF NEEDED: [Ser propietario incluye tener una hipoteca o un préstamo.]
1
PROPIETARIO
2
ALQUILA
3
OTRA
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: DISPLAY INTERVIEWER INSTRUCTIONS IN BLUE.
PATH ID:
R04_PX0691
Por favor mire esta lista. ¿En qué tipo de lugar vive actualmente?
1
CASA UNIFAMILIAR NO ADOSADA A OTRA CASA
2
DÚPLEX
3
CASA PARA UNA O MÁS FAMILIAS
4
CONDOMINIO
5
CASA ADOSADA A OTRA CASA O TOWNHOUSE
6
EDIFICIO DE APARTAMENTOS
7
NINGUNO DE LOS ANTERIORES
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD04
For R04_PN0335, display as a stem and leaf question. For each leaf, display a sí/no response.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
38
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PN0335
Por favor mire esta imagen. En los últimos 30 días, ¿ha consumido alguno de los siguientes productos
de tabaco, incluso si solo fueron una o dos veces?
1
Cigarrillos
2
Puros tradicionales o "grandes"
3
Puritos
4
Puros con filtro
5
Pipa
6
Hookah
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD05
For R04_PN0336, display as a stem and leaf question. For each leaf, display a sí/no response.
PATH ID:
R04_PN0336
Por favor mire esta imagen. En los últimos 30 días, ¿ha consumido alguno de los siguientes productos
de tabaco, incluso si solo fueron una o dos veces?
1
Snus
2
Otros tipos de tabaco que no se fuma (como tabaco de inhalar o rapé, dip, tabaco de mascar
o bolsitas de tabaco que no se fuma)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
BOX ID:
R04_PMD06
For R04_PN0337, display as a stem and leaf question. For each leaf, display a sí/no response.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
39
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PN0337
Por favor mire esta imagen. En los últimos 30 días, ¿ha consumido alguno de los siguientes productos
de tabaco, incluso si solo fueron una o dos veces?
1
Cigarrillos electrónicos u otros productos electrónicos con nicotina (IF NEEDED: [Los productos
electrónicos con nicotina incluyen cigarrillos electrónicos, puros electrónicos, pipas electrónicas,
hookahs electrónicas, vaporizadores personales de fumar y plumas hookah.])
2
Tabaco que se disuelve
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete an adult or parent interview.
DISPLAY: Display words "IF NEEDED:" in blue.
PATH ID:
R04_PT0060
¿Cuánto daño se hacen las personas cuando fuman productos de tabaco que se quema (como
cigarrillos, puros, pipas o hookah)?
¿Diría que ningún daño, un poco de daño, algo de daño o mucho daño?
1
NINGÚN DAÑO
2
MUY POCO DAÑO
3
ALGO DE DAÑO
4
MUCHO DAÑO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
PATH ID:
R04_PT0061
Ahora piense en los cigarrillos electrónicos y otros productos electrónicos con nicotina. ¿Cuánto
daño se hacen las personas cuando fuman estos productos?
¿Diría que ningún daño, un poco de daño, algo de daño o mucho daño?
1
NINGÚN DAÑO
2
MUY POCO DAÑO
3
ALGO DE DAÑO
4
MUCHO DAÑO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
DISPLAY: Display QxQ words "productos electrónicos con nicotina" in bold/green.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
40
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PT0062
Y finalmente, ¿cuánto daño se hacen las personas cuando consumen productos de tabaco que no se
quema (productos que se mastican, chupan o escupen, como las bolsitas o saquitos de snus, el snus
suelto, el tabaco de inhalar o rapé, el dip o el tabaco de mascar)?
¿Diría que ningún daño, un poco de daño, algo de daño o mucho daño?
1
NINGÚN DAÑO
2
MUY POCO DAÑO
3
ALGO DE DAÑO
4
MUCHO DAÑO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who did not already complete a parent interview.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
41
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
CONTACT INFORMATION
BOX ID:
R04_PLV03
If Parent/guardian of sampled youth or shadow youth has completed one or more parent
questionnaire(s), set R04_PARENT_COMPLETE = 1 FOR Int431_ParentID.
BOX ID:
R04_PLR01
ASK CONTACT INFORMATION 1 TIME FOR EACH PARENT RESPONDENT.
IF PARENT IS AN SP AND HAS ALREADY PROVIDED CONTACT INFORMATION AT THE END OF
THE ADULT INTERVIEW OR HAS PROVIDED CONTACT INFORMATION FOR ANOTHER SAMPLED
YOUTH OR SHADOW YOUTH DURING THEIR PARENT INTERVIEW, GO TO R04_PL0030.
ELSE, GO TO R04_PL0041
PATH ID:
R04_PL0041
Ya que su continua participación en el Estudio PATH es importante para el éxito del estudio, quisiera
confirmar su información de contacto para mis registros. Únicamente usaremos esta información para
contactarle acerca de su participación en el estudio.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR03
If parent/guardian of youth has a valid physical address on file, go to R04_PL0001.
Else, go to R04_PL0037.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
42
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0001
Tengo anotado que su dirección es ...
READ ADDRESS ALOUD.
ADDRESS
APT #
CITY, STATE ZIP CODE
¿Es correcto?
1
SÍ
2
NO
GO TO R04_PL0002
ASK: Parent/guardian of sampled youth who has a valid W4 physical address (where
R04_LINKED_ADDRESS has any value, and never equal to NULL).
DISPLAY: Display address in an easy to read format. Display instructional text in blue.
PATH ID:
R04_PL0037
¿Cuál es su dirección?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
GO TO R04_PL0035
-7
REFUSED
GO TO R04_PL0035
ASK: Parent/guardian of sampled youth who needs to correct their physical address or who does not
have a valid Wave 4 physical address.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0002
¿Recibe usted el correo en esta dirección?
1
SÍ
2
NO
GO TO R04_PL0035
-8
DON'T KNOW
GO TO R04_PL0035
-7
REFUSED
GO TO R04_PL0035
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
43
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0003
¿Me podría dar su dirección postal?
VERIFY ALL SPELLING
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who does not receive mail at their physical address.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0035
¿Tiene otra vivienda en la que viva durante el año?
1
SÍ
2
NO
GO TO BOX R04_PLR05
-8
DON'T KNOW
GO TO BOX R04_PLR05
-7
REFUSED
GO TO BOX R04_PLR05
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH ID:
R04_PL0036
¿Cuál es la dirección de la otra vivienda?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has a second home.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
44
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR05
If parent/guardian of youth has a valid telephone number on file, go to R04_PL0004_12M.
Else, go to R04_PL0004.
PATH ID:
R04_PL0004_12M
Tengo anotado que su número de teléfono es [(XXX)-XXX-XXXX].
¿Es correcto?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PL0038
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who has a valid telephone number.
PATH ID:
R04_PL0004
¿Cuál es el mejor número de teléfono para comunicarse con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who needs to correct their telephone number, who doesn't
know if the telephone number provided is correct, or who does not have a valid Wave 4 telephone
number.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR14
Parent/guardian of sampled youth who provided their telephone number, go to R04_PL0038.
Else, parent/guardian of sampled youth who did not provide, did not know, or refused to report a valid
telephone number, go to R04_PL0012.
PATH ID:
R04_PL0038
¿Es este número de un celular?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_PLR04
ASK: Parent/guardian of sampled youth who provided a phone number in R04_PL0004.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
45
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0032
¿Podemos comunicarnos con usted con mensajes de texto por este número?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who said their telephone number is a cell phone or did not know
or refused to report whether it is a cell phone.
BOX ID:
R04_PLR04
If parent/guardian of youth has a valid second telephone number on file, go to R04_PL0005.
Else, go to R04_PL0006.
PATH ID:
R04_PL0005
Tengo anotado que su otro número de teléfono es [(XXX)-XXX-XXXX].
¿Es correcto?
1
SÍ
2
NO
GO TO R04_PL0039
-8
DON'T KNOW
GO TO R04_PL0012
-7
REFUSED
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who has a valid W4 second telephone number (where
R04_PHONE2 field has 10 digits, and never equal to NULL).
PATH ID:
R04_PL0006
¿Cuál es un número alterno que podamos utilizar para comunicarnos con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who needs to correct their second telehone number or who
does not have a valid Wave 4 second telephone number.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR15
Parent/guardian of sampled youth who provided their second telephone number, go to R04_PL0039.
Else, parent/guardian of sampled youth who did not provide, did not know, or refused to report a valid
second telephone number, go to R04_PL0012.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
46
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0039
¿Es este número de un celular?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_PL0012
ASK: Parent/guardian of sampled youth who confirmed their phone number in R04_PL0005 or provided
a phone number in R04_PL0006.
PATH ID:
R04_PL0033
¿Podemos comunicarnos con usted con mensajes de texto por este número?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who said their second number is a cell phone or did not know or
refused to report whether it is a cell phone.
PATH ID:
R04_PL0012
¿Me podría dar su correo electrónico?
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.
1
EMAIL NAME
2
EMAIL PROVIDER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR09
If more than one mode of contact was provided, go to R04_PL0017.
Else, go to R04_PL0018.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
47
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0017
¿Cuál es la mejor manera para comunicarse con usted?
1
PHONE
2
TEXT MESSAGE
3
E-MAIL
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth if more than one contact information field are entered.
PATH ID:
R04_PL0018
¿Tiene pensado mudarse ya sea de manera permanente o temporal dentro de los próximos 12 meses?
1
SÍ
2
NO
3
QUIZÁS
GO TO R04_PL0030
-8
DON'T KNOW
GO TO R04_PL0030
-7
REFUSED
GO TO R04_PL0030
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH ID:
R04_PL0019
¿Me podría decir un poco más acerca de sus planes de mudanza?
[Por ejemplo, su nueva dirección o la ciudad o el estado a donde tiene pensado mudarse.]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who plans to move.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
48
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0030
¿Tiene {Child's first name} pensado mudarse de manera permanente o temporal en los próximos 12
meses?
1
SÍ
2
NO
3
QUIZÁS
GO TO BOX R04_PLR02
-8
DON'T KNOW
GO TO BOX R04_PLR02
-7
REFUSED
GO TO BOX R04_PLR02
ASK: Parent/guardian of sampled youth, about each sampled youth and each sampled shadow youth.
PATH ID:
R04_PL0031
¿Me podría decir un poco más acerca de los planes de mudanza de {Child's first name}?
[Por ejemplo, la nueva dirección de {Child's first name} o la ciudad o el estado adonde {Child's first
name} piensa mudarse?]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth, about each sampled youth and each sample shadow youth,
who plans to move.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_PLR02
IF PARENT HAS ALREADY PROVIDED CONTACT INFORMATION AT THE END OF THE ADULT
INTERVIEW OR HAS PROVIDED CONTACT INFORMATION FOR ANOTHER SAMPLED YOUTH OR
SHADOW YOUTH, GO TO R04_PL0034.
ELSE, CONTINUE WITH R04_PL0020.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
49
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0020
Ya que quisiéramos volver a entrevistarlo es importante que podamos contactarlo en aproximadamente
un año. En caso de que no podamos contactarlo, ¿tiene algún familiar o amigo que no viva con usted y
que sepa cómo comunicarse con usted?
IF NEEDED: [Tenga la certeza de que solo usaremos esta información si no podemos comunicarnos
con usted.]
¿Cómo se llama esa persona?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
DISPLAY: Display instructional text in blue and bold FIRST NAME.
BOX ID:
R04_PLR10
If FIRST NAME is don’t know or refused, go to R04_PX0769.
Else, go to R04_PL0022.
PATH ID:
R04_PL0022
¿Cuál es la dirección de esa persona?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
50
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0023
¿Cuál es el número de teléfono de esa persona?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian respondents who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0021
¿Qué relación o parentesco tiene con usted?
1
ESPOSO/ESPOSA
2
PADRE/MADRE (INCLUYENDO LOS SUEGROS)
3
ABUELO/ABUELA
4
HIJO/HIJA (INCLUYENDO YERNOS / NUERAS)
5
NIETO/NIETA
6
HERMANO/HERMANA (INCLUYENDO CUÑADOS / CUÑADAS)
7
AMIGO/AMIGA/VECINO/VECINA
8
OTRO PARIENTE (ESPECIFIQUE)
9
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
PATH ID:
R04_PL0025
¿Podría darme el nombre de otro familiar o amigo que sepa cómo comunicarse con usted?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0020.
DISPLAY: Display instructional text in blue and bold FIRST NAME.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
51
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_PLR11
If FIRST NAME is don’t know or refused, go to R04_PX0769.
Else, go to R04_PL0027.
PATH ID:
R04_PL0027
¿Cuál es la dirección de esa persona?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0025.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_PL0028
¿Cuál es el número de teléfono de esa persona?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian respondents who provided a name in R04_PL0025.
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
52
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PL0026
¿Qué relación o parentesco tiene con usted?
1
ESPOSO/ESPOSA
2
PADRE/MADRE (INCLUYENDO LOS SUEGROS)
3
ABUELO/ABUELA
4
HIJO/HIJA (INCLUYENDO YERNOS//NUERAS)
5
NIETO/NIETA
6
HERMANO/HERMANA (INCLUYENDO CUÑADOS/CUÑADAS)
7
AMIGO/AMIGA/VECINO/VECINA
8
OTRO PARIENTE (ESPECIFIQUE)
9
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who provided a name in R04_PL0025.
PATH ID:
R04_PX0769
En el futuro, es posible que el cuestionario de PATH se pueda contestar por Internet en su
computadora de escritorio, computadora portátil o tableta. Debido a su longitud, el cuestionario no se
podrá contestar en teléfonos inteligentes o smartphones.
Usted podrá contestar el cuestionario cuando le convenga, sin la presencia de un entrevistador. El
incentivo llegaría por correo unos días después de que conteste el cuestionario.
Cree que contestar el cuestionario PATH por Internet en su computadora de escritorio, computadora
portátil o tableta, ¿le interesaría mucho, un poco o en absoluto?
1
VERY INTERESTED
GO TO R04_PL0034
2
SOMEWHAT INTERESTED
GO TO R04_PL0034
3
NOT AT ALL INTERESTED
4
UNSURE/DON'T KNOW
GO TO R04_PL0034
-8
DON'T KNOW
GO TO R04_PL0034
-7
REFUSED
GO TO R04_PL0034
ASK: Parent/guardian of sampled youth who has not already provided contact information in another
completed interview.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
53
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_PX0770
¿Por qué no?
CODE ALL RESPONSES THAT APPLY.
1
DO NOT HAVE INTERNET ACCESS ON DESKTOP/LAPTOP/TABLET
2
CONCERNED ABOUT TECHNICAL DIFFICULTIES
3
PREFER TO HAVE INTERVIEWER
4
CONCERNED ABOUT CONFIDENTIALITY
5
CONCERNED ABOUT NOT RECEIVING INCENTIVE
6
OTHER (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Parent/guardian of sampled youth who would not be interested in doing PATH questionnaires
online in the future.
DISPLAY: Display interviewer instructions in blue.
PATH ID:
R04_PL0034
[THIS RESPONDENT HAS ALREADY PROVIDED CONTACT INFORMATION.]
Si se muda o cambia de número de teléfono sírvase actualizar su información de contacto en la página
en Internet o llamando a nuestra línea directa y gratuita. Cada año podría recibir 5 dólares en su tarjeta
de débito como agradecimiento por actualizar su información de contacto.
Gracias por su tiempo y por contestar estas preguntas.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Parent/guardian of sampled youth.
DISPLAY: If the respondent has already provided contact information in another completed interview
(R04_CONTACTFLAG=1), display: "THIS RESPONDENT HAS ALREADY PROVIDED CONTACT
INFORMATION". Else, do not display this text.
Display instructional text in blue.
BOX ID:
R04_PLV02
Contact information was provided by parent/guardian of youth SP, set R04_CONTACTFLAG.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
54
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_LCPT01
INTERVIEWER: IN WHAT LANGUAGE DID YOU MOSTLY CONDUCT THE CAPI PORTIONS OF
THIS INTERVIEW?
1
ENGLISH
END INTERVIEW AND RETURN TO IMS
2
SPANISH
END INTERVIEW AND RETURN TO IMS
ASK: Parent/guardian of sampled youth (asked of Interviewer).
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
55
PATH
Parent Questionnaire (Spanish) – Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_LCPT01
INTERVIEWER: IN WHAT LANGUAGE DID YOU MOSTLY CONDUCT THE CAPI PORTIONS OF
THIS INTERVIEW?
1
ENGLISH
END INTERVIEW AND RETURN TO IMS
2
SPANISH
END INTERVIEW AND RETURN TO IMS
ASK: Parent/guardian of sampled youth (asked of Interviewer).
DISPLAY: Display instructional text in blue.
PATH – Wave 4
Parent Questionnaire (Spanish) – Extended Interview
55
Youth Questionnaire – New and Aged-Up Interview
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
Table of Contents
INTRODUCTORY DEMOGRAPHICS ....................................................................................... 1
CIGARETTE .............................................................................................................................. 8
ELECTRONIC NICOTINE PRODUCTS .................................................................................. 28
CIGAR .................................................................................................................................... 61
PIPE....................................................................................................................................... 112
HOOKAH ............................................................................................................................... 120
SNUS .................................................................................................................................... 143
SMOKELESS TOBACCO...................................................................................................... 164
DISSOLVABLE TOBACCO ................................................................................................... 184
BIDIS AND KRETEKS ........................................................................................................... 186
OTHER TOBACCO ............................................................................................................... 189
NEW PRODUCT - PLACEHOLDER ..................................................................................... 190
FIRST TOBACCO PRODUCT............................................................................................... 192
NICOTINE DEPENDENCE AND CESSATION / QUITTER .................................................. 194
PACKAGING AND HEALTH WARNINGS ............................................................................ 211
RISK PERCEPTIONS AND ATTITUDES.............................................................................. 224
MEDIA USE .......................................................................................................................... 245
SECONDHAND SMOKE EXPOSURE .................................................................................. 250
HEALTH ................................................................................................................................ 252
MARKETING, ADVERTISING AND PROMOTION ............................................................... 272
SOCIAL NORMS, PEER AND FAMILY INFLUENCES ........................................................ 277
ACCESSIBILITY .................................................................................................................... 285
PSYCHOSOCIAL .................................................................................................................. 287
SUBSTANCE USE ................................................................................................................ 293
ADDITIONAL DEMOGRAPHICS .......................................................................................... 313
CONTACT INFORMATION – EMANCIPATED YOUTH ....................................................... 320
APPENDIX: USER GROUPS ................................................................................................ 331
APPENDIX: DERIVED VARIABLES ..................................................................................... 350
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
ii
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
SECTION
# OF QUESTIONS
Introductory Demographics
Cigarettes
10
44
Electronic Nicotine Products
Cigar
Pipe
Hookah
Snus
Smokeless Tobacco
73
88
14
57
49
48
Dissolvable Tobacco
Bidis and Kreteks
Other Tobacco
New Product - Placeholder
First Tobacco Product
Nicotine Dependence and Cessation/Quitter
4
4
1
5
1
39
Packaging and Health Warnings
Risk Perceptions and Attitudes
Media Use
Secondhand Smoke Exposure
Health
Marketing, Advertising and Promotion
31
56
8
2
49
11
Social Norms, Peer and Family Influences
Accessibility
Psychosocial
Substance Use
Additional Demographics
Contact Information – Emancipated Youth
21
5
15
33
13
24
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
iii
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
OMB Control Number: 0925-0664
Expiration Date: XX/XX/XXXX
Public reporting burden for this collection of information is estimated to average 45 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 20892-7974,
ATTN: PRA (0925-0664). Do not return the completed form to this address.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
iv
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
INTRODUCTORY DEMOGRAPHICS
BOX ID:
R04_YMV01
PROGRAM: LOAD THE FOLLOWING DERIVED VARIABLES FROM PRELOAD FILE.
R03_EVER_NEVER_CIGS - Wave 3 ever or never user of cigarettes
R03_EVER_NEVER_EPRODS - Wave 3 ever or never user of e-products
R03_EVER_NEVER_GTRAD - Wave 3 ever or never user of traditional cigars
R03_EVER_NEVER_GRILLO - Wave 3 ever or never user of cigarillos
R03_EVER_NEVER_GFILTR - Wave 3 ever or never user of filtered cigars
R03_EVER_NEVER_BTRAD - Wave 3 ever or never user of traditional cigars as blunts
R03_EVER_NEVER_BRILLO - Wave 3 ever or never user of cigarillos as blunts
R03_EVER_NEVER_BFILTR - Wave 3 ever or never user of filtered cigars as blunts
R03_EVER_NEVER_PIPE - Wave 3 ever or never user of pipes
R03_EVER_NEVER_HOOK - Wave 3 ever or never user of hookah
R03_EVER_NEVER_SNUS - Wave 3 ever or never user of snus
R03_EVER_NEVER_SMKLS - Wave 3 ever or never user of smokeless tobacco
R03_EVER_NEVER_DISSBL - Wave 3 ever or never user of dissolvable tobacco
R03_EVER_NEVER_BIDI - Wave 3 ever or never user of bidis
R03_EVER_NEVER_KRETEK - Wave 3 ever or never user of kreteks
R03_NUMLIFE_CIGS - The respondent reported smoking 100+ cigarettes in their lifetime at any
previous wave.
R03_NUMLIFE_ECIG - The respondent reported using e-cigarettes 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_GTRAD - The respondent reported smoking 100+ traditional cigars in their lifetime at
any previous wave.
R03_NUMLIFE_GRILLO - The respondent reported smoking 100+ cigarillos in their lifetime at any
previous wave.
R03_NUMLIFE_GFILTR - The respondent reported smoking 100+ filtered cigars in their lifetime at any
previous wave.
R03_NUMLIFE_PIPE - The respondent reported smoking a pipe 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_HOOK - The respondent reported smoking hookah 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_SNUS - The respondent reported using 100+ snus pouches in their lifetime at any
previous wave.
R03_NUMLIFE_SMKLS - The respondent reported using smokeless tobacco 100+ times in their
lifetime at any previous wave.
R03_REGUSE_CIGS - The respondent reported smoking cigarettes fairly regularly at any previous
wave.
R03_REGUSE_ECIG - The respondent reported using e-cigarettes fairly regularly at any previous
wave.
R03_REGUSE_GTRAD - The respondent reported smoking traditional cigars fairly regularly at any
previous wave.
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Youth Questionnaire – New and Aged-Up Interview
1
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
R03_REGUSE_GRILLO - The respondent reported smoking cigarillos fairly regularly at any previous
wave.
R03_REGUSE_GFILTR - The respondent reported smoking filtered cigars fairly regularly at any
previous wave.
R03_REGUSE_PIPE - The respondent reported smoking a pipe fairly regularly at any previous wave.
R03_REGUSE_HOOK - The respondent reported smoking hookah fairly regularly at any previous wave.
R03_REGUSE_SNUS - The respondent reported using snus fairly regularly at any previous wave.
R03_REGUSE_SMKLS - The respondent reported using smokeless tobacco fairly regularly at any
previous wave.
R03_GENDER - Respondent reported gender
R03_ASTHMA - Respondent reported being diagnosed with asthma in any previous wave.
R03_EVER_USER_ALCOHOL - Respondent reported ever using alcohol in any previous wave.
R03_EVER_USER_MARIJUANA - Respondent reported ever using marijuana in any previous wave.
R03_EVER_USER_RITALIN - Respondent reported ever using ritalin in any previous wave.
R03_EVER_USER_PAINKILLERS - Respondent reported ever using painkillers in any previous wave.
R03_EVER_USER_COCAINE - Respondent reported ever using cocaine in any previous wave.
R03_EVER_USER_STIMULANTS - Respondent reported ever using stimulants in any previous wave.
R03_USCITIZEN – Respondent reported US citizenship in any previous wave.
R04_LINKED_ADDRESS - Emancipated youth respondents' best address from IMS.
R04_VTBESTSPPHONE - Emancipated youth respondents' best phone number from IMS.
R04_PHONE2 - Emancipated youth respondents' second phone number from IMS.
R04_E_YOUTH - Youth respondents that are emancipated.
BOX ID:
R04_YMV02
PROGRAM: DERIVE THE FOLLOWING VARIABLE (SEE APPENDIX).
R04_YOUTHAGE = Age verified by parent or age derived from emancipated youth's birthdate.
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Youth Questionnaire – New and Aged-Up Interview
2
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Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YMD04
Note - In the following specifications, “!=” represents “not equal to”.
Note - References to the various respondent types are as follows:
"New baseline youth respondents" = Youth respondents where this is their first interview in the Youth
cohort and in the PATH Study. Includes youth who have aged-up into the Youth cohort and youth who
are new to the PATH Study as part of the replenishment sample.
"Continuing youth respondents" = Youth respondents whose last completed interview in a previous
wave was in the Youth cohort, and they continue to be in the Youth cohort. This is not their first
interview in the Youth cohort or the PATH Study.
"Emancipated youth respondents" = Youth respondents who are emancipated.
"All youth respondents" = All youth respondents in the Youth cohort.
BOX ID:
R04_YMR03
New baseline youth respondents, go to R04_YM0004_NB.
Else, continuing youth respondents who did not report US citizenship in a previous wave, go to
R04_YM0069.
Else, go to R04_YM0065.
PATH ID:
R04_YM0004_NB
What is your sex?
1
Male
2
Female
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
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Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0005_NB
Are you Hispanic, [Latino/Latina/Latino or Latina], or of Spanish origin? Choose all that apply.
1
No, not of Hispanic, [Latino/Latina/Latino or Latina], or Spanish origin
2
Yes, Mexican, Mexican American, [Chicano/Chicana/Chicano or Chicana]
3
Yes, Puerto Rican
4
Yes, Cuban
5
Yes, another Hispanic, [Latino/Latina/Latino or Latina], or Spanish origin
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
DISPLAY: IF R04_YM0004_NB = 1, DISPLAY “Latino” AND “Chicano”;
ELSE, IF R04_YM0004_NB = 2, DISPLAY “Latina” AND “Chicana”;
ELSE, IF R04_YM0004_NB= -8 OR -7, DISPLAY “Latino or Latina” AND “Chicano or Chicana”.
PATH ID:
R04_YM0006_NB
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: New baseline youth respondents.
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0069
Are you a citizen of the United States?
1
Yes, born in the United States
2
Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas
3
Yes, born abroad of U.S. citizen parent or parents
4
Yes, U.S. citizen by naturalization
5
No, not a U.S. citizen
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents and continuing youth respondents who did not report US
citizenship in a previous wave.
PATH ID:
R04_YM0065
About how many years have you lived in the United States? (If you have lived in the United States for
less than a year, enter 1.)
1
I have lived in the United States my whole life
2
I___I___I___I YEARS
GO TO BOX R04_YMD03
-8
DON'T KNOW
GO TO BOX R04_YMD03
-7
REFUSED
GO TO BOX R04_YMD03
ASK: All youth respondents.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD, WITH BUTTON “I have lived in the United
States my whole life” ON RIGHT.
DISPLAY "YEARS" AS TITLE.
PATH ID:
R04_YM0065_LC1
The computer recorded that you have lived in the United States for [R04_YM0065] years. That is older
than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YM0065
2
NEXT
GO TO BOX R04_YMD03
ASK: IF R04_YM0065 > R04_YOUTHAGE
BOX ID:
R04_YMD03
Display questions R04_YM0066 through R04_YM0073 using the expanded WVB stem-leaf screen. The
introduction text from R04_YM0066 is the stem. Show all leaves on the screen at once.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
5
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0066
How well do you...
speak English?
1
Very well
2
Well
3
Not well
4
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YM0070
read English?
1
Very well
2
Well
3
Not well
4
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YM0073
write in English?
1
Very well
2
Well
3
Not well
4
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Youth Questionnaire – New and Aged-Up Interview
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0071
Do you speak a language other than English at home?
1
Yes
2
No
GO TO BOX R04_YCT01
-8
DON'T KNOW
GO TO BOX R04_YCT01
-7
REFUSED
GO TO BOX R04_YCT01
ASK: All youth respondents.
PATH ID:
R04_YM0072
What other languages do you speak at home? Choose all that apply.
1
Spanish
2
Chinese
3
Tagalog
4
Vietnamese
5
French
6
Korean
7
German
8
Arabic
9
Russian
10
Some other language (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who speak another language at home.
DISPLAY: 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.”
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Youth Questionnaire – New and Aged-Up Interview
7
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
CIGARETTE
BOX ID:
R04_YCT01
The next questions are about your experience with cigarettes.
BOX ID:
R04_YCR02
New baseline youth respondents, go to R04_YC1002_NB.
Continuing youth respondents, go to R04_YC1002_12M.
PATH ID:
R04_YC1002_NB
Have you ever tried cigarette smoking, even one or two puffs?
1
Yes
GO TO BOX R04_YCV02
2
No
GO TO BOX R04_YCV02
-8
DON'T KNOW
GO TO BOX R04_YCV02
-7
REFUSED
GO TO BOX R04_YCV02
ASK: New baseline youth respondents.
BOX ID:
R04_YCV02
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_CIGS_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
cigarette.
R04_EVER_NEVER_CIGS_YOUTH = 2 (Never user) Youth respondents who have not ever smoked a
cigarette.
R04_INIT_CIGS_YOUTH = 1 (Initiator) Youth respondents who initiated cigarette use between Waves
or new baseline youth respondents who have ever smoked a cigarette.
BOX ID:
R04_YCR01
Youth respondents who have never smoked a cigarette, go to R04_YC1103.
Else, new baseline youth respondents who have ever smoked a cigarette, go to R04_YC1006_NB.
Else, continuing youth respondents who initiated cigarette smoking since the previous wave, go to
R04_YC1108.
Else, continuing youth respondents who had smoked 100 or more cigarettes in the previous wave, go to
Box R04_YCR21.
Else, go to R04_YC1005.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
8
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1103
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: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1206
Do you think you will smoke a cigarette in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1104
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: Youth respondents who have never smoked a cigarette.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
9
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1105
If one of your best friends were to offer you a cigarette, would you smoke it?
1
Definitely yes
GO TO BOX R04_YVT01
2
Probably yes
GO TO BOX R04_YVT01
3
Probably not
GO TO BOX R04_YVT01
4
Definitely not
GO TO BOX R04_YVT01
-8
DON'T KNOW
GO TO BOX R04_YVT01
-7
REFUSED
GO TO BOX R04_YVT01
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1006_NB
How old were you when you first tried cigarette smoking, even one or two puffs?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YC1120_NB
-7
REFUSED
GO TO R04_YC1120_NB
ASK: New baseline youth respondents who have ever smoked a cigarette.
DISPLAY: DISPLAY “Years old” AS A TITLE.
PATH ID:
R04_YC1006_NB_LC1
The computer recorded that you first tried cigarette smoking at age [R04_YC1006_NB]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1006_NB
2
NEXT
GO TO R04_YC1108
ASK: IF R04_YC1006_NB <= 5.
PATH ID:
R04_YC1006_NB_LC2
The computer recorded that you first tried cigarette smoking at age [R04_YC1006_NB]. That is older
than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1006_NB
2
NEXT
GO TO R04_YC1108
ASK: IF R04_YC1006_NB > R04_YOUTHAGE.
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10
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1120_NB
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: New baseline youth respondents who have ever smoked a cigarette and did not know or refused
to report the age they first tried cigarette smoking.
PATH ID:
R04_YC1108
Was the first cigarette you smoked flavored to taste like menthol or mint?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC9104
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: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
DISPLAY: UNDERLINE "pleasant".
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Youth Questionnaire – New and Aged-Up Interview
11
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9105
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: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
DISPLAY: UNDERLINE "unpleasant".
PATH ID:
R04_YC9106
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: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC1005
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: Aged-up and continuing youth respondents who have ever smoked a cigarette and had not
smoked 100 or more cigarettes in the previous wave, and new cohort youth respondents who have ever
smoked a cigarette.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
12
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YCR21
Youth respondents who have ever smoked a cigarette and had never smoked cigarettes fairly regularly
in the previous wave, go to R04_YC1100.
Else, go to R04_YC9022.
PATH ID:
R04_YC1100
Have you ever smoked cigarettes fairly regularly?
1
Yes
2
No
GO TO R04_YC9022
-8
DON'T KNOW
GO TO R04_YC9022
-7
REFUSED
GO TO R04_YC9022
ASK: Youth respondents who have ever smoked a cigarette and had never smoked fairly regularly in
the previous wave.
PATH ID:
R04_YC1007
How old were you when you first started smoking cigarettes fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YC1121
-7
REFUSED
GO TO R04_YC1121
ASK: Youth respondents who have ever smoked cigarettes fairly regularly and did not smoke fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH ID:
R04_YC1007_LC1
The computer recorded that you started smoking cigarettes fairly regularly at age [R04_YC1007]. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1007
2
NEXT
GO TO R04_YC9022
ASK: IF R04_YC1007 <= 5 OR R04_YC1007 < R04_YC1006_NB.
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13
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1007_LC2
The computer recorded that you started smoking cigarettes fairly regularly at age [R04_YC1007]. This is
older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1007
2
NEXT
GO TO R04_YC9022
ASK: IF R04_YC1007 > R04_YOUTHAGE.
PATH ID:
R04_YC1121
When you first started smoking cigarettes fairly regularly, 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: Youth respondents who have ever smoked cigarettes fairly regularly and did not smoke fairly
regularly in a previous wave and who did not know or refused to report the age they started smoking.
PATH ID:
R04_YC9022
Do you consider yourself a smoker?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette.
PATH – Wave 4
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14
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1112
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
GO TO BOX R04_YCV01
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YCV01
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YCV01
6
1 to 4 years ago
GO TO BOX R04_YCV01
7
5 or more years ago
GO TO BOX R04_YCV01
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC0100
When did you last smoke a cigarette?
1
In the past hour
GO TO R04_YC0103
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YCV01
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who smoked a cigarette in the past 7 days.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
15
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC0102
When you last smoked a cigarette [FILL BASED ON R04_YC0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigarette today, yesterday or the day before yesterday,
but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YC0100]:
IF R04_YC0100 = 2, DISPLAY “today”.
ELSE, IF R04_YC0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YC0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YC0103
How many cigarettes [have/did] you [smoked/smoke] [FILL BASED ON R04_YC0100]? A pack usually
has 20 cigarettes in it.
1
I__I__I Number of cigarettes
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who have smoked a cigarette in the past hour, sometime today, yesterday or
the day before yesterday.
DISPLAY: DISPLAY "Number of cigarettes" AS A TITLE.
IF R04_YC0100 = 1, 2, DISPLAY “have” AND “smoked”.
IF R04_YC0100 = 3, 4, DISPLAY, “did” AND “smoke”.
FOR [FILL BASED ON R04_YC0100]:
IF R04_YC0100 = 1, 2, DISPLAY “today”.
IF R04_YC0100 = 3, DISPLAY “yesterday”.
IF R04_YC0100 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
16
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC0103_LC1
The computer recorded that you smoked [R04_YC0103] cigarettes [today/yesterday/the day before
yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC0103
2
NEXT
GO TO BOX R04_YCV01
ASK: IF R04_YC0103 > 60 OR R04_YC0103 = 11, 22, 33, 44, 55.
DISPLAY: IF R04_YC0100 = 1, 2, DISPLAY “today”.
IF R04_YC0100 = 3, DISPLAY “yesterday”.
IF R04_YC0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YCV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_CIGS = 1 (Past 30 day cigarette smoker) Youth respondents who have smoked a
cigarette in the past 30 days.
R04_PAST30DAY_CIGS_LEVEL = 1 (Past 30 day "Very Light" cigarette smokers) Youth
respondents who have smoked a cigarette in the past 30 days, and have smoked 10 or less cigarettes
in their lifetime.
R04_PAST30DAY_CIGS_LEVEL = 2 (Past 30 day "Not Light" cigarette smokers) Youth
respondents who have smoked a cigarette in the past 30 days, and have smoked more than 10
cigarettes in their lifetime.
BOX ID:
R04_YCR22
Past 30 day cigarette smokers, go to R04_YC1022.
Else, go to R04_YVT01.
PATH ID:
R04_YC1022
In the past 30 days, on how many days did you smoke cigarettes?
1
I__I__I DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
17
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1023
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: Past 30 day cigarette smokers.
PATH ID:
R04_YC9048
In the past 30 days, did you smoke manufactured cigarettes or did you smoke roll-your-own cigarettes?
1
Manufactured cigarettes
2
Roll-your-own cigarettes
3
Both manufactured and roll-your-own cigarettes
4
I don't know
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YCR20
ASK: Past 30 day cigarette smokers.
PATH ID:
R04_YC1130
In the past 30 days, were any of the cigarettes you smoked flavored to taste like menthol or mint?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day manufactured cigarette smokers.
BOX ID:
R04_YCR20
Youth respondents who have smoked roll-your-own cigarettes in the past 30 days, go to R04_YC9045.
Else, go to R04_YC1142.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
18
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9045
In the past 30 days, was any of the roll-your-own tobacco you smoked flavored to taste like menthol or
mint?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day roll-your-own cigarette smokers.
PATH ID:
R04_YC1142
In the past 30 days, did anyone sell you cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
PATH ID:
R04_YC1123
In the past 30 days, did anyone refuse to sell you cigarettes because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
19
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1118
In the past 30 days, how did you usually get your own cigarettes?
1
I gave someone else money to buy cigarettes for me
2
I bought cigarettes myself from a store
3
I asked someone to give me a cigarette
4
Someone offered me a cigarette
5
I bought cigarettes from another person
6
I took cigarettes from a store or another person
7
I got cigarettes some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
DISPLAY: 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.”
BOX ID:
R04_YCR03
Past 30 day cigarette smokers who usually buy cigarettes for themselves or give someone else money
to buy cigarettes for them, go to R04_YC1030.
Else, go to Box R04_YCR23.
PATH ID:
R04_YC1030
[When you give money to someone else, how do they/How do you] usually buy your cigarettes?
1
In person
2
From the internet
GO TO R04_YC1039
3
By telephone
GO TO R04_YC1039
-8
DON'T KNOW
GO TO R04_YC1039
-7
REFUSED
GO TO R04_YC1039
ASK: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them.
DISPLAY: IF R04_YC1118 = 1, DISPLAY “When you give money to someone else, how do they”; IF
R04_YC1118 = 2, DISPLAY “How do you”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
20
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1032
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: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them in person.
DISPLAY: IF R04_YC1118 = 1, DISPLAY “they”; IF R04_YC1118 = 2, DISPLAY “you”.
PATH ID:
R04_YC1033
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
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: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them in person.
DISPLAY: IF R04_YC1118 = 1, DISPLAY “they”; IF R04_YC1118 = 2, DISPLAY “you”.
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.”
BOX ID:
R04_YCR24
Past 30 day "not-light" cigarette smokers who usually buy cigarettes for themselves or give someone
else money to buy cigarettes for them, go to R04_YC1039.
Else, go to Box R04_YCR23.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
21
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1039
Think about the last time you [bought/gave money to someone else to buy you] cigarettes. Did you buy
them by the carton, pack, or as a single cigarette?
1
Carton
2
Pack
3
Single cigarette
-8
DON'T KNOW
GO TO BOX R04_YCR23
-7
REFUSED
GO TO BOX R04_YCR23
ASK: Past 30 day "not-light" cigarette smokers who buy cigarettes for themselves or someone else buys
for them.
DISPLAY: IF R04_YC1118 = 2, DISPLAY "bought". IF R04_YC1118 = 1, DISPLAY "gave money to
someone else to buy you".
PATH ID:
R04_YC1034
How much did you pay for a [carton of cigarettes/pack of cigarettes/single cigarette]?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YCR23
-7
REFUSED
GO TO BOX R04_YCR23
ASK: Past 30 day "not-light" cigarette smokers who buy cigarettes for themselves or someone else buys
for them by the carton, pack or as singles.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YC1039 = 1, DISPLAY "carton of cigarettes"; IF R04_YC1039 = 2, DISPLAY "pack of
cigarettes"; IF R04_YC1039 = 3, DISPLAY "single cigarette".
PATH ID:
R04_YC1034_LC1
The computer recorded that you paid $[R04_YC1034_D].[R04_YC1034_C] for a [carton of
cigarettes/pack of cigarettes/single cigarette]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
2
NEXT
GO TO R04_YC1034
ASK: IF ((R04_YC1034_D > 125 OR R04_YC1034_D < 25) AND R04_YC1039 = 1) OR
((R04_YC1034_D > 15 OR R04_YC1034_D < 4) AND R04_YC1039 = 2) OR ((R04_YC1034_D > 3 OR
(R04_YC1034_D = 0 AND R04_YC1034_C < 50)) AND R04_YC1039 = 3).
DISPLAY: IF R04_YC1039 = 1, DISPLAY "carton of cigarettes".
IF R04_YC1039 = 2, DISPLAY “pack of cigarettes”.
IF R04_YC1039 = 3, DISPLAY “single cigarette”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
22
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YCR23
Past 30 day "not light" cigarette smokers, go to R04_YC1047.
Else, past 30 day cigarette smokers, go to R04_YC1945.
Else, go to Box R04_YVT01.
PATH ID:
R04_YC1047
Do you have a regular brand of cigarettes that you usually smoke?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
PATH ID:
R04_YC1945
Do you know the name of the brand of cigarettes you [usually smoke/last smoked]?
1
Yes
2
No
GO TO BOX R04_YCR07
-8
DON'T KNOW
GO TO BOX R04_YCR07
-7
REFUSED
GO TO BOX R04_YCR07
ASK: Past 30 day cigarette smokers.
DISPLAY: IF R04_YC1047 = 1, DISPLAY “usually smoke”.
ELSE, DISPLAY “last smoked”.
UNDERLINE "name of the brand".
PATH ID:
R04_YC1048
What brand of cigarette [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers who know the brand name.
DISPLAY: IF R04_YC1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
23
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YCR04
If youth respondent selects brand in R04_YC1048_BRAND, go to R04_YC1070_PRODUCT.
Else, if youth respondent selects “Something else” in R04_YC1048_BRAND, go to R04_YC1049.
Else, go to Box R04_YCR07.
PATH ID:
R04_YC1049
You said that your brand was not listed. What is it?
__________________________
GO TO BOX R04_YCR07
-8
1
DON'T KNOW
GO TO BOX R04_YCR07
-7
REFUSED
GO TO BOX R04_YCR07
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH ID:
R04_YC1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YC1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YCR05
If youth respondent selects "Something else" in R04_YC1070_PRODUCT, go to R04_YC1071.
Else, go to Box R04_YCR07.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
24
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1071
You said that the type of [BRANDFILL]s that you smoke was not listed. What type is it?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected a brand
image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YCR07
Past 30 day “not-light” cigarette smokers who have a regular brand, go to R04_YC1051.
Else, youth respondents who have smoked a cigarette today, yesterday or the day before yesterday
who know the name of their brand AND selected a valid brand and product for the last cigarette
smoked, go to R04_YC0104.
Else, go to Box R04_YVT01.
PATH ID:
R04_YC1051
About how long have you been smoking your regular brand of cigarettes?
1
I___I___I DAYS
2
I___I___I MONTHS
3
I___I___I YEARS
-8
DON'T KNOW
GO TO R04_YC9019
-7
REFUSED
GO TO R04_YC9019
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
PATH ID:
R04_YC1051_LC1
The computer recorded that you have been smoking your regular brand for [R04_YC1051]. That is older
than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1051
2
NEXT
GO TO R04_YC9019
ASK: IF (R04_YC1051_NN > R04_YOUTHAGE) AND R04_YC1051_UN = 3.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
25
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1051_LC2
The computer recorded "0" for how long you have been smoking your regular brand of cigarettes.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1051
2
NEXT
GO TO R04_YC9019
ASK: IF R04_YC1051_NN = 0.
PATH ID:
R04_YC9019
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: Past 30 day "not-light" cigarette smokers who have a regular brand.
BOX ID:
R04_YCD01
PROGRAM: Display questions R04_YC9010 and R04_YC9014 on one screen. Show the intro/transition
text from R04_YC9010 first, then show each item with a Yes/No response. As each item is answered,
show the next one.
PATH ID:
R04_YC9010
In choosing your regular brand of cigarettes, was part of your decision based on any of the following?
It is affordable.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
26
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9014
The taste.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
BOX ID:
R04_YCR08
Youth respondents who have smoked a cigarette today, yesterday or the day before yesterday who
know the name of their brand AND selected a valid brand in R04_YC1048_BRAND and valid product in
R04_YC1070_PRODUCT, go to R04_YC0104.
Else, go to Box R04_YVT01.
PATH ID:
R04_YC0104
We just have one more question about [your regular brand / the last brand] of cigarettes[ you smoked].
You said earlier that you smoked a cigarette [TIME OF LAST USE].
Think about the very last cigarette you smoked. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers who have smoked a cigarette in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a valid brand
AND valid product.
DISPLAY: UNDERLINE "your regular brand" AND "the last brand" IN THE QUESTION TEXT.
IF R04_YC1047 = 1, DISPLAY “your regular brand”.
ELSE, DISPLAY "the last brand" AND "you smoked".
IF R04_YC0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
IF R04_YC0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
IF R04_YC0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
IF R04_YC0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH R04_YC1070_PRODUCT RESPONSE.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
27
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
ELECTRONIC NICOTINE PRODUCTS
BOX ID:
R04_YVT01
The next questions are about electronic nicotine products, such as e-cigarettes, vape pens, personal
vaporizers and mods, e-cigars, e-pipes, e-hookahs and hookah pens.
These products are battery-powered and produce vapor or aerosol instead of smoke. They contain
nicotine liquid, sometimes called “e-liquid” or “e-juice,” although the amount of nicotine can vary and
some may not contain any nicotine at all.
Some can be bought as one-time, disposable products, while others can be bought as re-usable kits
that are rechargeable. Some common brands include Vuse, Blu, Logic, MarkTen, NJOY, eGo, and
iTaste.
[SHOW GENERIC IMAGE OF E-PRODUCTS]
BOX ID:
R04_YVR03
New baseline youth respondents, go to R04_YV1001_NB.
Else, continuing youth respondents, go to R04_YV1002_12M.
PATH ID:
R04_YV1001_NB
Have you ever seen or heard of electronic nicotine products before this study? (Electronic nicotine
products include e-cigarettes, vape pens, personal vaporizers and mods, e-cigars, e-pipes, e-hookahs
and hookah pens.)
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Yes
2
No
GO TO BOX R04_YVV02
-8
DON'T KNOW
GO TO BOX R04_YVV02
-7
REFUSED
GO TO BOX R04_YVV02
ASK: New baseline youth respondents.
PATH – Wave 4
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28
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1002_NB
Have you ever used an electronic nicotine product, even one or two times? (Electronic nicotine products
include e-cigarettes, vape pens, personal vaporizers and mods, e-cigars, e-pipes, e-hookahs and
hookah pens.)
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Yes
GO TO BOX R04_YVV02
2
No
GO TO BOX R04_YVV02
-8
DON'T KNOW
GO TO BOX R04_YVV02
-7
REFUSED
GO TO BOX R04_YVV02
ASK: New baseline youth respondents who have heard of e-products.
BOX ID:
R04_YVV02
PROGRAM - CREATE THE FOLLOWING USER GROUPS AND DERIVED VARIABLES (SEE
APPENDIX):
R04_EVER_NEVER_EPRODS_YOUTH = 1 (Ever user) Youth respondents who have ever used an
electronic nicotine product.
R04_EVER_NEVER_EPRODS_YOUTH = 2 (Never user) Youth respondents who have not ever used
an electronic nicotine product.
R04_INIT_EPRODS_YOUTH = 1 (Initiator) Youth respondents who initiated electronic nicotine product
use between Waves or new baseline respondents who have ever used an e-product.
R04_EPRODCOUNT= The number of electronic nicotine products used.
BOX ID:
R04_YVR01
New baseline youth respondents who did not say they have heard of e-products, go to Box
R04_YGT01.
Else, continuing youth respondents who have never used e-products, and new baseline youth
respondents who have heard of but never used e-products, go to R04_YV1103.
Else, go to Box R04_YVR02.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
29
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1103
Have you ever been curious about using an electronic nicotine product? (Electronic nicotine products
include e-cigarettes, vape pens, personal vaporizers and mods, e-cigars, e-pipes, e-hookahs and
hookah pens.)
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have never used e-products, and new baseline youth
respondents who have heard of but never used e-products.
PATH ID:
R04_YV1206
Do you think you will try an electronic nicotine product in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used e-products.
PATH ID:
R04_YV1104
Do you think that you will try an electronic nicotine product soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used e-products.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
30
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1105
If one of your best friends were to offer you an electronic nicotine product, would you try it?
1
Definitely yes
GO TO R04_YV9041
2
Probably yes
GO TO R04_YV9041
3
Probably not
GO TO R04_YV9041
4
Definitely not
GO TO R04_YV9041
-8
DON'T KNOW
GO TO R04_YV9041
-7
REFUSED
GO TO R04_YV9041
ASK: Youth respondents who have heard of but never used e-products.
BOX ID:
R04_YVR02
New baseline youth respondents who have ever used e-products, go to R04_YV1006_NB.
Else, continuing youth respondents who initiated e-product since the previous wave, go to
R04_YV1011.
Else, continuing youth respondents who had used e-products 100 or more times in the previous wave,
go to Box R04_YVR37.
Else, go to R04_YV1005.
PATH ID:
R04_YV1006_NB
How old were you when you first tried an electronic nicotine product, even one or two times?
1
|___|___| Years old
-8
DON'T KNOW
GO TO R04_YV1120_NB
-7
REFUSED
GO TO R04_YV1120_NB
ASK: New baseline youth respondents who have ever used an e-product.
DISPLAY: DISPLAY “Years old” AS A TITLE.
PATH ID:
R04_YV1006_NB_LC1
The computer recorded that you first tried an electronic nicotine product at age [R04_YV1006_NB]. Is
that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1006_NB
2
NEXT
GO TO R04_YV1011
ASK: IF R04_YV1006_NB <= 5.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
31
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1006_NB_LC2
The computer recorded that you first tried an electronic nicotine product at age [R04_YV1006_NB]. That
is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1006_NB
2
NEXT
GO TO R04_YV1011
ASK: IF R04_YV1006_NB > R04_YOUTHAGE.
PATH ID:
R04_YV1120_NB
When you first tried an electronic nicotine product, 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: New baseline youth respondents who did not know or refused to report the age they first tried an
e-product.
PATH ID:
R04_YV1011
When you first used an electronic nicotine product, which flavor did you use? Choose all that apply.
1
Tobacco-flavored
2
Menthol or mint
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
A non-alcoholic drink (such as coffee, soda, energy drinks, or other beverages)
8
Candy, desserts or other sweets
9
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated e-product use since the previous wave, and new
baseline youth respondents who have ever used an e-product.
DISPLAY: 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 4
Youth Questionnaire – New and Aged-Up Interview
32
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1005
How many times have you used an electronic nicotine product in your entire life?
1
1 time, even just a few puffs
2
2 to 10 times
3
11 to 20 times
4
21 to 50 times
5
51 to 99 times
6
100 or more times
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever used an e-product and had not used
100 or more times in the previous wave, and new cohort youth respondents who have ever used an eproduct.
BOX ID:
R04_YVR37
Youth respondents who have ever used an e-product and had never used e-products fairly regularly in
the previous wave, go to R04_YV1100.
Else, go to R04_YV1112.
PATH ID:
R04_YV1100
Have you ever used electronic nicotine products fairly regularly?
1
Yes
2
No
GO TO R04_YV1112
-8
DON'T KNOW
GO TO R04_YV1112
-7
REFUSED
GO TO R04_YV1112
ASK: Youth respondents who have ever used an e-product and had never used fairly regularly in the
previous wave.
PATH ID:
R04_YV1007
How old were you when you first started using electronic nicotine products fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YV1121
-7
REFUSED
GO TO R04_YV1121
ASK: Youth respondents who have ever used e-products fairly regularly and did not use fairly regularly
in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
33
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1007_LC1
The computer recorded that you started using electronic nicotine products fairly regularly at age
[R04_YV1007]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1007
2
NEXT
GO TO R04_YV1112
ASK: IF R04_YV1007 <= 5 OR (R04_YV1007 < R04_YV1006_NB).
PATH ID:
R04_YV1007_LC2
The computer recorded that you started using electronic nicotine products fairly regularly at age
[R04_YV1007]. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1007
2
NEXT
GO TO R04_YV1112
ASK: IF R04_YV1007 > R04_YOUTHAGE.
PATH ID:
R04_YV1121
When you first started using electronic nicotine products fairly regularly, 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: Youth respondents who did not know or refused to report the age they started using e-products
fairly regularly.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
34
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1112
When was the last time you used an electronic nicotine product, 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
GO TO BOX R04_YVV01
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YVV01
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YVV01
6
1 to 4 years ago
GO TO BOX R04_YVV01
7
5 or more years ago
GO TO BOX R04_YVV01
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who have ever used an e-product.
PATH ID:
R04_YV0100
When did you last use an electronic nicotine product?
1
In the past hour
GO TO R04_YV0103
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YVV01
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who used e-products in the past 7 days.
PATH ID:
R04_YV0102
When you last used an electronic nicotine product [FILL BASED ON R04_YV0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used an e-product today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YV0100]:
IF R04_YV0100 = 2, DISPLAY “today”.
IF R04_YV0100 = 3, DISPLAY “yesterday”.
IF R04_YV0100 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
35
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV0103
How many puffs from an electronic nicotine product [have/did] you [taken/take] [FILL BASED ON
R04_YV0100]?
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who have used an e-product in the past hour, sometime today, yesterday or
the day before yesterday.
DISPLAY: IF R04_YV0100 = 1, 2, DISPLAY “have” AND “taken”.
IF R04_YV0100 = 3, 4, DISPLAY “did” AND “take”.
FOR [FILL BASED ON R04_YV0100]:
IF R04_YV0100 = 1, 2, DISPLAY “today”.
IF R04_YV0100 = 3, DISPLAY “yesterday”.
IF R04_YV0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YV0103_LC1
The computer recorded that you took [R04_YV0103] puffs from an electronic nicotine product
[today/yesterday/the day before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV0103
2
NEXT
GO TO BOX R04_YVV01
ASK: IF R04_YV0103 > 200 OR R04_YV0103 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV0100 = 1, 2, DISPLAY “today”.
IF R04_YV0100 = 3, DISPLAY “yesterday”.
IF R04_YV0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YVV01
PROGRAM - CREATE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_EPRODS = 1 (Past 30 day e-product user) Youth respondents who have used an
electronic nicotine product in the past 30 days.
R04_PAST30DAY_EPRODS_LEVEL = 1 (Past 30 day "Very Light" e-product user) Youth
respondents who have used an electronic nicotine product in the past 30 days, and have used an
electronic nicotine product only once in their lifetime.
R04_PAST30DAY_EPRODS_LEVEL = 2 (Past 30 day "Not Light" e-product user) Youth
respondents who have used an electronic nicotine product in the past 30 days, and have used
electronic nicotine products more than once in their lifetime.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
36
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9041
Not including yourself, does anyone living in your home own an e-cigarette or other electronic nicotine
product?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have seen, heard of, or ever used e-product, and continuing
youth respondents.
BOX ID:
R04_YVR54
Continuing youth respondents that have used an e-product in the past 12 months and new baseline
youth respondents that have ever used an e-product, go to R04_YV9035.
Else, go to Box R04_YVR04.
PATH ID:
R04_YV9035
Which of the following electronic nicotine products have you used? Choose all that apply.
[SHOW GENERIC IMAGE OF E-PRODUCTS BY SUBTYPE]
1
E-cigarette including a vape pen, personal vaporizer, or mod
2
E-cigar
3
E-pipe
4
E-hookah including a hookah pen
5
Something else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months.
DISPLAY: 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.”
BOX ID:
R04_YVR55
If the only device type selected is “Something else” or the respondent did not know or refused to report
which device types they have used, go to Box R04_YVR04.
Else, repeat R04_YV9060 for each device type selected, except "Something else".
When all loops complete, go to Box R04_YVV04.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
37
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9060
Do you use more than one kind of [FILL WITH DEVICE TYPE SELECTED IN R04_YV9035]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months and selected a type of e-product.
DISPLAY: FOR R04_YV9060_01, DISPLAY "e-cigarette".
FOR R04_YV9060_02, DISPLAY "e-cigar".
FOR R04_YV9060_03, DISPLAY "e-pipe".
FOR R04_YV9060_04, DISPLAY "e-hookah".
BOX ID:
R04_YVR59
If there are remaining device types, go back to Box R04_YVR55 and complete loop for all remaining
device types.
Else, if all loops are complete, go to Box R04_YVV04.
BOX ID:
R04_YVV04
PROGRAM - CREATE THE FOLLOWING DERIVED VARIABLE (SEE APPENDIX):
R04_EPRODCOUNT = Number of e-products used.
BOX ID:
R04_YVR56
If the respondent uses more than one type of electronic nicotine product, go to R04_YV9044.
Else, go to Box R04_YVR04.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
38
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9044
You mentioned that you have used more than one type of electronic nicotine product.
Which type of electronic nicotine product do you use most often?
[SHOW GENERIC IMAGE OF E-PRODUCTS BY SUBTYPE]
1
E-cigarette including a vape pen, personal vaporizer, or mod
2
E-cigar
3
E-pipe
4
E-hookah including a hookah pen
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months and selected a type of e-product and
have used more than one e-product.
DISPLAY: BOLD AND UNDERLINE "most often".
BOX ID:
R04_YVR04
Past 30 day e-product users (including "very light" users), go to R04_YV9140.
Else, go to Box R04_YVR58.
PATH ID:
R04_YV9140
Please look at this picture. Which group is most like the electronic nicotine product you use most often?
[SHOW GENERIC IMAGE OF 6 E-PRODUCT GROUPS]
1
Group 1
2
Group 2
3
Group 3
4
Group 4
5
Group 5
6
Group 6
7
None of the above
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users (including "very light" users).
DISPLAY: UNDERLINE "most often".
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
39
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR58
Past 30 day "not light" e-product users, go to Box R04_YVD04.
Else, past 30 day e-product users, go to Box R04_YVV03.
Else, go to R04_YV9042.
BOX ID:
R04_YVD04
Display questions R04_YV9005 through R04_YV9009 using the expanded WVB stem-leaf screen. For
each leaf, display a Yes/No response. The introduction text from R04_YV9005 is the stem. Show all
leaves on the screen at once.
PATH ID:
R04_YV9005
For the following questions, please think about the electronic nicotine product you use most often.
Is it rechargeable?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
DISPLAY: BOLD AND UNDERLINE “most often”.
PATH ID:
R04_YV9038
Does it use a tank system?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9008
Does it use cartridges?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
40
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9009
Can you refill it with “e-liquid”?
1
Yes
2
No
GO TO BOX R04_YVV03
-8
DON'T KNOW
GO TO BOX R04_YVV03
-7
REFUSED
GO TO BOX R04_YVV03
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9046
How often do you refill your electronic nicotine product with e-liquid?
1
At least once a day
2
Once every couple of days
3
Once a week
4
A few times a month
5
Once a month
6
A few times a year
7
Once a year
8
Never
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YVV03
ASK: Past 30 day "not light" e-product users that use refillable e-products.
PATH ID:
R04_YV9036
Who refills it with e-liquid?
1
I refill it myself
2
I get it refilled at a vape shop or vapor lounge
3
I buy it already filled
4
I get it refilled some other way
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users that use refillable e-products and has refilled them before.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
41
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVV03
PROGRAM - CREATE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
R04_EDEVICETYPE (E-Product device type):
R04_EDEVICETYPE = 1 (Disposable E-Product Users).
R04_EDEVICETYPE = 2 (Non-Refillable Cartridge E-Product Users).
R04_EDEVICETYPE = 3 (Refillable Cartridge E-Product Users).
R04_EDEVICETYPE = 4 (Refillable Tank System E-Product Users).
R04_EDEVICETYPE = 5 (Refillable Mod System E-Product Users).
R04_EDEVICETYPE = 6 (Unknown E-Product User Type).
BOX ID:
R04_YVT04
PROGRAM - CREATE [EPRODFILL1-3]:
EPRODFILL1:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL1 = "electronic nicotine products".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL1 = "electronic nicotine cartridges".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL1 = "milliliters of eliquid".
EPRODFILL2:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL2 = "electronic nicotine products".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL2 = "electronic nicotine cartridges".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL2 = "e-liquid".
EPRODFILL3:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL3 = "electronic nicotine product".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL3 = "electronic nicotine cartridge".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL3 = "e-liquid".
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
42
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9010
Please think about the [EPRODFILL3] you use most often.
Does it contain nicotine?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: BOLD AND UNDERLINE “most often”.
PATH ID:
R04_YV1022
In the past 30 days, on how many days did you use an electronic nicotine product?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
PATH ID:
R04_YV9040
In the past 30 days, on the days you used an electronic nicotine product, how many [EPRODFILL1] did
you use per day?
1
Less than 1 per day
2
I___I___I
GO TO R04_YV1131
-8
DON'T KNOW
GO TO R04_YV1131
-7
REFUSED
GO TO R04_YV1131
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD, WITH BUTTON LABEL: “Less than 1 per day”
ON RIGHT.
PATH ID:
R04_YV9040_LC1
The computer recorded that on the days you used in the past 30 days, you used [R04_YV9040]
[EPRODFILL1] a day.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV9040
2
NEXT
GO TO R04_YV1131
ASK: IF R04_YV9040 > 5.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
43
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1026
On average, on the days that you use, how many times each day do you pick up your electronic nicotine
product to use it, whether you take one puff or several?
1
I___I___I___I
-8
DON'T KNOW
GO TO R04_YV1027
-7
REFUSED
GO TO R04_YV1027
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1026_LC1
The computer recorded that on the days you use, you pick up your electronic nicotine product to use it
[R04_YV1026] [time / times] a day, on average.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1026
2
NEXT
GO TO R04_YV1027
ASK: IF R04_YV1026 > 50 OR R04_YV1026 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV1026 = 1, DISPLAY "time".
ELSE, DISPLAY "times".
PATH ID:
R04_YV1027
Each time you pick up your electronic nicotine product to use it, about how many puffs did you take?
1
I___I___I___I
-8
DON'T KNOW
GO TO R04_YV1131
-7
REFUSED
GO TO R04_YV1131
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1027_LC1
The computer recorded that you take [R04_YV1027] [puff / puffs] from your electronic nicotine product
each time you use it, on average.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1027
2
NEXT
GO TO R04_YV1131
ASK: IF R04_YV1027 > 50 OR R04_YV1027 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV1027 = 1, DISPLAY "puff".
ELSE, DISPLAY "puffs".
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
44
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1131
Which flavors of [EPRODFILL2] have you used in the past 30 days? Choose all that apply.
1
Tobacco-flavored
2
Menthol or mint
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
A non-alcoholic drink (such as coffee, soda, energy drinks, or other beverages)
8
Candy, desserts or other sweets
9
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: 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.”
BOX ID:
R04_YVR38
Youth respondents who used menthol or mint flavored e-products in the past 30 days, go to
R04_YV1147.
Else, youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in
the past 30 days, go to R04_YV1157.
Else, go to R04_YV1142.
PATH ID:
R04_YV1147
In the past 30 days, on the days you used an electronic nicotine product, how often was it flavored to
taste like menthol or mint?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users that have used menthol or mint flavored e-products.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
45
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR40
Youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in the
past 30 days, go to R04_YV1157.
Else, go to R04_YV1142.
PATH ID:
R04_YV1157
In the past 30 days, on the days you used an electronic nicotine product, how often was it flavored to
taste like clove, spice, fruit, chocolate, alcoholic or non-alcoholic drinks, candy, desserts or other
sweets?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in
the past 30 days.
PATH ID:
R04_YV1142
In the past 30 days, did anyone sell you [EPRODFILL2]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1123
In the past 30 days, did anyone refuse to sell you [EPRODFILL2] because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
46
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1118
In the past 30 days, how did you usually get your own [EPRODFILL2]?
1
I gave someone else money to buy them for me
2
I bought them myself from a store (including a vape shop or vapor lounge)
3
I asked someone to give me one
4
Someone offered it to me
5
I bought them from another person
6
I took them from a store or another person
7
I got them some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: 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.”
BOX ID:
R04_YVR05
Past 30 day e-product users who usually buy e-products for themselves or give someone else money to
buy e-products for them, go to R04_YV1030.
Else, go to Box R04_YVR57.
PATH ID:
R04_YV1030
[When you give money to someone else, how do they/How do you] usually buy your [EPRODFILL2]?
1
In person
2
From the internet
GO TO BOX R04_YVR06
3
By telephone
GO TO BOX R04_YVR06
-8
DON'T KNOW
GO TO BOX R04_YVR06
-7
REFUSED
GO TO BOX R04_YVR06
ASK: Past 30 day e-product users (including "very light" users) who buy e-products for themselves or
someone else buys for them.
DISPLAY: IF R04_YV1118 = 1, DISPLAY “When you give money to someone else, how do they”;
IF R04_YV1118 = 2, DISPLAY “How do you”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
47
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1033
Where do [you/they] buy your [EPRODFILL2] most of the time?
11
A vape shop or vapor lounge
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
9
A swap meet or flea market
10
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users (including "very light" users) who buy e-products for themselves or
someone else buys for them in person.
DISPLAY: IF R04_YV1118 = 1, DISPLAY “they”;
IF R04_YV1118 = 2, DISPLAY “you”.
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.”
BOX ID:
R04_YVR06
Past 30 day "not-light" disposable e-product users and e-product users of undetermined types who buy
e-products for themselves or someone else buys for them, go to R04_YV1136.
Else, refillable cartridge, tank system, and mod system e-product users, go to R04_YV1041.
Else, non-refillable e-product users, go to R04_YV1039.
Else, go to Box R04_YVR57.
PATH ID:
R04_YV1136
Think about the last time you [bought/gave money to someone else to buy you] electronic nicotine
products. Did you buy them by the box or pack, or as single electronic nicotine products?
1
Box or pack
2
Single electronic nicotine products
GO TO R04_YV1034
-8
DON'T KNOW
GO TO R04_YV1034
-7
REFUSED
GO TO R04_YV1034
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
48
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1137
How many electronic nicotine products came in the box or pack that you last bought?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who last bought e-products in a box
or pack.
PATH ID:
R04_YV1138
How much did you pay for a box or pack of electronic nicotine products?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who last bought e-products in a box
or pack.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
PATH ID:
R04_YV1138_LC1
The computer recorded that you paid $[R04_YV1138_D].[R04_YV1138_C] for a box or pack of
electronic nicotine products. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1138
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1138_D < 10 OR R04_YV1138_D > 75.
PATH ID:
R04_YV1034
How much did you pay for a single electronic nicotine product?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who did not buy their last e-product
in box or pack.
DISPLAY: DISPLAY“$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
49
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1034_LC1
The computer recorded that you paid $[R04_YV1034_D].[R04_YV1034_C] for a single electronic
nicotine product. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1034
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1034_D > 50.
PATH ID:
R04_YV1041
Think about the last time you [bought/gave money to someone else to buy you] e-liquid.
How much did you pay for a bottle or container of e-liquid?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" refillable cartridge, tank system, and mod system e-product users who buy
e-liquid for themselves or someone else buys for them.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YV1118 = 1, DISPLAY "gave money to someone else to buy you".
IF R04_YV1118 = 2, DISPLAY "bought".
PATH ID:
R04_YV1041_LC1
The computer recorded that you paid $[R04_YV1041_D].[R04_YV1041_C] for a bottle or container of eliquid. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1041
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1041_D > 50 OR (R04_YV1041_D = 50 AND R04_YV1041_C > 00).
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
50
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1039
Think about the last time you [bought/gave money to someone else to buy you] electronic nicotine
product cartridges.
Did you buy them by the box or pack, or as single cartridges?
1
Box or pack
2
Single cartridges
GO TO R04_YV1043
-8
DON'T KNOW
GO TO R04_YV1043
-7
REFUSED
GO TO R04_YV1043
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them.
DISPLAY: IF R04_YV1118 = 1, DISPLAY "gave money to someone else to buy you".
IF R04_YV1118 = 2, DISPLAY "bought".
PATH ID:
R04_YV1040
How many electronic nicotine product cartridges came in the box or pack that you last bought?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought cartridges in a box or pack.
PATH ID:
R04_YV1042
How much did you pay for a box or pack of electronic nicotine product cartridges?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought cartridges in a box or pack.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
PATH ID:
R04_YV1042_LC1
The computer recorded that you paid $[R04_YV1042_D].[R04_YV1042_C] for a box or pack of
[EPRODFILL1]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1042
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1042_D > 50 OR (R04_YV1042_D = 50 AND R04_YV1042_C > 00).
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
51
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1043
How much did you pay for a single electronic nicotine product cartridge?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought single cartridges or did not know or refused to report
whether the non-refillable cartridge was in a box or pack or a single cartridge.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
PATH ID:
R04_YV1043_LC1
The computer recorded that you paid $[R04_YV1043_D].[R04_YV1043_C] for a single [EPRODFILL3].
Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1043
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1043_D > 50 OR (R04_YV1043_D = 50 AND R04_YV1043_C > 00).
BOX ID:
R04_YVR57
Past 30 day "not-light" e-product users, go to R04_YV1047.
Else, go to R04_YV1945.
PATH ID:
R04_YV1047
Do you have a regular brand of [EPRODFILL2] that you usually use?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" e-product users.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
52
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1945
Do you know the name of the brand of [EPRODFILL2] you [usually use/last used]?
1
Yes
2
No
GO TO BOX R04_YVD02
-8
DON'T KNOW
GO TO BOX R04_YVD02
-7
REFUSED
GO TO BOX R04_YVD02
ASK: Past 30 day e-product users.
DISPLAY: IF R04_YV1047 = 1, DISPLAY “usually use”.
ELSE, DISPLAY “last used”.
UNDERLINE "name of the brand".
PATH ID:
R04_YV1048
What brand of [EPRODFILL2] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else.”]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who know the brand name.
DISPLAY: IF R04_YV1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YVR33
If youth respondent selects "Something else" in R04_YV1048_BRAND, go to R04_YV1049.
Else, past 30 day e-product users who have used an e-product today, yesterday or the day before
yesterday who know the name of their brand AND selected a valid brand in R04_YV1048_BRAND, go
to R04_YV0104.
Else, go to Box R04_YVD02.
PATH ID:
R04_YV1049
You said that your brand was not listed. What is it?
1
__________________________
GO TO R04_YVD02
-8
DON'T KNOW
GO TO R04_YVD02
-7
REFUSED
GO TO R04_YVD02
ASK: Past 30 day e-product users that know the name of the brand they use who selected "Something
else" for their brand.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
53
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV0104
You said earlier that you last used an electronic nicotine product [TIME OF LAST USE].
Think about the very last puff you took. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have used an e-product in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a valid brand.
DISPLAY: IF R04_YV0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
IF R04_YV0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
IF R04_YV0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
IF R04_YV0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH SELECTION MADE IN R04_YV1048_BRAND.
BOX ID:
R04_YVD02
Display question R04_YV1060, R04_YV1085, R04_YV1062, R04_YV1075, R04_YV1063,
R04_YV1064, R04_YV1065, R04_YV1066, R04_YV1067 on one screen. Show the intro/transition text
from R04_YV1060 first, then show each item with a Yes/No response. As each item is answered, show
the next one.
PROGRAM: Randomize order of R04_YV1060 through R04_YV1067.
PATH ID:
R04_YV1060
The next questions are about the reasons people use electronic nicotine products. Please select which
reasons apply to you.
I use electronic nicotine products because…
They are affordable.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
54
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1085
I can use electronic nicotine products at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1062
They might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1075
They might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1063
E-liquid comes in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
BOX ID:
R04_YVR13
Past 30 day e-product users who have also smoked cigarettes in the past year, go to R04_YV1064.
Else, go to R04_YV1065.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
55
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1064
Using electronic nicotine products helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have also smoked cigarettes in the past year.
PATH ID:
R04_YV1065
Electronic nicotine products don't smell.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1066
Using an electronic nicotine product feels like smoking a regular cigarette.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1067
Electronic nicotine products don’t bother non-tobacco users.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
BOX ID:
R04_YVR14
Past 30 day e-product users who have also smoked cigarettes in the past 30 days, go to R04_YV1086.
Else, past 30 day e-product users, go to R04_YV1139.
Else, go to R04_YV9042.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
56
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1086
In the past 30 days, have you used an electronic nicotine product at times when or in places where you
could not smoke regular cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have also smoked cigarettes in the past 30 days.
PATH ID:
R04_YV1139
Please rate your level of agreement for each statement using the following scale: 1 = not true of me at
all to 4 = very true of me.
It is easier to talk and get along with other people when using an electronic nicotine product.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH ID:
R04_YV1140
While using an electronic nicotine product, I feel more confident with other people.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
57
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1141
I use electronic nicotine products much more when I am with other people.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH ID:
R04_YV9042
Have you ever used marijuana, marijuana concentrates, marijuana waxes, THC, or hash oils in an
electronic product such as an e-cigarette, vape, mod, personal vaporizer, e-hookah, or hookah pen?
(Remember all information you give to the PATH Study will be kept private.)
1
Yes
2
No
GO TO BOX R04_YGT01
-8
DON'T KNOW
GO TO BOX R04_YGT01
-7
REFUSED
GO TO BOX R04_YGT01
ASK: New baseline youth respondents who have seen, heard of, or ever used e-products, and
continuing youth respondents.
DISPLAY: UNDERLINE "electronic product".
PATH ID:
R04_YV9106
When you have used an electronic product, how often were you using it to smoke marijuana, marijuana
concentrates, marijuana waxes, THC, or hash oils?
1
Every time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products to smoke marijuana.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
58
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0100
When did you last use marijuana, marijuana concentrates, marijuana waxes, THC, or hash oils in an
electronic product such as an e-cigarette, vape, mod, personal vaporizer, e-hookah, or hookah pen?
1
In the past hour
GO TO R04_YM0103
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YVR10
-8
DON'T KNOW
GO TO BOX R04_YVR10
-7
REFUSED
GO TO BOX R04_YVR10
ASK: Youth respondents who have ever used marijuana in an e-product.
DISPLAY: UNDERLINE "electronic product".
PATH ID:
R04_YM0102
When you last used marijuana, marijuana concentrates, marijuana waxes, THC, or hash oils in an
electronic product [FILL BASED ON R04_YM0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used marijuana in an e-product today, yesterday or the day before
yesterday, but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YM0100]:
IF R04_YM0100 = 2, DISPLAY “today”.
IF R04_YM0100 = 3, DISPLAY “yesterday”.
IF R04_YM0100 = 4, DISPLAY “the day before yesterday”.
UNDERLINE "electronic product".
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
59
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0103
How many puffs of marijuana, marijuana concentrates, marijuana waxes, THC, or hash oils from an
electronic product [have/did] you [taken/take] [FILL BASED ON R04_YM0100]?
1
I__I__I__I
-8
DON'T KNOW
GO TO BOX R04_YVR10
-7
REFUSED
GO TO BOX R04_YVR10
ASK: Youth respondents who have used marijuana in an e-product in the past hour, today, yesterday or
the day before yesterday.
DISPLAY: IF R04_YM0100 = 1, 2, DISPLAY “have” AND “taken”.
IF R04_YM0100 = 3, 4, DISPLAY “did” AND “take”.
FOR [FILL BASED ON R04_YM0100]:
IF R04_YM0100 = 1, 2, DISPLAY “today”.
IF R04_YM0100 = 3, DISPLAY “yesterday”.
IF R04_YM0100 = 4, DISPLAY “the day before yesterday”.
UNDERLINE "electronic product".
PATH ID:
R04_YM0103_LC1
The computer recorded that you took [R04_YM0103] puffs of marijuana, marijuana concentrates,
marijuana waxes, THC, or hash oil from an electronic product [today/yesterday/the day before
yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YM0103
2
NEXT
GO TO BOX R04_YVR10
ASK: IF R04_YM0103 > 200 OR R04_YM0103 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YM0100 = 1, 2, DISPLAY “today”.
IF R04_YM0100 = 3, DISPLAY “yesterday”.
IF R04_YM0100 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
60
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
CIGAR
BOX ID:
R04_YGT01
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, Arturo Fuente, and Cohiba, but there are many
others.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
BOX ID:
R04_YGT02
Cigarillos and filtered cigars are smaller than traditional cigars. They are usually brown. Some are the
same size as cigarettes, and some come with filters or with plastic or wooden tips. Some common
brands are Black & Mild, Swisher Sweets, Dutch Masters, Phillies Blunts, Zig Zag, and Cheyenne.
[SHOW GENERIC IMAGES OF CIGARILLOS AND FILTERED CIGARS]
BOX ID:
R04_YGR03
New baseline youth respondents, go to R04_YG9101_NB.
Continuing youth respondents, go to R04_YG1002_12M.
PATH ID:
R04_YG9101_NB
Have you ever seen or heard of a traditional cigar, cigarillo, or filtered cigar before this study?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS, CIGARILLOS AND FILTERED CIGARS]
1
Yes
2
No
GO TO BOX R04_YGV04
-8
DON'T KNOW
GO TO BOX R04_YGV04
-7
REFUSED
GO TO BOX R04_YGV04
ASK: New baseline youth respondents.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
61
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1002_NB
Have you ever smoked a traditional cigar, cigarillo, or filtered cigar, even one or two puffs?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS, CIGARILLOS AND FILTERED CIGARS]
1
Yes
2
No
GO TO BOX R04_YGV04
-8
DON'T KNOW
GO TO BOX R04_YGV04
-7
REFUSED
GO TO BOX R04_YGV04
ASK: New baseline youth respondents who have heard of traditional cigars, cigarillos, or filtered cigars.
BOX ID:
R04_YGD02
DISPLAY INSTRUCTIONS
For R04_YG9104_NB, display a “Yes” and “No” column with options for each response category.
PATH ID:
R04_YG9104_NB
Which type of cigar have you ever smoked?
1
Traditional cigars like Macanudo, Romeo y Julieta, Arturo Fuente, Cohiba, or others
2
Cigarillos or filtered cigars like Black & Mild, Swisher Sweets, Dutch Masters, Phillies
Blunts, Zig Zag, Cheyenne, or others
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever smoked a traditional cigar, cigarillo or filtered
cigar.
BOX ID:
R04_YGR19
New baseline youth respondents who have ever smoked a cigarillo or filtered cigar, go to
R04_YG9009_NB.
Else, go to Box R04_YGV04.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
62
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9009_NB
Which of the following kinds of cigarillos or filtered cigars have you ever smoked? Choose all that apply.
The kind…
[SHOW GENERIC IMAGE OF CIGARILLOS WITH TIPS, FILTERED CIGARS, AND CIGARILLOS
WITHOUT TIPS]
1
With a plastic or wooden tip
GO TO BOX R04_YGV04
2
With a filter (like a cigarette filter)
GO TO BOX R04_YGV04
3
Without a tip or filter
GO TO BOX R04_YGV04
-8
DON'T KNOW
GO TO BOX R04_YGV04
-7
REFUSED
GO TO BOX R04_YGV04
ASK: New baseline youth respondents who have ever smoked a cigarillo or filtered cigar.
BOX ID:
R04_YGD05
DISPLAY INSTRUCTIONS
For R04_YG9104_12M, display a “Yes” and “No” column with options for each response category.
BOX ID:
R04_YGR20
Continuing youth respondents who have smoked a cigarillo or filtered cigar in the past 12 months, go to
R04_YG9009_12M.
Else, go to Box R04_YGV04.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
63
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YGV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_GTRAD_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
traditional cigar.
R04_EVER_NEVER_GTRAD_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
a traditional cigar.
R04_INIT_GTRAD_YOUTH = 1 (Initiator) Youth respondents who initiated traditional cigar use
between Waves or new baseline youth respondents who have ever smoked a traditional cigar.
R04_EVER_NEVER_GRILLO_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
cigarillo.
R04_EVER_NEVER_GRILLO_YOUTH = 2 (Never user) Youth respondents who have not ever
smoked a cigarillo.
R04_INIT_GRILLO_YOUTH = 1 (Initiator) Youth respondents who initiated cigarillo use between
Waves or new baseline youth respondents who have ever smoked a cigarillo.
R04_EVER_NEVER_GFILTR_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
filtered cigar.
R04_EVER_NEVER_GFILTR_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
a filtered cigar.
R04_INIT_GFILTR_YOUTH = 1 (Initiator) Youth respondents who initiated filtered cigar use between
Waves or new baseline youth respondents who have ever smoked a filtered cigar.
BOX ID:
R04_YGR04
Youth respondents who have never heard of traditional cigars, cigarillos, and filtered cigars, go to Box
R04_YPT01.
Else, youth respondents who have heard of cigars but never smoked a traditional cigar, go to
R04_YG9010.
Else, youth respondents who have heard of cigars but never smoked a cigarillo, go to R04_YG9011.
Else, youth respondents who have heard of cigars but never smoked a filtered cigar, go to
R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
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PATH ID:
R04_YG9010
Have you ever been curious about smoking a traditional cigar?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
PATH ID:
R04_YG9020
Do you think you will smoke a traditional cigar in the next year?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
PATH ID:
R04_YG9013
Do you think that you will try a traditional cigar soon?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
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PATH ID:
R04_YG9016
If one of your best friends were to offer you a traditional cigar, would you smoke it?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
BOX ID:
R04_YGR12
Youth respondents who have heard of cigars but never smoked a cigarillo, go to R04_YG9011.
Else, youth respondents who have heard of cigars but never smoked a filtered cigar, go to
R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
PATH ID:
R04_YG9011
Have you ever been curious about smoking a cigarillo?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
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PATH ID:
R04_YG9021
Do you think you will smoke a cigarillo in the next year?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
PATH ID:
R04_YG9014
Do you think that you will try a cigarillo soon?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
PATH ID:
R04_YG9017
If one of your best friends were to offer you a cigarillo, would you smoke it?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
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BOX ID:
R04_YGR13
Youth respondents who have heard of cigars but never smoked a filtered cigar, go to R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
PATH ID:
R04_YG9012
Have you ever been curious about smoking a filtered cigar?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH ID:
R04_YG9022
Do you think you will smoke a filtered cigar in the next year?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
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PATH ID:
R04_YG9015
Do you think that you will try a filtered cigar soon?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH ID:
R04_YG9018
If one of your best friends were to offer you a filtered cigar, would you smoke it?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
BOX ID:
R04_YGR14
New baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, go to R04_YG9107.
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PATH ID:
R04_YG9105_NB
Sometimes people take tobacco out of a traditional 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 traditional cigar, cigarillo or filtered cigar with marijuana in it?
(Remember all information you give to the PATH Study will be kept private.)
1
Yes
2
No
GO TO BOX R04_YGV01
-8
DON'T KNOW
GO TO BOX R04_YGV01
-7
REFUSED
GO TO BOX R04_YGV01
ASK: New baseline youth respondents who have heard of cigars.
DISPLAY: UNDERLINE "ever".
PATH ID:
R04_YG9107
[Sometimes people take tobacco out of a traditional cigar, cigarillo or filtered cigar and replace it with
marijuana. This is sometimes called a “blunt”.
]In the past 12 months, have you smoked part or all of a traditional cigar, cigarillo or filtered cigar with
marijuana in it? [(Remember all information you give to the PATH Study will be kept private.)]
1
Yes
2
No
GO TO BOX R04_YGV01
-8
DON'T KNOW
GO TO BOX R04_YGV01
-7
REFUSED
GO TO BOX R04_YGV01
ASK: New baseline youth respondents who have ever smoked a blunt and all continuing youth
respondents.
DISPLAY: UNDERLINE "past 12 months".
IF R04_YOUTHTYPE = 1, DISPLAY "Sometimes people take tobacco out of a cigar, cigarillo or filtered
cigar and replace it with marijuana. This is sometimes called a “blunt”." AND "(Remember all the
information you give to the PATH Study will be kept private.)".
ELSE, DO NOT DISPLAY THIS TRANSITION TEXT.
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PATH ID:
R04_YG1095
Which of the following looks like the type of cigar you usually smoke as a blunt? Choose all that apply.
[SHOW GENERIC IMAGE OF 3 CIGAR GROUPS]
1
Group 1
2
Group 2
3
Group 3
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked blunts in the past 12 months.
PATH ID:
R04_YG9106
Now think about the past 12 months when you smoked the type of cigar shown below.
In the past 12 months, how often was any of the tobacco replaced with marijuana?
[SHOW GENERIC IMAGE OF [YG1095CIGARTYPE]]
1
Every time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked blunts in the past 12 months. (This question is repeated for
every cigar type identified in R04_YG1095[_01/_02/_03].)
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BOX ID:
R04_YGV01
DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
BLUNT-ONLY USER GROUPS:
R04_12MBLUNT_ONLY_BTRAD = Youth respondents who smoke traditional cigars as blunts every
time when smoked in the past 12 months.
R04_12MBLUNT_ONLY_BRILLO = Youth respondents who smoke cigarillos as blunts every time
when smoked in the past 12 months.
R04_12MBLUNT_ONLY_BFILTR = Youth respondents who smoke filtered cigars as blunts every time
when smoked in the past 12 months.
R04_INIT_BLUNT_BTRAD_YOUTH = Youth respondents who initiated smoking traditional cigars as
blunts between Waves or new baseline youth respondents who have ever used traditional cigars as
blunts every time in the past 12 months.
R04_INIT_BLUNT_BRILLO_YOUTH = Youth respondents who initiated smoking cigarillos as blunts
between Waves or new baseline youth respondents who have ever used cigarillos as blunts every time
in the past 12 months.
R04_INIT_BLUNT_BFILTR_YOUTH = Youth respondents who initiated smoking filtered cigars as
blunts between Waves or new baseline youth respondents who have ever used filtered cigars as blunts
every time in the past 12 months.
DEFINE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
CIGAR LOOPS
Cigars as Non-Blunts:
GTRAD = Youth respondents who have ever smoked traditional cigars and have not smoked traditional
cigars as blunts every time when smoked in the past 12 months.
GRILLO = Youth respondents who have ever smoked cigarillos and have not smoked cigarillos as
blunts every time when smoked in the past 12 months.
GFILTR = Youth respondents who have ever smoked filtered cigars and have not smoked filtered cigars
as blunts every time when smoked in the past 12 months.
Cigars as Blunts-Only:
BTRAD = Youth respondents who smoke traditional cigars as blunts every time when smoked in the
past 12 months.
BRILLO = Youth respondents who smoke cigarillos as blunts every time when smoked in the past 12
months.
BFILTR = Youth respondents who smoke filtered cigars as blunts every time when smoked in the past
12 months.
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BOX ID:
R04_YGR02
PROGRAM: CREATE LOOPS FOLLOWING ROUTING INSTRUCTIONS FOR VARIOUS CIGAR
TYPES:
Blunt/Cigar Loops
If the respondent has smoked cigars as blunts-only, R04_YJ1108[TC/CL/FC] through
R04_YJ1071[TC/CL/FC] are repeated in a loop for each cigar type as blunts. See Box R04_YJT04 for
transition text shown at the start of each loop.
After all blunt loops are complete, items from R04_YG1006_NB[TC/CL/FC] through
R04_YG1141[TC/CL/FC] are repeated once for each type of cigar the respondent has smoked,
following skips appropriately. See Box R04_YGT04 for transition text shown at the start of each loop.
If the respondent only smoked traditional cigars, cigarillos, or filtered cigars as blunts, go to Box
R04_YJT04.
Else, if the respondent has ever smoked traditional cigars, cigarillos, or filtered cigars, go to Box
R04_YGT04.
Else, if the respondent has not smoked traditional cigars, cigarillos, or filtered cigars as blunts, and has
never smoked traditional cigars, cigarillos, or filtered cigars, go to Box R04_YPT01.
[CIGARFILL]
If traditional cigar/blunt smoker, [CIGARFILL] = "traditional cigar".
If cigarillo/blunt smoker, [CIGARFILL] = "cigarillo".
If filtered cigar/blunt smoker, [CIGARFILL] = "filtered cigar".
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BOX ID:
R04_YJT04
PROGRAM - DISPLAY THE FOLLOWING TRANSITION TEXT AT THE START OF LOOPS:
IF LOOP=BTRAD Traditional Cigars (as blunts-only):
The next questions are about traditional cigars when smoked as blunts.
Traditional cigars contain tightly rolled tobacco that is wrapped in a tobacco leaf. Sometimes people
take tobacco out of a traditional cigar and replace it with marijuana. This is sometimes called a blunt. As
you answer these questions, please think only about your use of traditional cigars when smoked as
blunts like those shown below. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:]
There will be a separate section later about other kinds of blunts.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGAR]
IF LOOP=BRILLO Cigarillos (as blunts-only):
The next questions are about cigarillos when smoked as blunts.
Cigarillos are medium-sized cigars and sometimes come with plastic or wood tips. [Sometimes people
take tobacco out of a cigarillo and replace it with marijuana. This is sometimes called a blunt.] As you
answer these questions, please think only about your use of cigarillos when smoked as blunts like those
shown below. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] There will be a
separate section later about other kinds of blunts.
[SHOW GENERIC IMAGE OF CIGARILLO]
IF LOOP=BFILTR Filtered Cigars (as blunts-only):
The next questions are about filtered cigars when smoked as blunts.
Filtered cigars are usually brown and have a filter like a cigarette. [Sometimes people take tobacco out
of a filtered cigar and replace it with marijuana. This is sometimes called a blunt.] As you answer these
questions, please think only about your use of filtered cigars when smoked as blunts like those shown
below. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] There will be a separate
section later about other kinds of blunts.
[SHOW GENERIC IMAGE OF FILTERED CIGAR]
BOX ID:
R04_YJR09
Continuing youth respondents who have initiated blunt use since the previous wave, and new baseline
youth respondents who have ever smoked a blunt, go to R04_YJ1108[TC/CL/FC].
Else, youth respondents who have smoked blunts in the past 12 months, go to R04_YJ1112[TC/CL/FC].
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PATH ID:
R04_YJ1108
Was the first [CIGARFILL] you smoked as a blunt flavored to taste like menthol, mint, clove, spice, fruit,
chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YJ1112[TC/CL/FC]
3
I don't know
GO TO R04_YJ1112[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1112[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1112[TC/CL/FC]
ASK: Continuing youth respondents who have initiated blunt use since previous wave, and new baseline
youth respondents who have ever smoked blunts.
PATH ID:
R04_YJ1011
What flavor was that first [CIGARFILL] you smoked as a blunt? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first blunt was flavored.
DISPLAY: 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:
R04_YJ1112
When was the last time you smoked a [CIGARFILL] as a blunt, 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
GO TO BOX R04_YJV02
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YJV02
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YJV02
-8
DON'T KNOW
GO TO BOX R04_YJV02
-7
REFUSED
GO TO BOX R04_YJV02
ASK: Youth respondents who have smoked blunts in the past 12 months.
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PATH ID:
R04_YJ0100
When did you last smoke a [CIGARFILL] as a blunt?
1
In the past hour
2
Sometime today
GO TO R04_YJ0103[TC/CL/FC]
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YJV02
-8
DON'T KNOW
GO TO BOX R04_YJV02
-7
REFUSED
GO TO BOX R04_YJV02
ASK: Youth respondents who have smoked blunts in the past 7 days.
PATH ID:
R04_YJ0102
When you last smoked a [CIGARFILL] as a blunt [FILL BASED ON R04_YJ0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a blunt today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YJ0100[TC/CL/FC]]: IF R04_YJ0100[TC/CL/FC] = 2, DISPLAY
“today”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YJ0103
How many [CIGARFILL]s [have/did] you [smoked/smoke] as a blunt [FILL BASED ON
R04_YJ0100[TC/CL/FC]]? (If less than 1, enter 1.)
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YJV02[TC/CL/FC]
-7
REFUSED
GO TO BOX R04_YJV02[TC/CL/FC]
ASK: Youth respondents who have smoked a blunt in the past hour, today, yesterday or the day before
yesterday.
DISPLAY: IF R04_YJ0100[TC/CL/FC] = 1, 2, DISPLAY “have” AND “smoked”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, 4, DISPLAY “did” AND “smoke”.
FOR [FILL BASED ON R04_YJ0100[TC/CL/FC]]:
IF R04_YJ0100[TC/CL/FC] = 1, 2, DISPLAY “today”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YJ0103TC_LC1
The computer recorded that you smoked [R04_YJ0103TC] traditional cigars as blunts
[today/yesterday/the day before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ0103TC
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103TC > 15 OR R04_YJ0103TC = 11.
DISPLAY: IF R04_YJ0100TC = 1, 2, DISPLAY “today”.
ELSE, IF R04_YJ0100TC = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100TC = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YJ0103CL_LC1
The computer recorded that you smoked [R04_YJ0103CL] cigarillos as blunts [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ0103CL
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103CL > 15 OR R04_YJ0103CL = 11.
DISPLAY: IF R04_YJ0100CL = 1, 2, DISPLAY “today”.
ELSE, IF R04_YJ0100CL = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100CL = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YJ0103FC_LC1
The computer recorded that you smoked [R04_YJ0103FC] filtered cigars as blunts [today/yesterday/the
day before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ0103FC
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103FC > 15 OR R04_YJ0103FC = 11.
DISPLAY: IF R04_YJ0100FC = 1, 2, DISPLAY “today”.
ELSE, IF R04_YJ0100FC = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100FC = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YJV02
PROGRAM - CREATE THE FOLLOWING VARIABLES FOR EACH CIGAR TYPE (SEE APPENDIX):
R04_30DBLUNT_ONLY_BTRAD = Youth respondents who have smoked a traditional cigar as a blunt
in the past 30 days.
R04_30DBLUNT_ONLY_BRILLO = Youth respondents who have smoked a cigarillo as a blunt in the
past 30 days.
R04_30DBLUNT_ONLY_BFILTR = Youth respondents who have smoked a filtered cigar as a blunt in
the past 30 days.
BOX ID:
R04_YJR06
Past 30 day blunt-only smokers, go to R04_YJ1022[TC/CL/FC].
Else, go to R04_YJ1047[TC/CL/FC].
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PATH ID:
R04_YJ1022
In the past 30 days, on how many days did you smoke a [CIGARFILL] as a blunt?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
DISPLAY: DISPLAY 'DAYS' AS TITLE.
PATH ID:
R04_YJ1023
In the past 30 days, on the days you smoked [CIGARFILL]s as blunts, how many [CIGARFILL]s did you
smoke as a blunt 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: Past 30 day blunt-only smokers.
PATH ID:
R04_YJ1130
In the past 30 days, were any of the [CIGARFILL]s that you smoked as a blunt flavored to taste like
menthol, mint, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YJ1142[TC/CL/FC]
3
I don't know
GO TO R04_YJ1142[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1142[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1142[TC/CL/FC]
ASK: Past 30 day blunt-only smokers.
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PATH ID:
R04_YJ1131
Which flavors have you smoked in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored blunt-only smokers.
DISPLAY: 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:
R04_YJ1147
On the days you smoked [CIGARFILL]s as blunts in the past 30 days, how often did you smoke flavored
[CIGARFILL]s?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored blunt-only smokers.
DISPLAY: Underline "flavored".
PATH ID:
R04_YJ1142
In the past 30 days, did anyone sell you [CIGARFILL]s?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
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Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YJ1123
In the past 30 days, did anyone refuse to sell you [CIGARFILL]s because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
PATH ID:
R04_YJ1118
In the past 30 days, how did you usually get your own [CIGARFILL]s for when you smoke blunts?
1
I gave someone else money to buy them for me
2
I bought them myself from a store (including a cigar bar)
3
I asked someone to give me one
GO TO R04_YJ1047[TC/CL/FC]
4
Someone offered it to me
GO TO R04_YJ1047[TC/CL/FC]
5
I bought them from another person
GO TO R04_YJ1047[TC/CL/FC]
6
I took them from a store or another person
GO TO R04_YJ1047[TC/CL/FC]
7
I got them some other way (SPECIFY)
GO TO R04_YJ1047[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day blunt-only smokers.
DISPLAY: 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:
R04_YJ1030
How do [you/they] usually buy your [CIGARFILL]s for when you smoke blunts?
1
In person (such as at a store or cigar bar)
2
From the internet
GO TO R04_YJ1039[TC/CL/FC]
3
By telephone
GO TO R04_YJ1039[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1039[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1039[TC/CL/FC]
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar as a blunt-only smokers who buy traditional
cigars/cigarillos/filtered cigars for blunts for themselves or someone else buys for them.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =1, DISPLAY “they”;
ELSE, IF R04_YJ1118[TC/CL/FC] =2, DISPLAY “you”.
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YJ1033
Where do [you/they] buy your [CIGARFILL]s 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
9
A swap meet or flea market
10
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only traditional cigar/cigarillo/filtered cigar smokers who buy traditional
cigars/cigarillos/filtered cigars for blunts for themselves or someone else buys for them in person.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =1, DISPLAY “they”;
ELSE, IF R04_YJ1118[TC/CL/FC] =2, DISPLAY “you”.
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:
R04_YJ1039
Think about the last time you [bought/gave money to someone else to buy you] [CIGARFILL]s for blunts.
Did you buy them by the box or pack, or as single [CIGARFILL]s?
1
Box or pack
2
Single [CIGARFILL]s
GO TO R04_YJ1034[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day blunt-only smokers who buy blunts for themselves or someone else buys for them.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =2, DISPLAY "bought".
ELSE, IF R04_YJ1118[TC/CL/FC] =1, DISPLAY "gave money to someone else to buy you".
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Wave 4 (version 4.0)
PATH ID:
R04_YJ1040
How many [CIGARFILL]s came in the box or pack that you last bought for blunts?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers who last bought cigars by the box or pack.
PATH ID:
R04_YJ1034
How much did you pay for a [box or pack of [CIGARFILL]s/single [CIGARFILL]]?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar as blunts-only smokers who buy traditional
cigar/cigarillo/filtered cigar as blunts for themselves or someone else buys for them who last bought by
box or pack or as single traditional cigars/cigarillos/filtered cigars.
DISPLAY: DISPLAY AS QUANTITY/QUANTITY. DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents”
AS TITLES.
IF R04_YJ1039[TC/CL/FC] =1, DISPLAY "box or pack of [CIGARFILL]s";
ELSE, IF R04_YJ1039[TC/CL/FC] =2, DISPLAY "single [CIGARFILL]".
PATH ID:
R04_YJ1034TC_LC1
The computer recorded that you paid $[R04_YJ1034TC_D].[R04_YJ1034TC_C] for a [box or pack of
traditional cigars for blunts/single traditional cigar for blunts]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ1034TC
2
NEXT
GO TO R04_YJ1047TC
ASK: IF ((R04_YJ1034TC_D > 300 OR R04_YJ1034TC_D < 10) AND R04_YJ1039TC = 1 ), OR
((R04_YJ1034TC_D > 15 OR R04_YJ1034TC_D < 1) AND R04_YJ1039TC = 2).
DISPLAY: IF R04_YJ1039TC = 1, DISPLAY "box or pack of traditional cigars for blunts";
ELSE, IF R04_YJ1039TC = 2, DISPLAY "single traditional cigar for blunts".
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YJ1034CL_LC1
The computer recorded that you paid $[R04_YJ1034CL_D].[R04_YJ1034CL_C] for a [box or pack of
cigarillos for blunts/single cigarillo for blunts]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ1034CL
2
NEXT
GO TO R04_YJ1047CL
ASK: IF ((R04_YJ1034CL_D > 11 OR R04_YJ1034CL_D < 1) AND R04_YJ1039CL = 1), OR
((R04_YJ1034CL_D > 3 OR (R04_YJ1034CL_D = 0 AND R04_YJ1034CL_C < 50)) AND
R04_YJ1039CL = 2).
DISPLAY: IF R04_YJ1039CL = 1, DISPLAY "box or pack of cigarillos for blunts";
ELSE, IF R04_YJ1039CL = 2, DISPLAY "single cigarillo for blunts".
PATH ID:
R04_YJ1034FC_LC1
The computer recorded that you paid $[R04_YJ1034FC_D].[R04_YJ1034FC_C] for a [box or pack of
filtered cigars for blunts/single filtered cigar for blunts]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ1034FC
2
NEXT
GO TO R04_YJ1047FC
ASK: IF ((R04_YJ1034FC_D > 100 OR R04_YJ1034FC_D < 1) AND R04_YJ1039FC = 1) OR
((R04_YJ1034FC_D > 3 OR (R04_YJ1034FC_D = 0 AND R04_YJ1034FC_C < 50)) AND
R04_YJ1039FC = 2).
DISPLAY: IF R04_YJ1039FC = 1, DISPLAY "box or pack of filtered cigars for blunts";
ELSE, IF R04_YJ1039FC = 2, DISPLAY "single filtered cigar for blunts".
PATH ID:
R04_YJ1047
Do you have a regular brand of [CIGARFILL]s that you usually smoke as blunts?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers.
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YJ1945
Do you know the name of the brand of [CIGARFILL]s you [usually smoke/last smoked] as blunts?
1
Yes
2
No
GO TO BOX R04_YJR08
-8
DON'T KNOW
GO TO BOX R04_YJR08
-7
REFUSED
GO TO BOX R04_YJR08
ASK: Past 12 month blunt-only smokers.
DISPLAY: IF R04_YJ1047[TC/CL/FC] = 1, DISPLAY “usually smoke”.
ELSE, IF R04_YJ1047[TC/CL/FC] = 2, -8, -7, DISPLAY “last smoked”.
UNDERLINE "name of the brand".
PATH ID:
R04_YJ1048
What brand of [CIGARFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”. ]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers who know the brand name.
DISPLAY: IF R04_YJ1047[TC/CL/FC] =1, DISPLAY “do” AND “usually”.
ELSE, IF R04_YJ1047[TC/CL/FC] = 2, -8, -7, DISPLAY “did” AND “last”.
[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.]
BOX ID:
R04_YJR01
If youth respondent selects "Something else" in R04_YJ1048[TC/CL/FC]_BRAND, go to
R04_YJ1049[TC/CL/FC].
Else, if youth respondent selects brand in R04_YJ1048[TC/CL/FC]_BRAND, go to
R04_YJ1070[TC/CL/FC]_PRODUCT.
Else, go to Box R04_YJR08.
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Wave 4 (version 4.0)
PATH ID:
R04_YJ1049
You said that your brand was not listed. What is it?
__________________________
GO TO BOX R04_YJR08
-8
1
DON'T KNOW
GO TO BOX R04_YJR08
-7
REFUSED
GO TO BOX R04_YJR08
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH ID:
R04_YJ1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”. ]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected a
brand image.
DISPLAY: IF R04_YJ1047[TC/CL/FC] =1, DISPLAY “do” AND “usually”.
ELSE, IF R04_YJ1047[TC/CL/FC] =2, -8, -7, DISPLAY “did” AND “last”.
[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 R04_YJ1048[TC/CL/FC]]
BOX ID:
R04_YJR02
If youth respondent selects "Something else" in R04_YJ1070[TC/CL/FC]_PRODUCT, go to
R04_YJ1071[TC/CL/FC].
Else, go to Box R04_YJR08.
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YJ1071
You said that the type of [BRANDFILL]s that you smoke as blunts was not listed. What type is it?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected a
brand image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YJR08
END BLUNT LOOP:
If respondent has loops to complete for other blunt types, return to Box R04_YJT04 and loop through
subsection for any other blunt types.
Else, if respondent has loops to complete for non-blunt cigar types, go to Box R04_YGT04.
Else, if respondent has no more remaining loops to complete, go to Box R04_YPT01.
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PATH
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Wave 4 (version 4.0)
BOX ID:
R04_YGT04
PROGRAM - DISPLAY THE FOLLOWING TRANSITION TEXT AT THE START OF LOOPS:
IF LOOP=GTRAD Traditional Cigars (non-blunts)
The next questions are about traditional cigars.
Traditional cigars contain tightly rolled tobacco that is wrapped in a tobacco leaf.
As you answer these questions, please think only about your use of traditional cigars like those shown
below. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] There will be a separate
section later about other kinds of cigars.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGAR]
IF LOOP=GRILLO Cigarillos (non-blunts)
The next questions are about cigarillos.
Cigarillos are medium-sized cigars and sometimes come with plastic or wood tips.
As you answer these questions, please think only about your use of cigarillos like those shown below.
[ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] There will be a separate section
later about other kinds of cigars.
[SHOW GENERIC IMAGE OF CIGARILLO].
IF LOOP=GFILTR Filtered Cigars (non-blunts)
The next questions are about filtered cigars.
Filtered cigars are usually brown and have a filter like a cigarette. As you answer these questions,
please think only about your use of filtered cigars like those shown below. [ONLY IF THIS IS NOT THE
LAST TIME THROUGH THE SECTION:] There will be a separate section later about other kinds of
cigars.
[SHOW GENERIC IMAGE OF FILTERED CIGAR].
BOX ID:
R04_YGR05
New baseline youth respondents who have ever smoked cigars, go to R04_YG1006[TC/CL/FC]_NB.
Else, continuing youth respondents who initiated cigar smoking since the previous wave, go to
R04_YG1108[TC/CL/FC].
Else, continuing youth respondents who had smoked 100 or more cigars in the previous wave, go to
R04_YG9040[TC/CL/FC].
Else, go to R04_YG1005[TC/CL/FC].
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1006_NB
How old were you when you first tried a [CIGARFILL], even one or two puffs?
1
|___|___| Years old
-8
DON'T KNOW
GO TO R04_YG1120[TC/CL/FC]_NB
-7
REFUSED
GO TO R04_YG1120[TC/CL/FC]_NB
ASK: New baseline youth respondents who have ever smoked cigars.
DISPLAY: DISPLAY “Years old” AS A TITLE.
PATH ID:
R04_YG1006TC_NB_LC1
The computer recorded that you first smoked a cigar at age [R04_YG1006TC_NB]. That is older than
you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1006TC_NB
2
NEXT
GO TO R04_YG1108TC
ASK: IF R04_YG1006TC_NB > R04_YOUTHAGE.
PATH ID:
R04_YG1006TC_NB_LC2
The computer recorded that you started smoking traditional cigars at age [R04_YG1006TC_NB]. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1006TC_NB
2
NEXT
GO TO R04_YG1108
ASK: IF R04_YG1006TC < 5.
PATH ID:
R04_YG1006CL_NB_LC1
The computer recorded that you first smoked a cigarillo at age [R04_YG1006CL_NB]. That is older than
you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1006CL_NB
2
NEXT
GO TO R04_YG1108CL
ASK: IF R04_YG1006CL_NB > R04_YOUTHAGE.
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1006CL_NB_LC2
The computer recorded that you started smoking cigarillos at age [R04_YG1006CL_NB]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1006CL_NB
2
NEXT
GO TO R04_YG1108CL
ASK: IF R04_YG1006CL < 5.
PATH ID:
R04_YG1006FC_NB_LC1
The computer recorded that you first smoked a filtered cigar at age [R04_YG1006FC_NB]. That is older
than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1006FC_NB
2
NEXT
GO TO R04_YG1108FC
ASK: IF R04_YG1006FC_NB > R04_YOUTHAGE.
PATH ID:
R04_YG1006FC_NB_LC2
The computer recorded that you started smoking filtered cigars at age [R04_YG1006FC_NB]. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1006FC_NB
2
NEXT
GO TO R04_YG1108FC
ASK: IF R04_YG1006FC < 5.
PATH ID:
R04_YG1120_NB
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: New baseline youth respondents who did not know or refused to report the age when they first
smoked cigars.
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1108
Was the first [CIGARFILL] you smoked flavored to taste like menthol, mint, clove, spice, fruit, chocolate,
alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO BOX R04_YGR09
3
I don't know
GO TO BOX R04_YGR09
-8
DON'T KNOW
GO TO BOX R04_YGR09
-7
REFUSED
GO TO BOX R04_YGR09
ASK: Continuing youth respondents who have initiated cigar smoking since the previous wave, and new
baseline youth respondents who have ever smoked cigars.
PATH ID:
R04_YG1011
What flavor was that first [CIGARFILL] you smoked? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first cigar was flavored.
DISPLAY: 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.”
BOX ID:
R04_YGR09
Continuing youth respondents who had smoked 100 or more cigars in the previous wave, go to
R04_YG9040[TC/CL/FC].
Else, go to R04_YG1005[TC/CL/FC].
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1005
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: Aged-up and continuing youth respondents who have ever smoked cigars and had not smoked
100 or more cigars in the previous wave, and new cohort youth respondents who have ever smoked
cigars.
PATH ID:
R04_YG9040
Please look at this picture. Which group is most like the [CIGARFILL] you usually smoke?
[SHOW GENERIC IMAGE OF 4 CIGAR GROUPS]
1
Group 1
2
Group 2
3
Group 3
4
Group 4
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a traditional cigar/cigarillo/filtered cigar.
BOX ID:
R04_YGR18
Continuing youth respondents who have ever smoked cigars and had never smoked fairly regularly in
the previous wave, and new baseline youth respondents who have ever smoked cigars, go to
R04_YG1100[TC/CL/FC].
Else, go to R04_YG1112[TC/CL/FC].
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1100
Have you ever smoked [CIGARFILL]s fairly regularly?
1
Yes
2
No
GO TO R04_YG1112[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1112[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1112[TC/CL/FC]
ASK: Aged-up and continuing youth respondents who have ever smoked a cigar (and had never
smoked fairly regularly in the previous wave), and new cohort youth respondents who have ever
smoked cigars.
PATH ID:
R04_YG1007
How old were you when you first started smoking [CIGARFILL]s fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YG1121[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1121[TC/CL/FC]
ASK: Youth respondents who have ever smoked cigars fairly regularly and did not smoke fairly regularly
in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH ID:
R04_YG1007TC_LC1
The computer recorded that you started smoking traditional cigars fairly regularly at age
[R04_YG1007TC]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007TC
2
NEXT
GO TO R04_YG1112TC
ASK: IF R04_AG1007TC <= 12 OR R04_YG1007TC < R04_YG1006TC_NB.
PATH ID:
R04_YG1007TC_LC2
The computer recorded that you started smoking traditional cigars fairly regularly at age
[R04_YG1007TC]. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007TC
2
NEXT
GO TO R04_YG1112TC
ASK: IF R04_YG1007TC > R04_YOUTHAGE.
PATH – Wave 4
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93
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1007CL_LC1
The computer recorded that you started smoking cigarillos fairly regularly at age [R04_YG1007CL]. Is
that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007CL
2
NEXT
GO TO R04_YG1112CL
ASK: IF R04_AG1007CL <= 5 OR R04_YG1007CL < R04_YG1006CL_NB.
PATH ID:
R04_YG1007CL_LC2
The computer recorded that you started smoking cigarillos fairly regularly at age [R04_YG1007CL]. That
is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007CL
2
NEXT
GO TO R04_YG1112CL
ASK: IF R04_YG1007CL > R04_YOUTHAGE.
PATH ID:
R04_YG1007FC_LC1
The computer recorded that you started smoking filtered cigars fairly regularly at age [R04_YG1007FC].
Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007FC
2
NEXT
GO TO R04_YG1112FC
ASK: IF R04_AG1007FC <= 10 OR R04_YG1007FC < R04_YG1006FC_NB.
PATH ID:
R04_YG1007FC_LC2
The computer recorded that you started smoking filtered cigars fairly regularly at age [R04_YG1007FC].
That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007FC
2
NEXT
GO TO R04_YG1112FC
ASK: IF R04_YG1007FC > R04_YOUTHAGE.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1121
When you first started smoking [CIGARFILL]s fairly regularly, 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: Youth respondents who did not know or refused to report the age when they started smoking
cigars fairly regularly.
PATH ID:
R04_YG1112
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
GO TO BOX R04_YGV02
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YGV02
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YGV02
6
1 to 4 years ago
GO TO BOX R04_YGV02
7
5 or more years ago
GO TO BOX R04_YGV02
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have ever smoked cigars.
PATH ID:
R04_YG0100
When did you last smoke a [CIGARFILL]?
1
In the past hour
GO TO R04_YG0103[TC/CL/FC]
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YGV02
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have smoked cigars in the past 7 days.
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Wave 4 (version 4.0)
PATH ID:
R04_YG0102
When you last smoked a [CIGARFILL] [FILL BASED ON R04_YG0100[TC/CL/FC]], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigar today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YG0100[TC/CL/FC]]:
IF R04_YG0100[TC/CL/FC] = 2, DISPLAY “today”.
ELSE, IF R04_YG0100[TC/CL/FC] = 3, DISPLAY "yesterday".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YG0103
How many [CIGARFILL]s [have/did] you [smoked/smoke] [FILL BASED ON R04_YG0100[TC/CL/FC]]?
(If less than 1, enter 1.)
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have smoked a cigar in the past hour, sometime today, yesterday or the
day before yesterday.
DISPLAY: IF R04_YG0100[TC/CL/FC] = 1, 2, DISPLAY “have” AND “smoked”.
ELSE, IF R04_YG0100[TC/CL/FC] = 3, 4, DISPLAY “did” AND “smoke”.
FOR [FILL BASED ON R04_YG0100[TC/CL/FC]]:
IF R04_YG0100[TC/CL/FC] = 1, 2, DISPLAY “today”.
ELSE, IF R04_YG0100[TC/CL/FC] = 3, DISPLAY "yesterday".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, DISPLAY “the day before yesterday”.
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Wave 4 (version 4.0)
PATH ID:
R04_YG0103TC_LC1
The computer recorded that you smoked [R04_YG0103TC] traditional cigars [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG0103TC
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103TC > 15 OR R04_YG0103TC = 11.
DISPLAY: IF R04_YG0100TC = 1, 2, DISPLAY “today”.
ELSE, IF R04_YG0100TC = 3, DISPLAY “yesterday”.
ELSE, IF R04_YG0100TC = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YG0103CL_LC1
The computer recorded that you smoked [R04_YG0103CL] cigarillos [today/yesterday/the day before
yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG0103CL
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103CL > 15 OR R04_YG0103CL = 11.
DISPLAY: IF R04_YG0100CL = 1, 2, DISPLAY “today”.
ELSE, IF R04_YG0100CL = 3, DISPLAY “yesterday”.
ELSE, IF R04_YG0100CL = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YG0103FC_LC1
The computer recorded that you smoked [R04_YG0103FC] filtered cigars [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG0103FC
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103FC > 15 OR R04_YG0103FC = 11.
DISPLAY: IF R04_YG0100FC = 1, 2, DISPLAY “today”.
ELSE, IF R04_YG0100FC = 3, DISPLAY “yesterday”.
ELSE, IF R04_YG0100FC = 4, DISPLAY “the day before yesterday”.
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BOX ID:
R04_YGV02
PROGRAM - CREATE THE FOLLOWING VARIABLES FOR EACH CIGAR TYPE (SEE APPENDIX):
R04_PAST30DAY_GTRAD = 1 (Past 30 day smoker) Youth respondents who have smoked a
traditional cigar in the past 30 days.
R04_PAST30DAY_GTRAD_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a traditional cigar in the past 30 days, and have smoked 10 or less traditional cigars in
their lifetime.
R04_PAST30DAY_GTRAD_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a traditional cigar in the past 30 days, and have smoked more than 10 traditional cigars in
their lifetime.
R04_PAST30DAY_GRILLO = 1 (Past 30 day smoker) Youth respondents who have smoked a cigarillo
in the past 30 days.
R04_PAST30DAY_GRILLO_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a cigarillo in the past 30 days, and have smoked 10 or less cigarillos in their lifetime.
R04_PAST30DAY_GRILLO_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a cigarillo in the past 30 days, and have smoked more than 10 cigarillos in their lifetime.
R04_PAST30DAY_GFILTR = 1 (Past 30 day smoker) Youth respondents who have smoked a filtered
cigar in the past 30 days.
R04_PAST30DAY_GFILTR_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a filtered cigar in the past 30 days, and have smoked 10 or less filtered cigars in their
lifetime.
R04_PAST30DAY_GFILTR_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a filtered cigar in the past 30 days, and have smoked more than 10 filtered cigars in their
lifetime.
BOX ID:
R04_YGR06
Past 30 day cigar smokers, go to R04_YG1022[TC/CL/FC].
Else, go to Box R04_YGR16.
PATH ID:
R04_YG1022
In the past 30 days, on how many days did you smoke a [CIGARFILL]?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
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PATH ID:
R04_YG1023
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: Past 30 day cigar smokers.
PATH ID:
R04_YG1130
In the past 30 days, were any of the [CIGARFILL]s that you smoked flavored to taste like menthol, mint,
clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YG1142[TC/CL/FC]
3
I don't know
GO TO R04_YG1142[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1142[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1142[TC/CL/FC]
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1131
Which flavors have you smoked in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored cigar smokers.
DISPLAY: 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.”
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PATH ID:
R04_YG1147
On the days you smoked [CIGARFILL]s in the past 30 days, how often did you smoke flavored
[CIGARFILL]s?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored cigar smokers.
DISPLAY: UNDERLINE "flavored".
PATH ID:
R04_YG1142
In the past 30 days, did anyone sell you [CIGARFILL]s?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1123
In the past 30 days, did anyone refuse to sell you [CIGARFILL]s because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1118
In the past 30 days, how did you usually get your own [CIGARFILL]s?
1
I gave someone else money to buy them for me
2
I bought them myself from a store (including a cigar bar)
3
I asked someone to give me one
4
Someone offered it to me
5
I bought them from another person
6
I took them from a store or another person
7
I got them some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: 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.”
BOX ID:
R04_YGR07
Past 30 day cigar smokers who usually buy cigars themselves or usually give someone else money to
buy cigars for them, go to R04_YG1030[TC/CL/FC].
Else, past 30 day "not-light" cigar smokers go to R04_YG1047[TC/CL/FC].
Else, past 30 day cigar smokers, go to R04_YG1945[TC/CL/FC]
Else, all other youth respondents, go to Box R04_YGR16.
PATH ID:
R04_YG1030
How do [you/they] usually buy your [CIGARFILL]s?
1
In person (such as at a store or cigar bar)
2
From the internet
GO TO BOX R04_YGR22
3
By telephone
GO TO BOX R04_YGR22
-8
DON'T KNOW
GO TO BOX R04_YGR22
-7
REFUSED
GO TO BOX R04_YGR22
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers (including "very light" smokers) who
buy traditional cigars/cigarillos/filtered cigars for themselves or someone else buys for them.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 1, DISPLAY “they”.
ELSE, IF R04_YG1118[TC/CL/FC] = 2, DISPLAY “you”.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1033
Where do [you/they] buy your [CIGARFILL]s 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
9
A swap meet or flea market
10
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers (including "very light" smokers) who
buy traditional cigars/cigarillos/filtered cigars for themselves or someone else buys for them in person.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 1, DISPLAY “they”.
ELSE, IF R04_YG1118[TC/CL/FC] = 2, DISPLAY “you”.
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.”
BOX ID:
R04_YGR22
Past 30 day "not-light" cigar smokers who buy cigars for themselves or someone else buys for them, go
to R04_YG1039[TC/CL/FC].
Else, past 30 day "very-light" cigar smokers who buy cigars for themselves or someone else buys for
them, go to R04_YG1945[TC/CL/FC]
PATH ID:
R04_YG1039
Think about the last time you [bought/gave money to someone else to buy you] [CIGARFILL]s. Did you
buy them by the box or pack, or as single [CIGARFILL]s?
1
Box or pack
2
Single [CIGARFILL]s
GO TO R04_YG1034[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1047[TC/CL/FC]
ASK: Past 30 day "not-light" cigar smokers who buy cigars for themselves or someone else buys for
them.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 2, DISPLAY "bought".
ELSE, IF R04_YG1118[TC/CL/FC] = 1, DISPLAY "gave money to someone else to buy you".
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PATH ID:
R04_YG1040
How many [CIGARFILL]s came in the box or pack that you last bought?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigar smokers who last bought cigars by the box or pack.
PATH ID:
R04_YG1034
How much did you pay for a [box or pack of [CIGARFILL]s/single [CIGARFILL]]?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO R04_YG1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1047[TC/CL/FC]
ASK: Past 30 day "not-light" cigar smokers who last bought cigars by the box or pack or as single
cigars.
DISPLAY: DISPLAY AS QUANTITY/QUANTITY. DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents”
AS TITLES.
IF R04_YG1039[TC/CL/FC] = 1, DISPLAY "box or pack of [CIGARFILL]s".
ELSE, IF R04_YG1039[TC/CL/FC] = 2, DISPLAY "single [CIGARFILL]".
PATH ID:
R04_YG1034TC_LC1
The computer recorded that you paid $[R04_YG1034TC_D].[R04_YG1034TC_C] for a [box or pack of
traditional cigars/single traditional cigar]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1034TC
2
NEXT
GO TO R04_YG1047TC
ASK: IF ((R04_YG1034TC_D > 300 OR R04_YG1034TC_D < 10) AND R04_YG1039TC = 1) OR
((R04_YG1034TC_D > 15 OR R04_YG1034TC_D < 1) AND R04_YG1039TC = 2).
DISPLAY: IF R04_YG1039TC = 1, DISPLAY " box or pack of traditional cigars ".
ELSE, IF R04_YG1039TC = 2, DISPLAY " single traditional cigar".
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Wave 4 (version 4.0)
PATH ID:
R04_YG1034CL_LC1
The computer recorded that you paid $[R04_YG1034CL_D].[R04_YG1034CL_C] for a [box or pack of
cigarillos/single cigarillo]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1034CL
2
NEXT
GO TO R04_YG1047CL
ASK: IF ((R04_YG1034CL_D > 11 OR R04_YG1034CL_D < 1) AND R04_YG1039CL = 1) OR
((R04_YG1034CL_D > 3 OR (R04_YG1034CL_D = 0 AND R04_YG1034CL_C < 50)) AND
R04_YG1039CL = 2).
DISPLAY: IF R04_YG1039CL = 1, DISPLAY "box or pack of cigarillos".
ELSE, IF R04_YG1039CL = 2, DISPLAY "single cigarillo".
PATH ID:
R04_YG1034FC_LC1
The computer recorded that you paid $[R04_YG1034FC_D].[R04_YG1034FC_C] for a [box or pack of
filtered cigars/single filtered cigar]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1034FC
2
NEXT
GO TO R04_YG1047FC
ASK: IF ((R04_YG1034FC_D > 100 OR R04_YG1034FC_D < 1) AND R04_YG1039FC = 1) OR
((R04_YG1034FC_D > 3 OR (R04_YG1034FC_D = 0 AND R04_YG1034FC_C < 50)) AND
R04_YG1039FC = 2).
DISPLAY: IF R04_YG1039FC = 1, DISPLAY "box or pack of filtered cigars".
ELSE, IF R04_YG1039FC = 2, DISPLAY "single filtered cigar".
PATH ID:
R04_YG1047
Do you have a regular brand of [CIGARFILL]s that you usually smoke?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigar smokers.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1945
Do you know the name of the brand of [CIGARFILL]s you [usually smoke/last smoked]?
1
Yes
2
No
GO TO BOX R04_YGR11
-8
DON'T KNOW
GO TO BOX R04_YGR11
-7
REFUSED
GO TO BOX R04_YGR11
ASK: Past 30 day cigar smokers.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY “usually smoke”.
ELSE, DISPLAY “last smoked”.
UNDERLINE "name of the brand".
PATH ID:
R04_YG1048
What brand of [CIGARFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers who know the brand name.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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.]
BOX ID:
R04_YGR10
If youth respondent selects "Something else" in R04_YG1048[TC/CL/FC]_BRAND, go to
R04_YG1049[TC/CL/FC].
Else, if youth respondent selects brand from images in R04_YG1048[TC/CL/FC]_BRAND, go to
R04_YG1070[TC/CL/FC]_PRODUCT.
Else, go to Box R04_YGR11.
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PATH ID:
R04_YG1049
You said that your brand was not listed. What is it?
__________________________
GO TO BOX R04_YGR11
-8
1
DON'T KNOW
GO TO BOX R04_YGR11
-7
REFUSED
GO TO BOX R04_YGR11
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers that know the name of the brand they
smoke who selected "Something else" for their brand.
PATH ID:
R04_YG1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”. ]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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 R04_YG1048[TC/CL/FC]_BRAND]
BOX ID:
R04_YGR21
If youth respondent selects "Something else" in R04_YG1070[TC/CL/FC]_PRODUCT, go to
R04_YG1071[TC/CL/FC].
Else, go to Box R04_YGR11.
PATH ID:
R04_YG1071
You said that the type of [BRANDFILL]s that you smoke was not listed. What type is it?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers that know the name of the brand they
smoke who selected a brand image, but selected "Something else" for their subbrand image.
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BOX ID:
R04_YGR11
Youth respondents who have smoked a cigar today, yesterday or the day before yesterday who know
the name of their brand AND selected a valid brand AND valid product, go to R04_YG0104[TC/CL/FC].
Else, go to Box R04_YGD04.
PATH ID:
R04_YG0104
You said earlier that you smoked a [CIGARFILL] [TIME OF LAST USE].
Think about the very last [CIGARFILL] you smoked. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigar in the past hour, sometime today, yesterday or the
day before yesterday who know the name of their brand AND selected a valid brand AND valid product.
DISPLAY: IF R04_YG0100[TC/CL/FC] = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
ELSE, IF R04_YG0100[TC/CL/FC] = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
ELSE, IF R04_YG0100[TC/CL/FC] = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
ELSE, IF R04_YG0100[TC/CL/FC] = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH RESPONSE TO R04_YG1070[TC/CL/FC]_PRODUCT.
BOX ID:
R04_YGD04
Display question R04_YG1060[TC/CL/FC], R04_YG1085[TC/CL/FC], R04_YG1062[TC/CL/FC],
R04_YG1075[TC/CL/FC], R04_YG1063[TC/CL/FC], R04_YG1064[TC/CL/FC],
R04_YG1066[TC/CL/FC], on one screen. Show the intro/transition text from R04_YG1060[TC/CL/FC]
first, then show each item with a Yes/No response. As each item is answered, show the next one.
Randomize order of R04_YG1060[TC/CL/FC] through R04_YG1066[TC/CL/FC].
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PATH ID:
R04_YG1060
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: Past 30 day cigar smokers.
PATH ID:
R04_YG1085
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: Past 30 day cigar smokers.
PATH ID:
R04_YG1062
They might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1075
They might be less harmful to people around me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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PATH ID:
R04_YG1063
[CIGARFILL]s come in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
BOX ID:
R04_YGR15
Youth respondents who have smoked cigarettes in the past year, go to R04_YG1064[TC/CL/FC].
Else, go to R04_YG1066[TC/CL/FC].
PATH ID:
R04_YG1064
Smoking [CIGARFILL]s helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers who have also smoked cigarettes in the past year.
PATH ID:
R04_YG1066
Smoking a [CIGARFILL] feels like smoking a regular cigarette.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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PATH ID:
R04_YG1139
Please rate your level of agreement for each statement using the following scale: 1 = not true of me at
all to 4 = very true of me.
It is easier to talk and get along with other people when smoking a [CIGARFILL].
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
PATH ID:
R04_YG1140
While smoking a [CIGARFILL], I feel more confident with other people.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
PATH ID:
R04_YG1141
I smoke [CIGARFILL]s much more when I am with other people.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
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BOX ID:
R04_YGR16
If youth respondent has remaining loops to complete for non-blunt cigar types, return to R04_YGT04
and repeat section.
Else, if youth respondent has no more remaining loops to complete for cigars, go to Box R04_YPT01.
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PIPE
BOX ID:
R04_YPT01
The next 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 GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
BOX ID:
R04_YPR02
New baseline youth respondents, go to R04_YP1001_NB.
Continuing youth respondents, go to R04_YP1002_12M.
PATH ID:
R04_YP1001_NB
Have you ever seen or heard of a pipe before this study?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Yes
2
No
GO TO BOX R04_YPV01
-8
DON'T KNOW
GO TO BOX R04_YPV01
-7
REFUSED
GO TO BOX R04_YPV01
ASK: New baseline youth respondents.
PATH ID:
R04_YP1002_NB
Have you ever smoked a pipe filled with tobacco, even one or two puffs?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Yes
GO TO BOX R04_YPV01
2
No
GO TO BOX R04_YPV01
-8
DON'T KNOW
GO TO BOX R04_YPV01
-7
REFUSED
GO TO BOX R04_YPV01
ASK: New baseline youth respondents who have heard of a pipe.
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BOX ID:
R04_YPV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_PIPE_YOUTH = 1 (Ever user) Youth respondents who have ever smoked pipe
tobacco.
R04_EVER_NEVER_PIPE_YOUTH = 2 (Never user) = Youth respondents who have not ever smoked
pipe tobacco.
R04_INIT_PIPE_YOUTH = 1 (Initiator) Youth respondents who initiated pipe use between Waves or
new baseline youth respondents who have ever smoked a pipe.
BOX ID:
R04_YPR01
Youth respondents who have ever smoked a pipe, go to R04_YP1112.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1112
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
GO TO BOX R04_YPV02
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YPV02
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YPV02
6
1 to 4 years ago
GO TO BOX R04_YPV02
7
5 or more years ago
GO TO BOX R04_YPV02
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who have ever smoked a pipe.
PATH ID:
R04_YP0100
When did you last smoke a pipe filled with tobacco?
1
In the past hour
GO TO R04_YP0103
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YPV02
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who smoked a pipe earlier today or in the past 7 days.
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PATH ID:
R04_YP0102
When you last smoked a pipe filled with tobacco [FILL BASED ON R04_YP0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a pipe today, yesterday or the day before yesterday, but not
in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YP0100]:
IF R04_YP0100 = 2, DISPLAY “today”.
ELSE, IF R04_YP0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YP0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YP0103
How many bowls filled with pipe tobacco [have/did] you [smoked/smoke] [FILL BASED ON
R04_YP0100]? (If less than 1, enter 1.)
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who have smoked a pipe in the past hour, today, yesterday or the day before
yesterday.
DISPLAY: IF R04_YP0100 = 1, 2, DISPLAY “have” AND “smoked”.
ELSE, IF R04_YP0100 = 3, 4, DISPLAY “did” AND “smoke”.
FOR [FILL BASED ON R04_YP0100]:
IF R04_YP0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YP0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YP0100 = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YP0103_LC1
The computer recorded that you smoked [R04_YP0103] bowls filled with pipe tobacco
[today/yesterday/the day before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YP0103
2
NEXT
GO TO BOX R04_YPV02
ASK: IF R04_YP0103 > 10.
DISPLAY: IF R04_YP0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YP0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YP0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YPV02
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_PIPE = 1 (Past 30 day pipe smokers) Youth respondents who have smoked a pipe
in the past 30 days.
BOX ID:
R04_YPR04
Past 30 day pipe smokers, go to R04_YP1022.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1022
In the past 30 days, on how many days did you smoke a pipe?
1
I__I__I DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
DISPLAY: DISPLAY "days" AS TITLE.
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PATH ID:
R04_YP1023
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: Past 30 day pipe smokers.
PATH ID:
R04_YP1142
In the past 30 days, did anyone sell you pipe tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
PATH ID:
R04_YP1123
In the past 30 days, did anyone refuse to sell you pipe tobacco because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
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PATH ID:
R04_YP1118
In the past 30 days, how did you usually get your own pipe tobacco?
1
I gave someone else money to buy it for me
2
I bought it myself from a store
3
I asked someone to give me some
4
Someone offered it to me
5
I bought it from another person
6
I took it from a store or another person
7
I got it some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
DISPLAY: 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.”
BOX ID:
R04_YPR03
Past 30 day pipe smokers who usually buy pipe tobacco themselves or give someone else money to
buy pipe tobacco for them, go to R04_YP1030.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1030
[When you give money to someone else, how do they/How do you] usually buy your pipe tobacco?
1
In person
2
From the internet
GO TO R04_YP1034
3
By telephone
GO TO R04_YP1034
-8
DON'T KNOW
GO TO R04_YP1034
-7
REFUSED
GO TO R04_YP1034
ASK: Past 30 day pipe smokers who buy pipe tobacco for themselves or someone else buys it for them.
DISPLAY: IF R04_YP1118 = 1, DISPLAY “When you give money to someone else, how do they”;
ELSE, IF R04_YP1118 = 2, DISPLAY “How do you”.
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PATH ID:
R04_YP1033
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
8
A swap meet or flea market
9
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 pipe smokers who buy pipe tobacco themselves or someone else buys for them in
person.
DISPLAY: IF R04_YP1118=1, DISPLAY “they”;
ELSE, IF R04_YP1118=2, DISPLAY "you”
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:
R04_YP1034
Think about the last time you [bought/gave money to someone else to buy you] pipe tobacco. How
much did you pay for it?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO R04_YHT01
-7
REFUSED
GO TO R04_YHT01
ASK: Past 30 day pipe smokers who buy pipe tobacco themselves or someone else buys for them.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YP1118 = 1, DISPLAY "gave money to someone else to buy you".
ELSE, IF R04_YP1118 = 2, DISPLAY "bought".
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PATH ID:
R04_YP1034_LC1
The computer recorded that you paid $[R04_YP1034_D].[R04_YP1034_C] for a pouch of pipe tobacco.
Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YP1034
2
NEXT
GO TO BOX R04_YHT01
ASK: IF R04_YP1034_D > 50.
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HOOKAH
BOX ID:
R04_YHT01
The next questions are about smoking tobacco in a hookah, which is a type of water pipe. It is
sometimes also called a "narghile" pipe. From now on, we will use "hookah" to refer to a water pipe or
narghile pipe. There are many types of hookahs. People often smoke tobacco in hookahs in groups at
cafes or in hookah bars.
People smoke shisha or hookah tobacco in a hookah. Shisha comes in many different flavors. Some
types of shisha contain tobacco and some do not.
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
BOX ID:
R04_YHR01
New baseline youth respondents, go to R04_YH1001_NB.
Continuing youth respondents, go to R04_YH1002_12M.
PATH ID:
R04_YH1001_NB
Have you ever seen or heard of a hookah before this study?
[SHOW GENERIC IMAGE OF HOOKAH]
1
Yes
2
No
GO TO BOX R04_YHV01
-8
DON'T KNOW
GO TO BOX R04_YHV01
-7
REFUSED
GO TO BOX R04_YHV01
ASK: New baseline youth respondents.
PATH ID:
R04_YH1002_NB
Have you ever smoked tobacco in a hookah, even one or two puffs?
[SHOW GENERIC IMAGE OF HOOKAH]
1
Yes
GO TO BOX R04_YHV01
2
No
GO TO BOX R04_YHV01
-8
DON'T KNOW
GO TO BOX R04_YHV01
-7
REFUSED
GO TO BOX R04_YHV01
ASK: New baseline youth respondents who have heard of a hookah.
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BOX ID:
R04_YHV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_HOOK_YOUTH = 1 (Ever user) Youth respondents who have ever smoked
hookah.
R04_EVER_NEVER_HOOK_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
hookah.
R04_INIT_HOOK_YOUTH = 1 (Initiator) Youth respondents who initiated hookah use between Waves
or new baseline youth respondents who have ever smoked a hookah.
BOX ID:
R04_YHR02
New baseline youth who have never heard of a hookah, go to Box R04_YUT01.
Else, continuing youth who have never smoked hookah, and new baseline youth respondents who have
heard of but never smoked hookah, go to R04_YH1103.
Else, new baseline youth respondents who have ever smoked hookah, go to R04_YH1006_NB.
Else, continuing youth respondents who initiated hookah smoking since the previous wave, go to
R04_YH1108.
Else, continuing youth respondents who have ever smoked hookah and had not smoked 100 or more
times in the previous wave, go to R04_YH1005
Else, continuing youth respondents who have ever smoked hookah and had never smoked fairly
regularly in the previous wave, go to Box R04_YH1100.
Else, go to Box R04_YHV02.
PATH ID:
R04_YH1103
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: Youth respondents who have heard of hookah but have never smoked hookah.
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PATH ID:
R04_YH1206
Do you think you will smoke tobacco in a hookah in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but have never smoked hookah.
PATH ID:
R04_YH1104
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: Youth respondents who have heard of but have never smoked hookah.
PATH ID:
R04_YH1105
If one of your best friends were to offer you a hookah, would you try it?
1
Definitely yes
GO TO R04_YH9041
2
Probably yes
GO TO R04_YH9041
3
Probably not
GO TO R04_YH9041
4
Definitely not
GO TO R04_YH9041
-8
DON'T KNOW
GO TO R04_YH9041
-7
REFUSED
GO TO R04_YH9041
ASK: Youth respondents who have heard of but have never smoked hookah.
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PATH ID:
R04_YH1006_NB
How old were you when you first tried smoking tobacco in a hookah, even one or two puffs?
1
|___|___| Years old
-8
DON'T KNOW
GO TO R04_YH1120_NB
-7
REFUSED
GO TO R04_YH1120_NB
ASK: New baseline youth respondents who have ever smoked hookah.
DISPLAY: DISPLAY “Years old” AS A TITLE.
PATH ID:
R04_YH1006_NB_LC1
The computer recorded that you first tried smoking tobacco in a hookah at age [R04_YH1006_NB]. Is
that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH1006_NB
2
NEXT
GO TO R04_YH1108
ASK: IF R04_YH1006_NB <=12.
PATH ID:
R04_YH1006_NB_LC2
The computer recorded that you first tried smoking tobacco in a hookah at age [R04_YH1006_NB]. That
is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH1006_NB
2
NEXT
GO TO R04_YH1108
ASK: IF R04_YH1006_NB > R04_YOUTHAGE.
PATH ID:
R04_YH1120_NB
When you first tried smoking tobacco in a 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: New baseline youth respondents who did not know or refused to report the age when they first
smoked hookah.
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PATH ID:
R04_YH1108
Was the first shisha or hookah tobacco you smoked flavored to taste like menthol, mint, clove, spice,
fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO BOX R04_YHR13
3
I don't know
GO TO BOX R04_YHR13
-8
DON'T KNOW
GO TO BOX R04_YHR13
-7
REFUSED
GO TO BOX R04_YHR13
ASK: Continuing youth respondents who have initiated hookah smoking since the previous wave, and
new baseline youth respondents who have ever smoked hookah.
PATH ID:
R04_YH1011
What flavor was that first shisha or hookah tobacco you smoked? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who initiated smoking with flavored shisha.
DISPLAY: 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.”
BOX ID:
R04_YHR13
Aged-up and continuing youth respondents who have ever smoked hookah (and had not smoked 100 or
more times in the previous wave), and new cohort youth respondents who have ever smoked hookah,
go to R04_YH1005.
Else, go to Box R04_YHR10.
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PATH ID:
R04_YH1005
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: Aged-up and continuing youth respondents who have ever smoked hookah and had not smoked
100 or more times in the previous wave, and new cohort youth respondents who have ever smoked
hookah.
BOX ID:
R04_YHR10
Youth respondents who have ever smoked hookah and had never smoked hookah fairly regularly in the
previous wave, go to R04_YH1100.
Else, go to R04_YH1112.
PATH ID:
R04_YH1100
Have you ever smoked tobacco in a hookah fairly regularly?
1
Yes
2
No
GO TO R04_YH1112
-8
DON'T KNOW
GO TO R04_YH1112
-7
REFUSED
GO TO R04_YH1112
ASK: Youth respondents who have ever smoked hookah (and had never smoked fairly regularly in the
previous wave).
PATH ID:
R04_YH1007
How old were you when you first started smoking tobacco in a hookah fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YH1121
-7
REFUSED
GO TO R04_YH1121
ASK: Youth respondents who have ever smoked hookah fairly regularly and did not smoke fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
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PATH ID:
R04_YH1007_LC1
The computer recorded that you first started smoking tobacco in a hookah fairly regularly at age
[R04_YH1007]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH1007
2
NEXT
GO TO R04_YH1112
ASK: IF R04_YH1007< =5 OR If R04_YH1007 < R04_YH1006_NB.
PATH ID:
R04_YH1007_LC2
The computer recorded that you first started smoking tobacco in a hookah fairly regularly at age
[R04_YH1007]. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH1007
2
NEXT
GO TO R04_YH1112
ASK: IF R04_YH1007 > R04_YOUTHAGE.
PATH ID:
R04_YH1121
When you first started smoking tobacco in a hookah fairly regularly, 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: Youth respondents who did not know or refused to report the age they first started smoking
hookah fairly regularly.
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PATH ID:
R04_YH1112
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: Youth respondents who have ever smoked hookah.
BOX ID:
R04_YHV02
PROGRAM - CREATE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_HOOK = 1 (Past 30 day hookah smokers) Youth respondents who have smoked
hookah in the past 30 days.
BOX ID:
R04_YHR12
Youth respondents who have smoked hookah in the past 7 days, go to R04_YH0100.
Else, youth respondents who have smoked hookah in the past 12 months, go to R04_YH9003.
Else, youth respondents who have ever smoked hookah, go to R04_YH1090.
Else, go to R04_YH9041.
PATH ID:
R04_YH0100
When did you last smoke tobacco in a hookah?
1
In the past hour
2
Sometime today
GO TO R04_YH0103
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO R04_YH9003
-8
DON'T KNOW
GO TO R04_YH9003
-7
REFUSED
GO TO R04_YH9003
ASK: Youth respondents who have smoked hookah in the past 7 days.
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PATH ID:
R04_YH0102
When you last smoked tobacco in a hookah [FILL BASED ON R04_YH0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked hookah today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YH0100]:
IF R04_YH0100 = 2, DISPLAY “today”.
ELSE, IF R04_YH0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YH0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YH0103
How many puffs from a hookah [have/did] you [taken/take] [FILL BASED ON R04_YH0100]?
1
I__I__I
-8
DON'T KNOW
GO TO R04_YH9003
-7
REFUSED
GO TO R04_YH9003
ASK: Youth respondents who have smoked hookah in the past hour, sometime today, yesterday or the
day before yesterday.
DISPLAY: IF R04_YH0100 = 1, 2, DISPLAY “have” AND “taken”.
ELSE, IF R04_YH0100 = 3, 4, DISPLAY “did” AND “take”.
FOR [FILL BASED ON R04_YH0100]:
IF R04_YH0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YH0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YH0100 = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YH0103_LC1
The computer recorded that you took [R04_YH0103] puffs from a hookah [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH0103
2
NEXT
GO TO R04_YH9003
ASK: IF R04_YH0103 > 50 OR R04_YH0103 = 11, 22, 33, 44.
DISPLAY: IF R04_YH0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YH0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YH0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YH9003
Which of the following choices best describes your hookah smoking? Usually I smoke hookah tobacco
in a hookah…
1
Every day
2
Weekly
GO TO R04_YH9005
3
Monthly
GO TO R04_YH9004
4
Every couple of months
GO TO R04_YH1090
5
About once a year
GO TO R04_YH1090
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who have smoked hookah in the past 12 months.
PATH ID:
R04_YH9006
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___I
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah every day.
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PATH ID:
R04_YH9006_LC1
The computer recorded that, on average, you smoke tobacco in a hookah [R04_YH9006] times each
day. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH9006
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9006 > 2.
PATH ID:
R04_YH9005
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
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah weekly.
PATH ID:
R04_YH9005_LC1
The computer recorded that, on average, you smoke tobacco in a hookah [R04_YH9005] times in a
week. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH9005
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9005 > 15.
PATH ID:
R04_YH9004
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
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah monthly.
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PATH ID:
R04_YH9004_LC1
The computer recorded that, on average, you smoke tobacco in a hookah [R04_YH9004] times in a
month. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH9004
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9004 > 50.
PATH ID:
R04_YH1090
Do you own a hookah?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
PATH ID:
R04_YH9041
Does anyone [else] living in your home own a hookah?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah, and continuing youth respondents.
DISPLAY: IF R04_EVER_NEVER_HOOK_YOUTH = 1, DISPLAY " else".
ELSE, DO NOT DISPLAY THIS TEXT.
BOX ID:
R04_YHR03
Past 30 day hookah smokers, go to R04_YH9012.
Else, youth respondents who have ever smoked hookah, go to R04_YH9042.
Else, go to R04_YH9031.
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PATH ID:
R04_YH9012
Do you usually share a hookah with others when you smoke?
1
Yes
2
No
GO TO R04_YH9014
-8
DON'T KNOW
GO TO R04_YH9014
-7
REFUSED
GO TO R04_YH9014
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9013
How many people do you usually share a hookah with?
1
1 other person
2
2 other people
3
3 other people
4
4 or more other people
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who report sharing with others.
PATH ID:
R04_YH9014
On average, how long is one hookah session for you[ and the people you share it with]?
1
Less than 30 minutes
2
More than 30 minutes up to 1 hour
3
1 to 2 hours
4
More than 2 hours
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH9012=1, DISPLAY “ and the people you share it with”. ELSE, DO NOT DISPLAY
THIS TEXT.
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PATH ID:
R04_YH9015
On average, when you [smoke/share a] hookah, how many times is the hookah refilled with tobacco
during a session?
1
0 times
2
1 time
3
2 to 3 times
4
4 or more times
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH9012 = 1, DISPLAY “share a”. ELSE, DISPLAY "smoke".
PATH ID:
R04_YH9016
How often do you personally set up the hookah?
1
Every time
2
Most of the time
3
Some of the time
4
Rarely
5
Never, someone else always sets it up for me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9011
Where do you usually smoke hookah? Choose all that apply.
1
In your home
2
In someone else's home
3
In a hookah bar or hookah café
4
In a dance club or lounge
5
Somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: 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.”
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PATH ID:
R04_YH1130
In the past 30 days, was any of the shisha or hookah tobacco you smoked flavored to taste like menthol,
mint, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YH1142
3
I don't know
GO TO R04_YH1142
-8
DON'T KNOW
GO TO R04_YH1142
-7
REFUSED
GO TO R04_YH1142
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1131
Which flavors have you smoked in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored hookah smokers.
DISPLAY: 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:
R04_YH1147
On the days you smoked shisha or hookah tobacco in the past 30 days, how often did you smoke
flavored shisha or hookah tobacco?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored hookah smokers.
DISPLAY: UNDERLINE "flavored".
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PATH ID:
R04_YH1142
In the past 30 days, did anyone sell you shisha or hookah tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1123
In the past 30 days, did anyone refuse to sell you shisha or hookah tobacco because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1118
In the past 30 days, how did you usually get your own shisha or hookah tobacco?
1
I gave someone else money to buy it for me
2
I bought it myself from a store (including a hookah bar or cafe)
3
I asked someone to give me some
4
Someone offered it to me
5
I bought it from another person
6
I took it from a store or another person
7
I got it some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: 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.”
BOX ID:
R04_YHR04
Past 30 day hookah smokers who usually buy shisha or hookah tobacco themselves or usually give
someone else money to buy for them, go to R04_YH1030.
Else, go to R04_YH1047.
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PATH ID:
R04_YH1030
[When you give money to someone else, how do they/How do you] usually buy your shisha or hookah
tobacco?
1
In person (such as at a store or hookah bar)
2
From the internet
GO TO R04_YH1047
3
By telephone
GO TO R04_YH1047
-8
DON'T KNOW
GO TO R04_YH1047
-7
REFUSED
GO TO R04_YH1047
ASK: Past 30 day hookah smokers who buy shisha or hookah tobacco for themselves or someone else
buys for them.
DISPLAY: IF R04_YH1118 = 1, DISPLAY “When you give money to someone else, how do they”.
ELSE, IF R04_YH1118 = 2, DISPLAY “How do you”.
PATH ID:
R04_YH1033
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
9
A swap meet or flea market
10
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who buy shisha or hookah tobacco for themselves or someone else
buys for them in person.
DISPLAY: IF R04_YH1118 = 2, DISPLAY “you”. ELSE, IF R04_YH1118 = 1, DISPLAY “they”.
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.”
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PATH ID:
R04_YH1047
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: Past 30 day hookah smokers.
PATH ID:
R04_YH1945
Do you know the name of the brand of shisha or hookah tobacco you [usually smoke/last smoked]?
1
Yes
2
No
GO TO BOX R04_YHD01
-8
DON'T KNOW
GO TO BOX R04_YHD01
-7
REFUSED
GO TO BOX R04_YHD01
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH1047 = 1, DISPLAY “usually smoke”. IF R04_YH1047 = 2, -8, -7, DISPLAY “last
smoked”.
UNDERLINE "name of the brand".
PATH ID:
R04_YH1048
What brand of shisha or hookah tobacco [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who know the brand name.
DISPLAY: IF R04_YH1047 = 1, DISPLAY “do” AND “usually”. IF R04_YH1047 = 2, -8, -7, DISPLAY
“did” AND “last” .
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”.”
BOX ID:
R04_YHR05
If youth respondent selects brand in R04_YH1048_BRAND, go to R04_YH1070_PRODUCT.
Else, if youth respondent selects "Something else" in R04_YH1048_BRAND, go to R04_YH1049.
Else, go to Box R04_YHD01.
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PATH ID:
R04_YH1049
You said that your brand was not listed. What is it?
__________________________
GO TO R04_YH9108
-8
1
DON'T KNOW
GO TO BOX R04_YHD01
-7
REFUSED
GO TO BOX R04_YHD01
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH ID:
R04_YH1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YH1047=1, DISPLAY “do” AND “usually”. IF R04_YH1047 = 2, -8, -7, DISPLAY “did”
AND “last”.
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”.”
BOX ID:
R04_YHR06
If youth respondent selects "Something else" in R04_YH1070_PRODUCT, go to R04_YH1071.
Else, go to R04_YH9108.
PATH ID:
R04_YH1071
You said that the type of [BRANDFILL]s that you smoke was not listed. What type is it?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected a brand
image, but selected "Something else" for their subbrand image.
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PATH ID:
R04_YH9108
Does this brand of shisha contain tobacco?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who selected a brand in R04_YH1048_BRAND or entered their
brand in R04_YH1049.
BOX ID:
R04_YHR08
Youth respondents who smoked hookah today, yesterday or the day before yesterday who know the
name of their brand AND selected a valid brand in R04_YH1048_BRAND AND valid product in
R04_YH1070_PRODUCT, go to R04_YH0104.
Else, go to Box R04_YHD01.
PATH ID:
R04_YH0104
You said earlier that you last smoked hookah [TIME OF LAST USE].
Think about the very last puff you took. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who smoked hookah in the past hour, sometime today, yesterday or the day
before yesterday who know the name of their brand AND selected a valid brand in
R04_YH1048_BRAND AND valid product in R04_YH1070_PRODUCT.
DISPLAY: IF R04_YH0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
IF R04_YH0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
IF R04_YH0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
IF R04_YH0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH RESPONSE TO R04_YH1070_PRODUCT.
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BOX ID:
R04_YHD01
Display question R04_YH1060, R04_YH1085, R04_YH1062, R04_YH1075, R04_YH1063,
R04_YH1064, R04_YH1069, and R04_YH1073 on one screen. Show the intro/transition text from
R04_YH1060 first, then show each item with a Yes/No response. As each item is answered, show the
next one.
PROGRAM: Randomize order of R04_YH1060 through R04_YH1073.
PATH ID:
R04_YH1060
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: Past 30 day hookah smokers.
PATH ID:
R04_YH1085
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: Past 30 day hookah smokers.
PATH ID:
R04_YH1062
It might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
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PATH ID:
R04_YH1075
It might be less harmful to people around me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1063
Shisha or hookah tobacco comes in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
BOX ID:
R04_YHR07
Youth respondents who have smoked cigarettes in the past year, go to R04_YH1064.
Else, go to R04_YH1069.
PATH ID:
R04_YH1064
Smoking hookah helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who have also smoked cigarettes in the past year.
PATH ID:
R04_YH1069
I like socializing while smoking hookah.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
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PATH ID:
R04_YH1073
Smoking hookah is part of my cultural tradition.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9042
Have you ever used another liquid besides water in the bowl of the hookah?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
BOX ID:
R04_YHR09
New baseline youth respondents who have heard of hookah, and continuing youth respondents, go to
R04_YH9031.
Else, go to Box R04_YUT01.
PATH ID:
R04_YH9031
Have you ever smoked marijuana in a hookah? (Remember all information you give to the PATH Study
will be kept private.)
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah and continuing youth respondents.
PATH ID:
R04_YH9040
Have you ever smoked herbal or tobacco-free shisha in a hookah?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah, and continuing youth respondents.
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SNUS
BOX ID:
R04_YUT01
Smokeless tobacco is tobacco which you put in your mouth. Smokeless tobacco may be loose or it
may be packaged in small pouches that you place under your lip. Frequently you chew, suck, or spit
while using smokeless tobacco, although for some types you may not need to.
There are many different types of smokeless tobacco which go by lots of different names, so please use
these descriptions and photos to understand what they are.
[SHOW GENERIC IMAGE OF SNUS AND OTHER SMOKELESS TOBACCO]
BOX ID:
R04_YUT03
Snus is a type of smokeless tobacco. Snus usually comes in small pouches, although some snus may
be sold as loose snus. Typically, with most kinds of smokeless tobacco, you spit, but you do not need to
spit when using snus. Common brands of snus include Camel Snus, Marlboro Snus and General Snus.
Please think about snus as you answer the following questions. There will be a separate section later
about other types of smokeless tobacco products (such as dip, spit, chewing tobacco and smokeless
tobacco pouches).
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
BOX ID:
R04_YUR14
New baseline youth respondents, go to R04_YU1001_NB.
Continuing youth respondents, go to R04_YU1002_12M.
PATH ID:
R04_YU1001_NB
Have you ever seen or heard of snus, before this study?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Yes
2
No
GO TO R04_YUV03
-8
DON'T KNOW
GO TO R04_YUV03
-7
REFUSED
GO TO R04_YUV03
ASK: New baseline youth respondents.
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PATH ID:
R04_YU1002_NB
Have you ever used snus, even one or two times?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Yes
GO TO BOX R04_YUV03
2
No
GO TO BOX R04_YUV03
-8
DON'T KNOW
GO TO BOX R04_YUV03
-7
REFUSED
GO TO BOX R04_YUV03
ASK: New baseline youth respondents who have heard of snus.
BOX ID:
R04_YUV03
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_SNUS_YOUTH = 1 (Ever user) Youth respondents who have ever used snus.
R04_EVER_NEVER_SNUS_YOUTH = 2 (Never user) Youth respondents who have not ever used
snus.
R04_INIT_SNUS_YOUTH = 1 (Initiator) Youth respondents who initiated snus use between Waves or
new baseline youth respondents who have ever used snus.
BOX ID:
R04_YUR02
New baseline youth respondents who have never heard of snus, go to Box R04_YST01.
Else, continuing youth respondents who have never used snus and new baseline youth respondents
who have heard of snus but have never used it, go to R04_YU1103.
Else, new baseline youth respondents who have ever used snus, go to R04_YU1006_NB.
Else, continuing youth respondents who initiated snus use since the previous wave, go to R04_YU1108.
Else, go to Box R04_YUR16.
PATH ID:
R04_YU1103
Have you ever been curious about using snus?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
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PATH ID:
R04_YU1206
Do you think you will try snus in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1104
Do you think you will try snus soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1105
If one of your best friends were to offer you snus, would you try it?
1
Definitely yes
GO TO BOX R04_YST01
2
Probably yes
GO TO BOX R04_YST01
3
Probably not
GO TO BOX R04_YST01
4
Definitely not
GO TO BOX R04_YST01
-8
DON'T KNOW
GO TO BOX R04_YST01
-7
REFUSED
GO TO BOX R04_YST01
ASK: Youth respondents who have heard of but never used snus.
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PATH ID:
R04_YU1006_NB
How old were you when you first tried snus, even one or two times?
1
|___|___| Years old
-8
DON'T KNOW
GO TO R04_YU1120_NB
-7
REFUSED
GO TO R04_YU1120_NB
ASK: New baseline youth respondents who have ever used snus.
DISPLAY: DISPLAY “Years old” AS A TITLE.
PATH ID:
R04_YU1006_NB_LC1
The computer recorded that you first used snus at age [R04_YU1006_NB]. That is older than you are
now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1006_NB
2
NEXT
GO TO R04_YU1108
ASK: IF R04_YU1006_NB > R04_YOUTHAGE.
PATH ID:
R04_YU1006_NB_LC2
The computer recorded that you first tried snus at age [R04_YU1006_NB]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1006_NB
2
NEXT
GO TO R04_YU1108
ASK: IF R04_YU1006_NB < 8.
PATH ID:
R04_YU1120_NB
When you first tried snus, 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: New baseline youth respondents who did not know or refused to report the age they first tried
snus.
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PATH ID:
R04_YU1108
Was the first snus you used flavored to taste like menthol, mint, wintergreen, spearmint or frost, clove,
spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO BOX R04_YUR16
3
I don't know
GO TO BOX R04_YUR16
-8
DON'T KNOW
GO TO BOX R04_YUR16
-7
REFUSED
GO TO BOX R04_YUR16
ASK: Continuing youth respondents who have initiated snus use since the previous wave, and new
baseline youth respondents who have ever used snus.
PATH ID:
R04_YU1011
What flavor was that first snus you used? Choose all that apply.
1
Menthol or mint
2
Wintergreen, spearmint or frost
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
Candy or other sweets
8
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first snus was flavored.
DISPLAY: 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.”
BOX ID:
R04_YUR16
Aged-up and continuing youth respondents who have ever used snus (and had not used 100 or more
times in the previous wave) and new cohort youth respondents who have ever used snus, go to
R04_YU1005.
Else, go to Box R04_YUR06.
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PATH ID:
R04_YU1005
How many times have you used snus 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: Aged-up and continuing youth respondents who have ever used snus and had not used 100 or
more times in the previous wave, and new cohort youth respondents who have ever used snus.
BOX ID:
R04_YUR06
Youth respondents who have ever used snus and had never used snus fairly regularly in the previous
wave, go to R04_YU1100.
Else, go to R04_YU1112.
PATH ID:
R04_YU1100
Have you ever used snus fairly regularly?
1
Yes
2
No
GO TO R04_YU1112
-8
DON'T KNOW
GO TO R04_YU1112
-7
REFUSED
GO TO R04_YU1112
ASK: Youth respondents who have ever used snus (and had never used fairly regularly in the previous
wave).
PATH ID:
R04_YU1007
How old were you when you first started using snus fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YU1121
-7
REFUSED
GO TO R04_YU1121
ASK: Youth respondents who have ever used snus fairly regularly and did not use fairly regularly in the
previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
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PATH ID:
R04_YU1007_LC1
The computer recorded that you started using snus fairly regularly at age [R04_YU1007]. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1007
2
NEXT
GO TO R04_YU1112
ASK: IF R04_YU1007< =8 OR R04_YU1007 < R04_YU1006_NB.
PATH ID:
R04_YU1007_LC2
The computer recorded that you started using snus fairly regularly at age [R04_YU1007]. That is older
than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1007
2
NEXT
GO TO R04_YU1112
ASK: IF R04_YU1007 > R04_YOUTHAGE.
PATH ID:
R04_YU1121
When you first started using snus fairly regularly, 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: Youth respondents who did not know or refused to report the age when they started using snus
fairly regularly.
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PATH ID:
R04_YU1112
When did you last use snus 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
GO TO BOX R04_YUV04
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YST01
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YST01
6
1 to 4 years ago
GO TO BOX R04_YST01
7
5 or more years ago
GO TO BOX R04_YST01
-8
DON'T KNOW
GO TO BOX R04_YST01
-7
REFUSED
GO TO BOX R04_YST01
ASK: Youth respondents who have ever used snus.
PATH ID:
R04_YU0100
When did you last use snus?
1
In the past hour
GO TO R04_YU0103
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YUV04
-8
DON'T KNOW
GO TO BOX R04_YUV04
-7
REFUSED
GO TO BOX R04_YUV04
ASK: Youth respondents who have used snus in the past 7 days.
PATH ID:
R04_YU0102
When you last used snus [FILL BASED ON R04_YU0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used snus today, yesterday, or the day before yesterday, but not in
the past hour.
DISPLAY: FOR [FILL BASED ON R04_YU0100]: IF R04_YU0100 = 2, DISPLAY “today”.
ELSE, IF R04_YU0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YU0100 = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YU0103
How many times [have/did] you [used/use] snus [FILL BASED ON R04_YU0100]?
1
I___I___I___I
-8
DON'T KNOW
GO TO BOX R04_YUV04
-7
REFUSED
GO TO BOX R04_YUV04
ASK: Youth respondents who have used snus in the past hour, sometime today, yesterday or the day
before yesterday.
DISPLAY: IF R04_YU0100 = 1, 2, DISPLAY “have” AND “used”.
ELSE, IF R04_YU0100 = 3, 4, DISPLAY “did” AND “use”.
FOR [FILL BASED ON R04_YU0100]:
IF R04_YU0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YU0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YU0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YU0103_LC1
The computer recorded that you used snus [R04_YU0103] times [today/yesterday/the day before
yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU0103
2
NEXT
GO TO BOX R04_YUV04
ASK: IF R04_YU0103 > 20 OR R04_YU0103 = 11.
DISPLAY: IF R04_YU0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YU0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YU0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YUV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_SNUS = (Past 30 day snus users) Youth respondents who have used snus in the
past 30 days.
R04_PAST30DAY_SNUS_LEVEL = 1 (Past 30 day "Very Light" users) Youth respondents who have
used snus in the past 30 days, and have used snus 10 or fewer times in their lifetime.
R04_PAST30DAY_SNUS_LEVEL = 2 (Past 30 day "Not Light" users) Youth respondents who have
used snus in the past 30 days, and have used snus more than 10 times in their lifetime.
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PATH ID:
R04_YU1022
In the past 30 days, on how many days did you use snus?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
PATH ID:
R04_YU1023
In the past 30 days, on the days you used snus, how many times did you use snus per day?
1
|___|___|
-8
DON'T KNOW
GO TO R04_YU1130
-7
REFUSED
GO TO R04_YU1130
ASK: Past 30 day snus users.
PATH ID:
R04_YU1023_LC1
The computer recorded that on the days you used in the past 30 days, you used snus (R04_YU1023)
times a day, on average.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1023
2
NEXT
GO TO R04_YU1130
ASK: IF R04_YU1023 > 20.
PATH ID:
R04_YU1130
In the past 30 days, was any of the snus you used flavored to taste like menthol, mint, wintergreen,
spearmint or frost, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YU1142
3
I don't know
GO TO R04_YU1142
-8
DON'T KNOW
GO TO R04_YU1142
-7
REFUSED
GO TO R04_YU1142
ASK: Past 30 day snus users.
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PATH ID:
R04_YU1131
Which flavors have you used in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Wintergreen, spearmint or frost
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
Candy or other sweets
8
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored snus users.
DISPLAY: 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:
R04_YU1147
On the days you used snus in the past 30 days, how often did you use flavored snus?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored snus users.
DISPLAY: UNDERLINE "flavored".
PATH ID:
R04_YU1142
In the past 30 days, did anyone sell you snus?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
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PATH ID:
R04_YU1123
In the past 30 days, did anyone refuse to sell you snus because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU9041
In the past 30 days, what type of snus have you used?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Snus pouches
GO TO R04_YU1118
2
Loose snus
GO TO R04_YU1118
3
Both snus pouches and loose snus
-8
DON'T KNOW
GO TO R04_YU1118
-7
REFUSED
GO TO R04_YU1118
ASK: Past 30 day snus users.
PATH ID:
R04_YU9042
You mentioned you have used both loose snus and snus pouches. Which type of snus do you use most
often?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Snus pouches
2
Loose snus
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used both loose snus and snus pouches.
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PATH ID:
R04_YU1118
[Please think of the type of snus you use most often when answering these questions.
]In the past 30 days, how did you usually get your own snus?
1
I gave someone else money to buy it for me
2
I bought it myself from a store
3
I asked someone to give me some
4
Someone offered it to me
5
I bought it from another person
6
I took it from a store or another person
7
I got it some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
DISPLAY: IF R04_YU9041 = 3, DISPLAY "Please think of the type of snus you use most often when
answering these questions.".
ELSE, DO NOT DISPLAY THIS TEXT.
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.”
BOX ID:
R04_YUR04
Past 30 day snus users who usually buy themselves or who give someone else money to buy for them,
go to R04_YU1030.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU1030
[When you give money to someone else, how do they/How do you] usually buy your snus?
1
In person
2
From the internet
GO TO BOX R04_YUR20
3
By telephone
GO TO BOX R04_YUR20
-8
DON'T KNOW
GO TO BOX R04_YUR20
-7
REFUSED
GO TO BOX R04_YUR20
ASK: Past 30 day snus users (including "very light" users) who usually buy snus pouches for
themselves or who gives someone else money to buy for them.
DISPLAY: IF R04_YU1118 = 1, DISPLAY “When you give money to someone else, how do they”.
ELSE, DISPLAY “How do you”.
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PATH ID:
R04_YU1033
Where do [you/they] buy your snus 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
8
A swap meet or flea market
9
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users (including "very light" users) who buy snus for themselves or someone
else buys for them in person.
DISPLAY: IF R04_YU1118=1, DISPLAY “they”.
ELSE, IF R04_YU1118=2, display “you”.
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.”
BOX ID:
R04_YUR20
Past 30 day "not-light" snus users who buy snus for themselves or someone else buys for them, go to
R04_YU1034.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU1034
Think about the last time you [bought/gave money to someone else to buy you] snus. How much did you
pay for a container of snus?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YUR18
-7
REFUSED
GO TO BOX R04_YUR18
ASK: Past 30 day "not-light" snus users who buy snus for themselves or someone else buys for them.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YU1118 = 1, DISPLAY "gave money to someone else to buy you".
ELSE, IF YU1118 = 2, DISPLAY "bought".
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PATH ID:
R04_YU1034_LC1
The computer recorded that you paid $[R04_YU1034_D].[R04_YU1034_C] for a container of snus. Is
that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1034
2
NEXT
GO TO BOX R04_YUR18
ASK: IF R04_YU1034_D > 6 OR R04_YU1034_D < 1.
BOX ID:
R04_YUR18
Past 30 day "not-light" users of pouched snus who buy for themselves or someone else buys for them,
go to R04_YU9001.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU9001
How many pouches are in the container of snus that you usually buy?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" snus pouch users who buy snus pouches for themselves or someone else
buys for them.
BOX ID:
R04_YUR17
Past 30 day "not light" users, go to R04_YU1047.
Else, past 30 day users, go to R04_YU1945.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1047
Do you have a regular brand of snus that you usually use?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" snus users.
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PATH ID:
R04_YU1945
Do you know the name of the brand of snus you [usually use/last used]?
1
Yes
2
No
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users.
DISPLAY: IF R04_YU1047 = 1, DISPLAY “usually use”.
ELSE, DISPLAY “last used”.
UNDERLINE "name of the brand".
PATH ID:
R04_YU1048
What brand of snus [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who know the brand name.
DISPLAY: IF R04_YU1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YUR09
If youth respondent selects brand in R04_YU1048_BRAND, go to R04_YU1070_PRODUCT.
Else, if youth respondent selects "Something else" in R04_YU1048_BRAND, go to R04_YU1049.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1049
You said that your brand was not listed. What is it?
1
__________________________
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users that know the name of the brand they use who selected "Something else"
for their brand.
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PATH ID:
R04_YU1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users that know the name of the brand they use who selected a brand image.
DISPLAY: IF R04_YU1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YUR10
If youth respondent selects "Something else" in R04_YU1070_PRODUCT, go to R04_YU1071.
Else, youth respondents who have used snus today, yesterday, or the day before yesterday who know
the name of their brand AND selected a valid brand AND valid product, go to R04_YU0104.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1071
You said that the type of [BRANDFILL]s that you use was not listed. What type is it?
1
__________________________
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users that know the name of the brand they use who selected a brand image,
but selected "Something else" for their subbrand image.
BOX ID:
R04_YUR19
Youth respondents who used snus today, yesterday or the day before yesterday who know the name of
their brand AND selected a valid brand in R04_YU1048_BRAND AND valid product in
R04_YU1070_PRODUCT, go to R04_YU0104.
Else, go to Box R04_YUD02.
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PATH ID:
R04_YU0104
You said earlier that you last used snus [TIME OF LAST USE].
Think about the very last time you used it. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used snus in the past hour, sometime today, yesterday, or the day
before yesterday who know the name of their brand AND selected a valid brand AND valid product.
DISPLAY: IF R04_YU0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
ELSE, IF R04_YU0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
ELSE, IF R04_YU0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
ELSE, IF R04_YU0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH RESPONSE TO R04_YU1070_PRODUCT.
BOX ID:
R04_YUD02
Display question R04_YU1060, R04_YU1085, R04_YU1062, R04_YU1075, R04_YU1063,
R04_YU1064, R04_YU1065, R04_YU1067, R04_YU1076, on one screen. Show the intro/transition text
from R04_YU1060 first, then show each item with a Yes/No response. As each item is answered, show
the next one.
PROGRAM: Randomize order of R04_YU1060 through R04_YU1076.
PATH ID:
R04_YU1060
The next questions are about the reasons people use snus. Please select which reasons apply to you.
I use snus because…
It is affordable.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
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PATH ID:
R04_YU1085
I can use snus at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1062
They might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1075
They might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1063
Snus comes in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
BOX ID:
R04_YUR11
Past 30 day snus users who have also smoked cigarettes in the past year, go to R04_YU1064.
Else, go to R04_YU1065.
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PATH ID:
R04_YU1064
Using snus helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who have also smoked cigarettes in the past year.
PATH ID:
R04_YU1065
Snus doesn’t smell.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1067
Snus doesn’t bother non-tobacco users.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1076
No one can tell when I am using snus.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
BOX ID:
R04_YUR12
Past 30 day snus users who have also smoked cigarettes in the past 30 days, go to R04_YU1086.
Else, go to Box R04_YST01.
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PATH ID:
R04_YU1086
In the past 30 days, have you used snus at times when or in places where you could not smoke
cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who have also smoked cigarettes in the past 30 days.
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SMOKELESS TOBACCO
BOX ID:
R04_YST01
The next questions are about smokeless tobacco other than snus.
Smokeless tobacco is a type of tobacco which you put in your mouth and chew, suck, or spit. It may be
loose or packaged in small pouches that you can place directly in your mouth. There are many kinds of
smokeless tobacco, such as dip, spit, moist snuff, pouches and chewing tobacco. Common brands
include Skoal, Copenhagen, Grizzly, Redman, and Levi Garrett.
The questions will use the phrase “smokeless tobacco” to refer to these products. Please think about
smokeless tobacco products, not including snus, as you answer these questions.
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS]
BOX ID:
R04_YSR01
New baseline youth respondents, go to R04_YS1001_NB.
Continuing youth respondents, go to R04_YS1002_12M.
PATH ID:
R04_YS1001_NB
Have you ever seen or heard of smokeless tobacco, such as dip, spit, moist snuff, pouches or chewing
tobacco, before this study?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Yes
2
No
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: New baseline youth respondents.
PATH ID:
R04_YS1002_NB
Have you ever used smokeless tobacco, such as dip, spit, moist snuff, pouches or chewing tobacco,
even one or two times?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Yes
GO TO BOX R04_YSV03
2
No
GO TO BOX R04_YSV03
-8
DON'T KNOW
GO TO BOX R04_YSV03
-7
REFUSED
GO TO BOX R04_YSV03
ASK: New baseline youth respondents who have heard of smokeless tobacco.
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BOX ID:
R04_YSV03
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_SMKLS_YOUTH = 1 (Ever user) Youth respondents who have ever used
smokeless tobacco.
R04_EVER_NEVER_SMKLS_YOUTH = 2 (Never user) Youth respondents who have not ever used
smokeless tobacco.
R04_INIT_SMKLS_YOUTH = 1 (Initiator) Youth respondents who initiated smokeless tobacco use
between Waves or new baseline youth respondents who have ever used smokeless tobacco.
BOX ID:
R04_YSR02
New baseline youth respondents who have never heard of smokeless tobacco, go to Box R04_YDT01.
Else, continuing youth respondents who have never used smokeless tobacco and new baseline youth
respondents who have heard of smokeless tobacco but have never used it, go to R04_YS1103.
Else, new baseline youth respondents who have ever used smokeless tobacco, go to R04_YS1006_NB.
Else, continuing youth respondents who initiated smokeless tobacco use since the previous wave, go to
R04_YS1108.
Else, go to Box R04_YSR13.
PATH ID:
R04_YS1103
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: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1206
Do you think you will try smokeless tobacco in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used smokeless tobacco.
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PATH ID:
R04_YS1104
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: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1105
If one of your best friends were to offer you smokeless tobacco, would you try it?
1
Definitely yes
GO TO BOX R04_YDT01
2
Probably yes
GO TO BOX R04_YDT01
3
Probably not
GO TO BOX R04_YDT01
4
Definitely not
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1006_NB
How old were you when you first tried smokeless tobacco, even one or two times?
1
|___|___| Years old
-8
DON'T KNOW
GO TO R04_YS1120_NB
-7
REFUSED
GO TO R04_YS1120_NB
ASK: New baseline youth respondents who have ever used smokeless tobacco.
DISPLAY: DISPLAY “Years old” AS A TITLE.
PATH ID:
R04_YS1006_NB_LC1
The computer recorded that you first tried smokeless tobacco at age [R04_YS1006_NB]. That is older
than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1006_NB
2
NEXT
GO TO R04_YS1108
ASK: IF R04_YS1006_NB > R04_YOUTHAGE.
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PATH ID:
R04_YS1006_NB_LC2
The computer recorded that you first tried smokeless tobacco at age [R04_YS1006_NB]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1006_NB
2
NEXT
GO TO R04_YS1108
ASK: IF R04_YS1006_NB < 8.
PATH ID:
R04_YS1120_NB
When you first tried smokeless 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: New baseline youth respondents who did not know or refused to report the age they first tried
smokeless tobacco.
PATH ID:
R04_YS1108
Was the first smokeless tobacco product you used flavored to taste like menthol, mint, wintergreen,
spearmint or frost, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO BOX R04_YSR13
3
I don't know
GO TO BOX R04_YSR13
-8
DON'T KNOW
GO TO BOX R04_YSR13
-7
REFUSED
GO TO BOX R04_YSR13
ASK: Continuing youth respondents who have initiated use since the previous wave and new baseline
youth respondents who have ever used smokeless tobacco.
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PATH ID:
R04_YS1011
What flavor was that first smokeless tobacco product you used? Choose all that apply.
1
Menthol or mint
2
Wintergreen, spearmint or frost
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
Candy or other sweets
8
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first smokeless tobacco was flavored.
DISPLAY: 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.”
BOX ID:
R04_YSR13
Aged-up and continuing youth respondents who have ever used smokeless tobacco (and had not used
100 or more times in the previous wave) and new cohort youth respondents who have ever used
smokeless tobacco, go to R04_YS1005.
Else, go to Box R04_YSR06.
PATH ID:
R04_YS1005
How many times 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: Aged-up and continuing youth respondents who have ever used smokeless tobacco and had not
used 100 or more times in the previous wave, and new cohort youth respondents who have ever used
smokeless tobacco.
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BOX ID:
R04_YSR06
Youth respondents who have ever used smokeless tobacco and had never used smokeless tobacco
fairly regularly in the previous wave, go to R04_YS1100.
Else, go to R04_YS1112.
PATH ID:
R04_YS1100
Have you ever used smokeless tobacco fairly regularly?
1
Yes
2
No
GO TO R04_YS1112
-8
DON'T KNOW
GO TO R04_YS1112
-7
REFUSED
GO TO R04_YS1112
ASK: Youth respondents who have ever used smokeless tobacco (and had never used fairly regularly in
the previous wave).
PATH ID:
R04_YS1007
How old were you when you first started using smokeless tobacco fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YS1121
-7
REFUSED
GO TO R04_YS1121
ASK: Youth respondents who have ever used smokeless tobacco fairly regularly and did not use fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH ID:
R04_YS1007_LC1
The computer recorded that you started using smokeless tobacco fairly regularly at age [R04_YS1007].
Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1007
2
NEXT
GO TO R04_YS1112
ASK: IF R04_YS1007 < =8 OR R04_YS1007 < R04_YS1006_NB.
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PATH ID:
R04_YS1007_LC2
The computer recorded that you started using smokeless tobacco fairly regularly at age [R04_YS1007].
That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1007
2
NEXT
GO TO R04_YS1112
ASK: IF R04_YS1007 > R04_YOUTHAGE.
PATH ID:
R04_YS1121
When you first started using smokeless tobacco fairly regularly, 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: Youth respondents who did not know or refused to report the age when they started using
smokeless tobacco fairly regularly.
PATH ID:
R04_YS1112
When did you last use smokeless 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
GO TO BOX R04_YSV04
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YDT01
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YDT01
6
1 to 4 years ago
GO TO BOX R04_YDT01
7
5 or more years ago
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: Youth respondents who have ever used smokeless tobacco.
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PATH ID:
R04_YS0100
When did you last use smokeless tobacco (not including snus)?
1
In the past hour
2
Sometime today
GO TO R04_YS0103
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YSV04
-8
DON'T KNOW
GO TO BOX R04_YSV04
-7
REFUSED
GO TO BOX R04_YSV04
ASK: Youth respondents who have used smokeless tobacco in the past 7 days.
PATH ID:
R04_YS0102
When you last used smokeless tobacco (not including snus) [FILL BASED ON R04_YS0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used smokeless tobacco today, yesterday, or the day before
yesterday, but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YS0100]:
IF R04_YS0100 = 2, DISPLAY “today”.
ELSE, IF R04_YS0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YS0100 = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YS0103
How many times [have/did] you [used/use] smokeless tobacco (not including snus) [FILL BASED ON
R04_YS0100]?
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YSV04
-7
REFUSED
GO TO BOX R04_YSV04
ASK: Youth respondents who have used smokeless tobacco in the past hour, sometime today,
yesterday or the day before yesterday.
DISPLAY: IF R04_YS0100 = 1, 2, DISPLAY “have” AND “used”.
ELSE, IF R04_YS0100 = 3, 4, DISPLAY “did” AND “use”.
FOR [FILL BASED ON R04_YS0100]:
IF R04_YS0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YS0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YS0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YS0103_LC1
The computer recorded that you used smokeless tobacco [R04_YS0103] times [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS0103
2
NEXT
GO TO BOX R04_YSV04
ASK: IF R04_YS0103 > 20 OR R04_YS0103 = 11.
DISPLAY: IF R04_YS0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YS0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YS0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YSV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_SMKLS = ("Past 30 day users") Youth respondents who have used smokeless
tobacco in the past 30 days.
R04_PAST30DAY_SMKLS_LEVEL = 1 (Past 30 day "Very Light" users) Youth respondents who
have used smokeless tobacco in the past 30 days, and have used 10 times or less in their lifetime.
R04_PAST30DAY_SMKLS_LEVEL = 2 (Past 30 day "Not Light" users) Youth respondents who have
used smokeless tobacco in the past 30 days, and have used more than 10 times in their lifetime.
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PATH ID:
R04_YS1022
In the past 30 days, on how many days did you use smokeless tobacco?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
PATH ID:
R04_YS1023
In the past 30 days, on the days you used smokeless tobacco, how many times did you use smokeless
tobacco per day?
1
|___|___|
-8
DON'T KNOW
GO TO R04_YS1130
-7
REFUSED
GO TO R04_YS1130
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1023_LC1
The computer recorded that on the days you used in the past 30 days, you used smokeless tobacco
(R04_YS1023) times a day, on average.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1023
2
NEXT
GO TO R04_YS1130
ASK: IF R04_YS1023 > 10.
PATH ID:
R04_YS1130
In the past 30 days, was any of the smokeless tobacco you used flavored to taste like menthol, mint,
wintergreen, spearmint or frost, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YS1142
3
I don't know
GO TO R04_YS1142
-8
DON'T KNOW
GO TO R04_YS1142
-7
REFUSED
GO TO R04_YS1142
ASK: Past 30 day smokeless tobacco users.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1131
Which flavors have you used in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Wintergreen, spearmint or frost
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
Candy or other sweets
8
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored smokeless tobacco users.
DISPLAY: 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:
R04_YS1147
On the days you used smokeless tobacco in the past 30 days, how often did you use flavored
smokeless tobacco?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored smokeless tobacco users.
DISPLAY: UNDERLINE "flavored".
PATH ID:
R04_YS1142
In the past 30 days, did anyone sell you smokeless tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1123
In the past 30 days, did anyone refuse to sell you smokeless tobacco because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS9041
In the past 30 days, what type of smokeless tobacco have you used?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Loose smokeless tobacco (such as dip, spit or chewing tobacco)
GO TO R04_YS1118
2
Smokeless tobacco pouches (not including snus)
GO TO R04_YS1118
3
Both loose and pouched smokeless tobacco
-8
DON'T KNOW
GO TO R04_YS1118
-7
REFUSED
GO TO R04_YS1118
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS9042
You mentioned you have used both loose and pouched smokeless tobacco. Which type of smokeless
tobacco do you use most often?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO - BOTH LOOSE AND POUCHES]
1
Loose smokeless tobacco (such as dip, spit or chewing tobacco)
2
Smokeless tobacco pouches (not including snus)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used both loose and pouched smokeless tobacco.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1118
In the past 30 days, how did you usually get your own smokeless tobacco?
1
I gave someone else money to buy it for me
2
I bought it myself from a store
3
I asked someone to give me some
4
Someone offered it to me
5
I bought it from another person
6
I took it from a store or another person
7
I got it some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
DISPLAY: 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.”
BOX ID:
R04_YSR04
Past 30 day users who usually buy smokeless tobacco themselves or give someone else money to buy
for them, go to R04_YS1030.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS1030
[When you give money to someone else, how do they/How do you] usually buy your smokeless
tobacco?
1
In person
2
From the internet
GO TO BOX R04_YSR20
3
By telephone
GO TO BOX R04_YSR20
-8
DON'T KNOW
GO TO BOX R04_YSR20
-7
REFUSED
GO TO BOX R04_YSR20
ASK: Past 30 day smokeless tobacco users (including "very light" users) who buy smokeless tobacco
for themselves or someone else buys for them.
DISPLAY: IF R04_YS1118=1, DISPLAY “When you give money to someone else, how do they”.
ELSE, IF R04_YS1118=2, DISPLAY “How do you”.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1033
Where do [you/they] buy your smokeless 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
8
A swap meet or flea market
9
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users (including "very light" users) who buy smokeless tobacco
for themselves or someone else buys for them in person.
DISPLAY: IF R04_YS1118=1, DISPLAY “they”.
ELSE, IF R04_YS1118=2, DISPLAY “you”
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.”
BOX ID:
R04_YSR20
Past 30 day "not-light" smokeless tobacco users who buy smokeless tobacco for themselves or
someone else buys for them, go to R04_YS1034.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS1034
Think about the last time you [bought/gave money to someone else to buy you] smokeless tobacco.
How much did you pay for a container of smokeless tobacco?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YSR18
-7
REFUSED
GO TO BOX R04_YSR18
ASK: Past 30 day "not-light" smokeless tobacco users who buy smokeless tobacco for themselves or
someone else buys for them.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YS1118=1, DISPLAY "gave money to someone else to buy you".
ELSE, IF YS1118=2, DISPLAY "bought".
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Wave 4 (version 4.0)
PATH ID:
R04_YS1034_LC1
The computer recorded that you paid $[R04_YS1034_D].[R04_YS1034_C] for a container of smokeless
tobacco. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1034
2
NEXT
GO TO BOX R04_YSR18
ASK: IF R04_YS1034_D > 6 OR R04_YS1034_D < 1.
BOX ID:
R04_YSR18
Past 30 day "not-light" users of pouched smokeless tobacco who buy for themselves or someone else
buys for them, go to R04_YS9001.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS9001
How many pouches are in the container of smokeless tobacco that you usually buy?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" users of pouched smokeless tobacco who buy for themselves or someone
else buys for them.
BOX ID:
R04_YSR16
Past 30 day "not light" users, go to R04_YS1047.
Else, past 30 day users, go to R04_YS1945.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1047
Do you have a regular brand of smokeless tobacco that you usually use?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" smokeless tobacco users.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1945
Do you know the name of the brand of smokeless tobacco you [usually use/last used]?
1
Yes
2
No
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users.
DISPLAY: IF R04_YS1047 = 1, DISPLAY “usually use”.
ELSE, DISPLAY “last used”.
UNDERLINE "name of the brand".
PATH ID:
R04_YS1048
What brand of smokeless tobacco [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who know the brand name.
DISPLAY: IF R04_YS1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YSR09
If respondent selects brand in R04_YS1048_BRAND, go to R04_YS1070_PRODUCT.
Else, if respondent selects "Something else" in R04_YS1048_BRAND, go to R04_YS1049.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1049
You said that your brand was not listed. What is it?
1
__________________________
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected
"Something else" for their brand.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected a
brand image.
DISPLAY: IF R04_YS1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YSR10
If youth respondent selects "Something else" in R04_YS1070_PRODUCT, go to R04_YS1071.
Else, youth respondents who have used smokeless tobacco today, yesterday, or the day before
yesterday who know the name of their brand AND selected a valid brand AND valid product, go to
R04_YS0104.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1071
You said that the type of [BRANDFILL]s that you use was not listed. What type is it?
1
__________________________
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected a
brand image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YSR19
Youth respondents who used smokeless tobacco today, yesterday or the day before yesterday who
know the name of their brand AND selected a valid brand in R04_YS1048_BRAND AND valid product in
R04_YS1070_PRODUCT, go to R04_YS0104.
Else, go to Box R04_YSD02.
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Wave 4 (version 4.0)
PATH ID:
R04_YS0104
You said earlier that you used smokeless tobacco [TIME OF LAST USE].
Think about the very last time you used it. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used smokeless tobacco in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a product AND
valid sub brand.
DISPLAY: IF R04_YS0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
ELSE, IF R04_YS0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
ELSE, IF R04_YS0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
ELSE, IF R04_YS0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH RESPONSE TO R04_YS1070_PRODUCT.
BOX ID:
R04_YSD02
Display question R04_YS1060, R04_YS1085, R04_YS1062, R04_YS1075, R04_YS1063,
R04_YS1064, R04_YS1065, R04_YS1067 on one screen. Show the intro/transition text from
R04_YS1060 first, then show each item with a Yes/No response. As each item is answered, show the
next one.
PROGRAM: Randomize order of R04_YS1060 through R04_YS1067.
PATH ID:
R04_YS1060
The next questions are about the reasons people use smokeless tobacco. Please select which reasons
apply to you.
I use smokeless tobacco because…
It is affordable.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1085
I can use smokeless tobacco at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1062
It might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1075
It might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1063
Smokeless tobacco comes in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
BOX ID:
R04_YSR11
Past 30 day smokeless tobacco users who have also smoked cigarettes in the past year, go to
R04_YS1064.
Else, go to R04_YS1065.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1064
Using smokeless tobacco helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who have also smoked cigarettes in the past year.
PATH ID:
R04_YS1065
Smokeless tobacco doesn’t smell.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1067
Smokeless tobacco doesn’t bother non-tobacco users.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
BOX ID:
R04_YSR12
Past 30 day smokeless tobacco users who have also smoked cigarettes in the past 30 days, go to
R04_YS1086.
Else, go to Box R04_YDT01.
PATH ID:
R04_YS1086
In the past 30 days, have you used smokeless tobacco at times when or in places where you could not
smoke cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who have also smoked cigarettes in the past 30 days.
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PATH
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Wave 4 (version 4.0)
DISSOLVABLE TOBACCO
BOX ID:
R04_YDT01
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 IMAGE OF DISSOLVABLES]
BOX ID:
R04_YDR01
New baseline youth respondents, go to R04_YD1001_NB.
Continuing youth respondents, go to R04_YD1002_12M.
PATH ID:
R04_YD1001_NB
Have you ever seen or heard of dissolvable tobacco before this study?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Yes
2
No
GO TO BOX R04_YDV01
-8
DON'T KNOW
GO TO BOX R04_YDV01
-7
REFUSED
GO TO BOX R04_YDV01
ASK: New baseline youth respondents.
PATH ID:
R04_YD1002_NB
Have you ever used dissolvable tobacco products, such as Ariva, Stonewall, or Camel Orbs, Sticks, or
Strips, even one or two times?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Yes
2
No
GO TO BOX R04_YDV01
-8
DON'T KNOW
GO TO BOX R04_YDV01
-7
REFUSED
GO TO BOX R04_YDV01
ASK: New baseline youth respondents who have heard of dissolvable tobacco.
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Wave 4 (version 4.0)
PATH ID:
R04_YD1002_12M
In the past 12 months, have you used dissolvable tobacco products, such as Ariva, Stonewall, or Camel
Orbs, Sticks, or Strips, even one or two times?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Yes
2
No
GO TO BOX R04_YDV01
-8
DON'T KNOW
GO TO BOX R04_YDV01
-7
REFUSED
GO TO BOX R04_YDV01
ASK: Continuing youth respondents and new baseline youth respondents who have ever used
dissolvable tobacco.
PATH ID:
R04_YD1002_30D
In the past 30 days, have you used dissolvable tobacco products, such as Ariva, Stonewall, or Camel
Orbs, Sticks, or Strips, even one or two times?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used dissolvable tobacco in the past 12 months.
BOX ID:
R04_YDV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_DISSBL_YOUTH = 1 (Ever user) Youth respondents who have ever used
dissolvable tobacco.
R04_EVER_NEVER_DISSBL_YOUTH = 2 (Never user) Youth respondents who have not ever used
dissolvable tobacco.
R04_INIT_DISSBL_YOUTH = 1 (Initiator) Youth respondents who initiated dissolvable tobacco use
between Waves new baseline youth respondents who have ever used dissolvable tobacco.
R04_PAST30DAY_DISS = 1 (Past 30 day dissolvable users) Youth respondents who used
dissolvable tobacco in the past 30 days.
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BIDIS AND KRETEKS
BOX ID:
R04_YBT01
The next questions are about 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]
BOX ID:
R04_YBR01
New baseline youth respondents, go to R04_YB9101_NB.
Continuing youth respondents, go to Box R04_YBR03.
PATH ID:
R04_YB9101_NB
Which of the following tobacco products have you ever seen or heard of before this study? Choose all
that apply.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
Never seen or heard of either of these products
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
BOX ID:
R04_YBR02
New baseline youth respondents who have heard of bidis and/or kreteks, go to R04_YB9102_NB.
Else, go to Box R04_YBV01.
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Wave 4 (version 4.0)
PATH ID:
R04_YB9102_NB
Which of the following tobacco products have you ever tried, even one or two times? Choose all that
apply.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
I have never tried either of these products
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of bidis and/or kreteks.
BOX ID:
R04_YBR03
Continuing youth respondents and new baseline youth respondents who have ever smoked bidis or
kreteks, go to R04_YB9102_12M.
Else, go to Box R04_YBV01.
PATH ID:
R04_YB9102_12M
In the past 12 months, which of the following tobacco products have you tried, even one or two times?
Choose all that apply.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
I have not tried either of these products
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents and new baseline youth respondents who have ever smoked bidis
and/or kreteks
BOX ID:
R04_YBR04
Youth respondents who have smoked bidis and/or kreteks in the past 12 months, go to
R04_YB9102_30D.
Else, go to Box R04_YBV01.
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Wave 4 (version 4.0)
PATH ID:
R04_YB9102_30D
In the past 30 days, which of the following tobacco products have you tried, even one or two times?
Choose all that apply.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
I have not tried either of these products
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked bidis and/or kreteks in the past 12 months.
BOX ID:
R04_YBV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_BIDI_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a bidi.
R04_EVER_NEVER_BIDI_YOUTH = 2 (Never user) Youth respondents who have not ever smoked a
bidi.
R04_INIT_BIDI_YOUTH = 1 (Initiator) Youth respondents who initiated bidi use between Waves or new
baseline youth respondents who have ever smoked a bidi.
R04_PAST30DAY_BIDI = 1 Youth respondents who used bidis in the past 30 days.
R04_EVER_NEVER_KRETEK_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
kretek.
R04_EVER_NEVER_KRETEK_YOUTH = 2 (Never user) Youth respondents who have not ever
smoked a kretek.
R04_INIT_KRETEK_YOUTH = 1 (Initiator) Youth respondents who initiated kretek use between Waves
or new baseline youth respondents who have ever smoked a kretek.
R04_PAST30DAY_KRETEK = 1 Youth respondents who used kreteks in the past 30 days.
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PATH
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Wave 4 (version 4.0)
OTHER TOBACCO
PATH ID:
R04_YZ1002
You were just asked questions about cigarettes, electronic nicotine products, traditional cigars,
cigarillos, filtered cigars, pipes, hookahs, snus, smokeless tobacco, dissolvable tobacco, bidis and
kreteks.
Besides these products, have you ever used any other tobacco products? Please do not include
products such as a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge, or pill.
1
Yes (SPECIFY)
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: 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.”
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NEW PRODUCT - PLACEHOLDER
BOX ID:
R04_YZV01
CREATE THE FOLLOWING VARIABLE AND SET = 2: R04_NEW_PRODUCT_SECTION.
BOX ID:
R04_YZR01
If R04_NEW_PRODUCT_SECTION = 1, continue with R04_YZ1005.
Else, go to Box R04_YYV01.
PATH ID:
R04_YZ1005
How many [units of tobacco product] have you [smoked/used] in your entire life?
1
1 or more [units] but never a whole one
2
1 to 10
3
11 to 20
4
21 to 50
5
51 to 99
6
100 or more
7
I have never [smoked/used] [tobacco product]
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YYV01
ASK: All youth respondents.
PATH ID:
R04_YZ1008
When you first started [smoking/using] [tobacco product], were they flavored to taste like menthol, mint,
clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YZ9029
3
I don't know
GO TO R04_YZ9029
-8
DON'T KNOW
GO TO R04_YZ9029
-7
REFUSED
GO TO R04_YZ9029
ASK: Youth respondents who have ever used [tobacco product].
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PATH ID:
R04_YZ1011
Which flavor did you first start using? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used flavored [tobacco product].
DISPLAY: 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:
R04_YZ9029
About how long has it been since you last [smoked/used] a [tobacco product]?
1
I___I___I DAYS
2
I___I___I MONTHS
3
I___I___I YEARS
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used [tobacco product].
PATH ID:
R04_YZ1100
Have you ever [smoked/used] a [tobacco product] fairly regularly?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used a [tobacco product].
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FIRST TOBACCO PRODUCT
BOX ID:
R04_YYV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_USE_TOB = Youth respondents who have ever used any type of tobacco product(s) in
lifetime.
R04_EVER_USE_CIGSONLY = Youth respondents who have ever used only cigarettes, and no other
products, in lifetime.
R04_EVER_USE_DUAL = Youth respondents who have ever used cigarettes and at least one other
tobacco product in lifetime.
R04_EVER_USE_TOBXCIGS = Youth respondents who have ever used any tobacco products,
excluding cigarettes, in lifetime.
R04_PAST30DAY_TOB = Youth respondents who have used any tobacco product(s) in the past 30
days.
R04_PASTYEAR_TOB_USE = Youth respondents who have used any tobacco product(s) in the past
12 months.
BOX ID:
R04_YYR01
New baseline youth respondents who started using 2 or more products at the same age, go to
R04_YY0601.
Else, continuing youth respondents who had not used any tobacco products at previous wave and
initiated use of 2 or more products at the same age, go to R04_YY0601.
Else, go to the next section.
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PATH ID:
R04_YY0601
You mentioned that you started using [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST
AGE] [in the past 12 months/at age {EARLIEST AGE}]. Which type of tobacco did you try first?
1
Cigarettes
2
E-cigarettes or other electronic nicotine products
3
Traditional cigars
4
Cigarillos
5
Filtered cigars
7
Shisha or hookah tobacco
9
Snus
8
Smokeless tobacco (other than snus)
14
Other (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who used 2 or more products at the age they first started using
any tobacco and continuing youth respondents who initiated two or more products since the previous
wave (not including pipe, dissolvable tobacco, bidis, and kreteks).
DISPLAY: LIST OF ALL PRODUCTS MAY ONLY INCLUDE CIGARETTES, E-PRODUCTS,
TRADITIONAL CIGARS, CIGARILLOS, FILTERED CIGARS, HOOKAH, SNUS, SMOKELESS
TOBACCO.
IF R04_YOUTHTYPE = 1, DISPLAY "in the past 12 months"; AND [LIST OF ALL PRODUCTS
INITIATED], FOR ALL PRODUCTS FOR WHICH R04_INIT_[PRODUCT]_YOUTH = 1.
(R04_INIT_CIGS_YOUTH, R04_INIT_EPRODS_YOUTH, R04_INIT_GTRAD_YOUTH,
R04_INIT_GRILLO_YOUTH, R04_INIT_GFILTR_YOUTH, R04_INIT_HOOK_YOUTH,
R04_INIT_SNUS_YOUTH, R04_INIT_SMKLS_YOUTH)
IF R04_YOUTHTYPE = 2, 3, DISPLAY "at age {EARLIEST AGE}" AND FILL {EARLIEST AGE} WITH
THE AGE THE RESPONDENT FIRST STARTED USING TOBACCO; FOR [LIST OF ALL PRODUCTS
USED AT EARLIEST AGE], LIST ALL THE PRODUCTS FOR WHICH R04_Y*1006_NB = EARLIEST
AGE OF TOBACCO USE. (R04_YC1006_NB, R04_YV1006_NB, R04_YG1006TC_NB,
R04_YG1006CL_NB, R04_YG1006FC_NB, R04_YH1006_NB, R04_YU1006_NB, R04_YS1006_NB)
IF [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST AGE] HAS TWO PRODUCTS,
CONNECT THE PRODUCTS WITH "and".
IF [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST AGE] HAS THREE OR MORE
PRODUCTS, CONNECT THE PRODUCTS WITH COMMAS AND INCLUDE "and" BEFORE THE
FINAL PRODUCT.
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.”
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NICOTINE DEPENDENCE AND CESSATION / QUITTER
BOX ID:
R04_YNR04E
Youth respondents who have used any e-products in the past 12 months, go to Box R04_YNT03.
Else, youth respondents who have used any other tobacco product(s) in the past 12 months, go to Box
R04_YNT02.
Else, go to Box R04_YRT01.
BOX ID:
R04_YNT03
IF R04_PASTYEAR_TOB_USE = 2, DISPLAY THE FOLLOWING TEXT:
The next questions ask about your experience with electronic nicotine products.
IF R04_PASTYEAR_TOB_USE = 3, DISPLAY THE FOLLOWING TEXT:
The next questions ask about your experience with electronic nicotine products. Please think only about
electronic nicotine products as you answer these questions. We will ask you questions about other
products later.
PATH ID:
R04_YN0703E
How soon after you wake up do you want to use electronic nicotine products?
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 electronic nicotine products
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0704E
Do you ever have strong cravings to use electronic nicotine products?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0705E
Have you ever felt like you really needed to use electronic nicotine products?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0055E
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 electronic nicotine products 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: Youth respondents who have used any e-products in the past 12 months.
BOX ID:
R04_YND02E
PROGRAM: Randomize order of items R04_YN0025E - R04_YN0080E.
PATH ID:
R04_YN0025E
I frequently crave electronic nicotine products.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0045E
My electronic nicotine product 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: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0070E
Using electronic nicotine products 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: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0075E
Using electronic nicotine products 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: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0080E
I would feel alone without my electronic nicotine products.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
BOX ID:
R04_YNR03E
Youth respondents who reported that they rarely want to use e-products after waking up, go to Box
R04_YNR06.
Else, youth respondents who have used any e-products in the past 12 months, go to R04_YN0060E.
PATH ID:
R04_YN0060E
I usually want to use electronic nicotine products 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: Youth respondents who have used any e-products in the past 12 months and did not report that
they rarely want to use e-products after waking up.
BOX ID:
R04_YNR06
Youth respondents who are past 30 day “not light” users of any e-products, go to R04_YN0126E.
Else, youth respondents who have used any e-product and at least one other tobacco product in the
past 12 months, go to Box R04_YNT02.
Else, go to R04_YN0330_12M.
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PATH ID:
R04_YN0126E
Have you tried to completely stop using electronic nicotine products within the past 12 months?
1
Yes
2
No
GO TO R04_YN0127E
-8
DON'T KNOW
GO TO R04_YN0127E
-7
REFUSED
GO TO R04_YN0127E
ASK: Past 30 day "not-light" users of any e-products.
PATH ID:
R04_YN0120E
In the past 12 months, have you stopped using electronic nicotine 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: Past 30 day "not-light" users of any e-products who have tried to quit using e-products in the past
12 months.
PATH ID:
R04_YN0127E
Are you seriously thinking about quitting electronic nicotine 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: Past 30 day "not-light" users of any e-products.
BOX ID:
R04_YNR02E
Youth respondents who have used any e-product and at least one other tobacco product in the past 12
months, go to Box R04_YNT02.
Else, go to R04_YN0330_12M.
BOX ID:
R04_YNT02
You mentioned that you use [TOBACCO PRODUCT LIST]. Please think about [all of these
products/both of these products/this product] as you answer the following questions.
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PATH ID:
R04_YN0703
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0704
Do you ever have strong cravings to use tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0705
Have you ever felt like you really needed to use tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH ID:
R04_YN0055
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
BOX ID:
R04_YND04
PROGRAM: Randomize order of items R04_YN0025 - R04_YN0080.
PATH ID:
R04_YN0025
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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Wave 4 (version 4.0)
PATH ID:
R04_YN0045
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0070
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0075
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH ID:
R04_YN0080
I would feel alone without my tobacco.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
BOX ID:
R04_YNR03
Youth respondents who reported that they rarely want to use tobacco after waking up, go to Box
R04_YNR05.
Else, youth respondents who have used tobacco in the past 12 months, go to R04_YN0060.
PATH ID:
R04_YN0060
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product, and did not report that they
rarely want to use tobacco after waking up.
BOX ID:
R04_YNR05
Youth respondents who have used any tobacco products in the past 30 days, excluding cigarette only
users and e-product only users, go to R04_YN0126.
Else, youth respondents who are past 30 day “not light” users of cigarettes, go to R04_YN0127.
Else, go to R04_YN0330_12M.
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PATH ID:
R04_YN0126
Have you tried to completely stop using all tobacco products within the past 12 months?
1
Yes
2
No
GO TO R04_YN0127
-8
DON'T KNOW
GO TO R04_YN0127
-7
REFUSED
GO TO R04_YN0127
ASK: Youth respondents who have used any tobacco products in the past 30 days, excluding cigarette
only users and e-product only users.
PATH ID:
R04_YN0120
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: Youth respondents who have tried to quit using all tobacco in the past 12 months, excluding
cigarette only users and e-product only users.
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PATH ID:
R04_YN0127
Are you seriously thinking about quitting [cigarettes/all tobacco products/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: Youth respondents who have used any tobacco (excluding e-products) in the past 30 days.
DISPLAY: IF CIGARETTE SMOKER ONLY (R04_PAST30DAY_CIGS_LEVEL = 2 AND
(R04_PAST30DAY_GTRAD = 2 AND R04_PAST30DAY_GRILLO = 2 AND R04_PAST30DAY_GFILTR
= 2 AND R04_PAST30DAY_PIPE = 2 AND R04_PAST30DAY_HOOK = 2 AND
R04_PAST30DAY_SNUS = 2 AND R04_PAST30DAY_SMKLS = 2 AND R04_PAST30DAY_DISS = 2
AND R04_PAST30DAY_BIDI = 2 AND R04_PAST30DAY_KRETEK = 2)), DISPLAY “cigarettes”.
IF NON-CIGARETTE TOBACCO USER (R04_PAST30DAY_CIGS = 2 OR
R04_PAST30DAY_CIGS_LEVEL = 1) AND R04_PAST30DAY_TOB = 1, DISPLAY “ all tobacco
products”.
IF CIGARETTE AND OTHER TOBACCO PRODUCT USER (R04_PAST30DAY_CIGS_LEVEL = 2 AND
(R04_PAST30DAY_GTRAD_LEVEL = 2 OR R04_PAST30DAY_GRILLO_LEVEL = 2 OR
R04_PAST30DAY_GFILTR_LEVEL = 2 OR R04_PAST30DAY_PIPE = 1 OR
R04_PAST30DAY_HOOK = 1 OR R04_PAST30DAY_SNUS_LEVEL = 2 OR
R04_PAST30DAY_SMKLS_LEVEL = 2 OR R04_PAST30DAY_DISS = 1 OR R04_PAST30DAY_BIDI =
1 OR R04_PAST30DAY_KRETEK = 1)) DISPLAY “cigarettes and tobacco products”.
BOX ID:
R04_YNR02
Youth respondents who are past 30 day "not-light" cigarette smokers who have used any other tobacco
products (excluding e-products) in the past 30 days, go to Box R04_YNT05.
Else, youth respondents who are past 30 day “not-light” cigarette smokers and have not used any other
products, go to R04_YC1210.
Else, go to R04_YN0330_12M.
BOX ID:
R04_YNT05
The next questions ask about your experience with cigarettes. Please think only about cigarettes as you
answer these questions.
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PATH ID:
R04_YC1210
Do you want to completely stop smoking cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
BOX ID:
R04_YNR01
Past 30 day "not-light" cigarette smokers who have not tried to quit using all tobacco in the past 12
months, go to R04_YC1215.
Else, past 30 day “not-light” cigarette smokers who tried to quit using all tobacco in the past 12 months,
go to R04_YC1220.
PATH ID:
R04_YC1215
In the past 12 months, have you tried to completely stop smoking cigarettes?
1
Yes
2
No
GO TO R04_YC1230
-8
DON'T KNOW
GO TO R04_YC1230
-7
REFUSED
GO TO R04_YC1230
ASK: Past 30 day "not-light" cigarette smokers who have not tried to quit using all tobacco in the past 12
months.
PATH ID:
R04_YC1220
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__I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have tried to quit smoking in the past 12 months.
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PATH ID:
R04_YC1220_LC1
The computer recorded that you stopped smoking for one day or longer [R04_YC1220] times in the past
12 months because you were trying to quit smoking cigarettes for good. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1220
2
NEXT
GO TO R04_YC1225
ASK: IF R04_YC1220 > 100.
PATH ID:
R04_YC1225
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: Past 30 day "not-light" cigarette smokers who have tried to quit smoking in the past 12 months.
PATH ID:
R04_YC1230
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: Past 30 day "not-light" cigarette smokers.
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PATH ID:
R04_YN0330_12M
In the past 12 months, have you used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal
spray, lozenge or pill?
1
Yes
2
No
GO TO R04_YN0331_12M
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months.
PATH ID:
R04_YN0307
When did you last use a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or
pill?
1
In the past hour
GO TO R04_YN0309
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO R04_YN0331_12M
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who has used NRT in the past 12 months.
PATH ID:
R04_YN0308
When you last used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill
[FILL BASED ON R04_YN0307], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
used NRT today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307]:
IF R04_YN0307 = 2, DISPLAY "sometime today".
ELSE, IF R04_YN0307 = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0307 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
207
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0309
When you last used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill
[FILL BASED ON R04_YN0307], how many did you use?
1
I___I___I
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
used NRT in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307]:
IF R04_YN0307 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YN0307 = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0307 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0309_LC1
The computer recorded that [today/yesterday/the day before yesterday], you used a nicotine patch,
nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill [R04_YN0309] times.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YN0309
2
NEXT
GO TO R04_YN0331_12M
ASK: IF R04_YN0309 = 0 OR R04_YN0309 > 5.
DISPLAY: IF R04_YN0307 = 1, 2, DISPLAY “today”.
IF R04_YN0307 = 3, DISPLAY “yesterday”.
IF R04_YN0307 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0331_12M
In the past 12 months, have you used any of the following prescription drugs: Chantix, varenicline,
Wellbutrin, Zyban, or bupropion?
1
Yes
2
No
GO TO BOX R04_YRT01
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
208
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0327
When did you last use Chantix, varenicline, Wellbutrin, Zyban, or bupropion?
1
In the past hour
2
Sometime today
GO TO R04_YN0329
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YRT01
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug in the past 12 months.
PATH ID:
R04_YN0328
When you last used Chantix, varenicline, Wellbutrin, Zyban, or bupropion [FILL BASED ON
R04_YN0327], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327]:
IF R04_YN0327 = 2, DISPLAY "today".
ELSE, IF R04_YN0327 = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0327 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
209
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0329
When you used Chantix, varenicline, Wellbutrin, Zyban, or bupropion [FILL BASED ON R04_YN0327],
how many did you take?
1
I___I___I
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327]:
IF R04_YN0327 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YN0327 = 3, DISPLAY "yesterday"
ELSE, IF R04_YN0327 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0329_LC1
The computer recorded that [today/yesterday/the day before yesterday], you used Chantix, varenicline,
Wellbutrin, Zyban, or bupropion [R04_YN0329] times.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YN0329
2
NEXT
GO TO BOX R04_YRT01
ASK: IF R04_YN0329 = 0 OR IF R04_YN0329 > 5.
DISPLAY: IF R04_YN0327 = 1, 2, DISPLAY “today”.
IF R04_YN0327 = 3, DISPLAY “yesterday”.
IF R04_YN0327 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
210
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PACKAGING AND HEALTH WARNINGS
BOX ID:
R04_YRT01
The next questions ask about things you may have seen or read about tobacco products.
PATH ID:
R04_YR0142
In the past 12 months, how often have you thought about the chemicals contained in tobacco products?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YR0005
In the past 30 days, how often, if at all, have you noticed the health warnings on cigarette packs?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR01
If youth respondent has ever smoked cigarettes and has noticed health warnings in the past 30 days, go
to R04_YR0202.
Else, if youth respondent has never smoked cigarettes and has noticed health warnings in the past 30
days, go to R04_YR0055.
Else, go to R04_YR0110.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
211
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0202
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
cigarette packs?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0010
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: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0015
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: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
212
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0025
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: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0035
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: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0203
To what extent, if at all, do the health warnings on cigarette packs make you never want to smoke
again?
1
Not at all
GO TO R04_YR0110
2
A little
GO TO R04_YR0110
3
Somewhat
GO TO R04_YR0110
4
A lot
GO TO R04_YR0110
-8
DON'T KNOW
GO TO R04_YR0110
-7
REFUSED
GO TO R04_YR0110
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
213
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0055
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: Youth respondents who have never smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0110
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of ecigarettes, e-liquid or other electronic nicotine products?
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR16
If youth respondent has ever used e-products and has noticed health warnings in the past 30 days, go
to R04_YR0222.
Else, go to R04_YR0115.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
214
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0222
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of e-cigarettes, e-liquid or other electronic nicotine products?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0226
To what extent, if at all, do the health warnings on packages of e-cigarettes, e-liquid or other electronic
nicotine products make you think about the health risks of using them?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0115
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of traditional
cigars?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
215
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YRR17
If youth respondent has ever smoked traditional cigars and has noticed health warnings in the past 30
days, go to R04_YR0229.
Else, go to R04_YR0120.
PATH ID:
R04_YR0229
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of traditional cigars?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked traditional cigars and have noticed health warnings in
the past 30 days.
PATH ID:
R04_YR0233
To what extent, if at all, do the health warnings on packages of traditional cigars 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: Youth respondents who have ever smoked traditional cigars and have noticed health warnings in
the past 30 days.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
216
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0120
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of cigarillos?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR18
If youth respondent has ever smoked cigarillos and has noticed health warnings in the past 30 days, go
to R04_YR0236.
Else, go to R04_YR0125.
PATH ID:
R04_YR0236
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of cigarillos?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked cigarillos and have noticed health warnings in the past
30 days.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
217
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0240
To what extent, if at all, do the health warnings on packages of cigarillos 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: Youth respondents who have ever smoked cigarillos and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0125
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of filtered
cigars?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR19
If youth respondent has ever smoked filtered cigars and has noticed health warnings in the past 30
days, go to R04_YR0243.
Else, go to R04_YR0130.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
218
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0243
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of filtered cigars?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked filtered cigars and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0247
To what extent, if at all, do the health warnings on packages of filtered cigars 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: Youth respondents who have ever smoked filtered cigars and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0130
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of pipe
tobacco?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
219
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0135
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of shisha or
hookah tobacco?
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR20
If youth respondent has ever smoked hookah and has noticed health warnings in the past 30 days, go to
R04_YR0250.
Else, go to R04_YR0206.
PATH ID:
R04_YR0250
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of shisha or hookah tobacco?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah and have noticed health warnings in the past
30 days.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
220
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0254
To what extent, if at all, do the health warnings on packages of shisha or hookah tobacco 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: Youth respondents who have ever smoked hookah and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0206
In the past 30 days, how often, if at all, have you noticed the health warnings on snus containers?
[SHOW GENERIC IMAGE OF SNUS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR15
If youth respondent has ever used snus and has noticed health warnings in the past 30 days, go to
R04_YR0207.
Else, go to R04_YR0060.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
221
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0207
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on snus
containers?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used snus and have noticed health warnings in the past 30
days.
PATH ID:
R04_YR0211
To what extent, if at all, do the health warnings on snus containers make you think about the health risks
of using snus?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used snus and have noticed health warnings in the past 30
days.
PATH ID:
R04_YR0060
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of other
smokeless tobacco products like dip, spit and chew?
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS (EXCLUDING SNUS)]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
222
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YRR04
If youth respondent has ever used smokeless tobacco and noticed health warnings in the past 30 days,
go to R04_YR0205.
Else, go to Box R04_YXT30.
PATH ID:
R04_YR0205
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: Youth respondents who have ever used smokeless tobacco and have noticed health warnings in
the past 30 days.
PATH ID:
R04_YR0085
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: Youth respondents who have ever used smokeless tobacco and have noticed health warnings in
the past 30 days.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
223
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
RISK PERCEPTIONS AND ATTITUDES
BOX ID:
R04_YXT30
The next questions ask about your opinions on using tobacco, including e-cigarettes and other
electronic nicotine products.
PATH ID:
R04_YN0250
Do you believe nicotine is the main substance in tobacco that makes people want to use tobacco
products?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0667
Please tell me how much you agree or disagree with the following statement.
Some tobacco products are safer than others.
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
224
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0723
Do you think a tobacco product described as additive-free is less harmful, about the same, or more
harmful than a regular tobacco product?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "additive-free".
PATH ID:
R04_YX0724
Do you think a tobacco product described as organic is less harmful, about the same, or more harmful
than a regular tobacco product?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "organic".
PATH ID:
R04_YC9050
How harmful do you think cigarettes are to health?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
225
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1149
How harmful do you think the nicotine in cigarettes is to health?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotine".
PATH ID:
R04_YC1125
How much do you think people harm themselves when they smoke cigarettes?
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC1170
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 youth respondents.
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
226
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1180
How long do you think someone has to smoke cigarettes before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9047
In your opinion, do you think that cigarettes with lower amounts of nicotine are less harmful, about the
same, or more harmful to a person's health than regular cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9040
Do you think cigarettes flavored like menthol or mint are less harmful, no different, or more harmful than
regular cigarettes?
1
Less harmful
2
No different
3
More harmful
4
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YC9118
Do you think cigarettes flavored like menthol or mint are easier to smoke, about the same, or harder to
smoke than regular cigarettes?
1
Easier to smoke
2
About the same
3
Harder to smoke
4
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC1124
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 youth respondents.
PATH ID:
R04_YC9043
How likely are you 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 youth respondents.
DISPLAY: BOLD AND UNDERLINE "you".
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9120
Do you believe nicotine is the chemical that causes most of the cancer caused by smoking cigarettes?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1125
How much do you think people harm themselves when they use e-cigarettes or other electronic nicotine
products?
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1149
How harmful do you think the nicotine in e-cigarettes or other electronic nicotine products is to health?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotine".
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1180
How long do you think someone has to use e-cigarettes or other electronic nicotine products before it
harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1099
Do you think using e-cigarettes or other electronic nicotine products is 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: All youth respondents.
DISPLAY: UNDERLINE "e-cigarettes or other electronic nicotine products" AND "cigarettes".
PATH ID:
R04_YV1153
Do you think flavored e-cigarettes (other than menthol or mint) are easier to use, about the same, or
harder to use than tobacco-flavored or unflavored e-cigarettes?
1
Easier to use
2
About the same
3
Harder to use
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "flavored", "other than menthol or mint","tobacco-flavored" AND "unflavored".
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1148
Do you think using menthol or mint flavored e-cigarettes is less harmful, about the same, or more
harmful than using tobacco-flavored or unflavored e-cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "menthol", "mint", "tobacco-flavored" AND "unflavored".
PATH ID:
R04_YV1152
Do you think using flavored e-cigarettes (other than menthol or mint) is less harmful, about the same, or
more harmful than using tobacco-flavored or unflavored e-cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "flavored", "other than menthol or mint","tobacco-flavored" AND "unflavored".
PATH ID:
R04_YV1124
How likely is someone to become addicted to e-cigarettes or other electronic nicotine products?
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 youth respondents.
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9025
How much do you think people harm themselves when they smoke traditional cigars?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG1180
How long do you think someone has to smoke traditional cigars before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9097
Do you think smoking traditional cigars is 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: All youth respondents.
DISPLAY: UNDERLINE "traditional cigars" AND "cigarettes".
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9026
How much do you think people harm themselves when they smoke cigarillos?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9047
How much do you think people harm themselves when they smoke cigarillos 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 youth respondents.
PATH ID:
R04_YG9048
How long do you think someone has to smoke cigarillos before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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233
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9098
Do you think smoking cigarillos is 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: All youth respondents.
DISPLAY: UNDERLINE "cigarillos" AND "cigarettes".
PATH ID:
R04_YG9125
How likely is someone to become addicted to cigarillos?
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 youth respondents.
PATH ID:
R04_YG9027
How much do you think people harm themselves when they smoke filtered cigars?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9054
How much do you think people harm themselves when they smoke filtered cigars 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 youth respondents.
PATH ID:
R04_YG9055
How long do you think someone has to smoke filtered cigars before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9099
Do you think smoking filtered cigars is 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: All youth respondents.
DISPLAY: UNDERLINE "filtered cigars" AND "cigarettes".
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235
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9126
How likely is someone to become addicted to 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: All youth respondents.
PATH ID:
R04_YH1125
How much do you think people harm themselves when they smoke shisha or hookah tobacco?
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH9044
How harmful is it to be around people who are smoking shisha or hookah tobacco?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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236
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YH9110
Do you think shisha that does not contain tobacco is 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: All youth respondents.
DISPLAY: UNDERLINE "does not contain tobacco" AND "does contain tobacco".
PATH ID:
R04_YH1180
How long do you think someone has to smoke shisha or hookah tobacco before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1099
Do you think smoking hookah is 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: All youth respondents.
DISPLAY: UNDERLINE "hookah" AND "cigarettes".
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237
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YH1124
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: All youth respondents.
PATH ID:
R04_YU1125
How much do you think people harm themselves when they use snus?
[SHOW GENERIC IMAGE OF SNUS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1170
How much do you think people harm themselves when they use snus 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 youth respondents.
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238
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YU1180
How long do you think someone has to use snus before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1099
Do you think using snus is 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: All youth respondents.
DISPLAY: UNDERLINE "snus" AND "cigarettes".
PATH ID:
R04_YU1124
How likely is someone to become addicted to snus?
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 youth respondents.
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239
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YS1125
How much do you think people harm themselves when they use smokeless tobacco? (Smokeless
tobacco includes dip, spit or chew.)
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YS1170
How much do you think people harm themselves when they use smokeless tobacco 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 youth respondents.
PATH ID:
R04_YS1180
How long do you think someone has to use smokeless tobacco before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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240
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YS1099
Do you think using smokeless tobacco is 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: All youth respondents.
DISPLAY: UNDERLINE "smokeless tobacco" AND "cigarettes".
PATH ID:
R04_YS1124
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: All youth respondents.
PATH ID:
R04_YX0759
Sometimes people who are trying to quit using tobacco use nicotine replacement products such as a
nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge, or pill.
How harmful do you think the nicotine in these products is to health?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotine".
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241
PATH
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Wave 4 (version 4.0)
BOX ID:
R04_YXV01
CREATE AN ARRAY USEPROD WITH 12 ELEMENTS - ONE FOR EACH TOBACCO TYPE THAT
IDENTIFIES WHETHER THE RESPONDENT IS A PAST 30 DAY USER OF THE SPECIFIC
TOBACCO TYPE.
USEPROD(1-12): Past 30 day users of: (1) cigarettes; (2) electronic nicotine products; (3) traditional
cigars; (4) cigarillos; (5) filtered cigars; (6) pipe tobacco (7) shisha or hookah tobacco; (8) snus (9)
smokeless tobacco; (10) dissolvable tobacco; (11) bidis; (12) kreteks.
DISPLAY: If [USEPROD(1-12)] is a list and contains two products, connect the products with "and". If it
has three or more products, connect the products with commas and include "and" before the final
product in the list. Display all products bold with lowercase letters.
BOX ID:
R04_YYR02
Youth respondents who have ever smoked cigarettes and are past 30 day users of any other product,
go to R04_YX0300.
Else, youth respondents who have ever used e-products and are past 30 day users of any other
product, go to R04_YX0301.
Else, youth respondents who are past 30 day users of any product, go to R04_YX0307.
Else, go to Box R04_YXT05.
PATH ID:
R04_YX0300
How much do you agree or disagree with this statement?
I have considered switching completely from using [USEPROD(2-12)] 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: Ever cigarette smokers who are past 30 days users of at least one non-cigarette tobacco product
[USEPROD(2-12) = 1]. (This question is asked one time about the product(s) the respondent has used
in the past 30 days (USEPROD list), excluding cigarettes, and asks about switching completely from
those product(s) to cigarettes.)
DISPLAY: UNDERLINE "completely". BOLD "USEPROD(2-12)".
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242
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Wave 4 (version 4.0)
BOX ID:
R04_YXR11
Youth respondents who have ever used e-products and are past 30 day users of any other product, go
to R04_YX0301.
Else, go to Box R04_YXR10.
PATH ID:
R04_YX0301
How much do you agree or disagree with this statement?
I have considered switching completely from using [USEPROD(1, 3-12)] to using e-cigarettes or other
electronic nicotine products.
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8
DON'T KNOW
-7
REFUSED
ASK: Ever e-product users who are past 30 days users of at least one tobacco product [USEPROD(1,
3-12) = 1]. (This question is asked one time about the product(s) the respondent has used in the past
30 days, excluding e-products, and asks about switching completely from those product(s) to eproducts.)
DISPLAY: UNDERLINE "completely". BOLD "USEPROD(1, 3-12)".
BOX ID:
R04_YXR10
Youth respondents who are past 30 day users of any product, go to R04_YX0307.
Else, go to Box R04_YXT05.
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243
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0307
Have you considered switching from [USEPROD(1-12)] to any of the following products? Choose all
that apply.
1
I have not considered switching to another product
2
Cigarettes
3
E-cigarettes or other electronic nicotine products
4
Traditional cigars
5
Cigarillos
6
Filtered cigars
10
Pipes
7
Hookahs
8
Snus
9
[Other smokeless/Smokeless] tobacco such as moist snuff, dip, spit, or chewing tobacco
13
Dissolvable tobacco
11
Bidis
12
Kreteks
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day users of [USEPROD(1-12)]. (This question is repeated for each product the
respondent has used in the past 30 days. The response options are the products the respondent has
not used in the past 30 days. If the respondent has used every product in the past 30 days, resulting in
no options presented, this question is not asked.)
DISPLAY: UNDERLINE "switching". BOLD [USEPROD(1-12)].
IF R04_PAST30DAY_SNUS = 1 AND R04_PAST30DAY_SMKLS != 1, DISPLAY option 9 as "Other
smokeless tobacco such as moist snuff, dip, spit, or chewing tobacco".
ELSE, IF R04_PAST30DAY_SMKLS != 1, DISPLAY "Smokeless tobacco such as moist snuff, dip, spit,
or chewing tobacco".
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244
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
MEDIA USE
BOX ID:
R04_YXT05
The next questions ask about your TV, radio, internet and cell phone use.
PATH ID:
R04_YX0494
On an average weekday, about how much time do you spend watching television and streaming videos
that include commercials?
1
None
2
Half hour or less
3
About 1 hour
4
About 2 hours
5
About 3 hours
6
About 4 hours
7
About 5 hours
8
About 6 hours
9
7 hours or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "weekday".
PATH ID:
R04_YX0495
On an average weekend day, how much time do you spend watching television and streaming videos
that include commercials?
1
None
2
Less than 1 hour
3
1 to 2 hours
4
3 to 4 hours
5
5 to 6 hours
6
7 to 8 hours
7
9 to 10 hours
8
11 hours or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "weekend".
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245
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0060
On an average weekday, how much time do you spend listening to the radio or online radio stations that
include commercials?
1
None
2
Half hour or less
3
About 1 hour
4
About 2 hours
5
About 3 hours
6
About 4 hours
7
About 5 hours
8
About 6 hours
9
7 hours or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "weekday".
PATH ID:
R04_YX0061
On an average weekend day, how much time do you spend listening to the radio or online radio stations
that include commercials?
1
None
2
Less than 1 hour
3
1 to 2 hours
4
3 to 4 hours
5
5 to 6 hours
6
7 to 8 hours
7
9 to 10 hours
8
11 hours or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "weekend".
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246
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0062
Sometimes people use the internet to connect with other people online through social networks like
Facebook, Google Plus, YouTube, LinkedIn, Twitter, Tumblr, Instagram, Pinterest, or Snapchat. This is
often called social media.
Do you have a social media account?
1
Yes
2
No
GO TO BOX R04_YXR12
-8
DON'T KNOW
GO TO BOX R04_YXR12
-7
REFUSED
GO TO BOX R04_YXR12
ASK: All youth respondents.
PATH ID:
R04_YX0317
About how often do you visit your social media accounts?
1
More than once 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
Never
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YXR12
ASK: Youth respondents who have a social media account.
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247
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0686
In the past 12 months, have you liked or followed any of the following tobacco product, e-cigarette, or
other electronic nicotine product brands on Facebook, Twitter or other social media sites? Choose all
that apply.
0
I have not liked or followed any brands on social media sites
1
Camel
2
Marlboro
3
Newport
4
American Spirit
5
Vuse
6
Blu
7
Logic
8
MarkTen
9
NJOY
10
eGo
11
iTaste
12
Black & Mild
13
Swisher Sweets
14
Dutch Masters
15
Phillies Blunts
16
Zig Zag
17
Skoal
18
Redman
19
Grizzly
20
Copenhagen
21
Some other brand (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have a social media account (excluding those who never visit their social
media account).
DISPLAY: 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.”
BOX ID:
R04_YXR12
New baseline youth respondents, go to R04_YX0496_NB.
Else, go to Box R04_YXT02.
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PATH ID:
R04_YX0496_NB
A Quick Response code is a white square with black dots in it, sometimes called a QR code.
[INSERT GENERIC IMAGE OF QR CODE FOR PATH WEBSITE]
Have you ever used a tablet or a smartphone 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: New baseline youth respondents.
DISPLAY: UNDERLINE "QR code".
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SECONDHAND SMOKE EXPOSURE
BOX ID:
R04_YXT02
The next questions ask about the rules of using tobacco inside your home.
PATH ID:
R04_YX0671
Not including yourself, does anyone who lives with you now do any of the following? Choose all that
apply.
1
Smoke cigarettes
2
Use e-cigarettes or other electronic nicotine products
3
Use snus
4
Use other types of smokeless tobacco such as dip, spit or chew
5
Smoke traditional cigars, cigarillos, or filtered cigars
6
Smoke hookah
7
Use any other form of tobacco
8
No one who lives with me now uses any form of tobacco
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "now".
PATH ID:
R04_YX0068
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 Number of hours
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "others".
IF R04_PAST30DAY_CIGS = 1 OR R04_PAST30DAY_GTRAD= 1 OR R04_PAST30DAY_GRILLO = 1
OR R04_PAST30DAY_GFILTR= 1 OR R04_PAST30DAY_PIPE = 1 OR R04_PAST30DAY_HOOK = 1
OR R04_PAST30DAY_BIDI = 1 OR R04_PAST30DAY_KRETEK = 1, DISPLAY, ", whether or not you
were smoking yourself".
DISPLAY "Number of hours" AS A TITLE.
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PATH ID:
R04_YX0068_LC1
The computer recorded that, during the last seven days, you were in close contact with others while
they were smoking for [R04_YX0068] hours. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0068
2
NEXT
GO TO BOX R04_YXT01
ASK: IF R04_YX0068 > 120 OR R04_YX0068 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
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HEALTH
BOX ID:
R04_YXT01
The next questions ask about some basic medical information that is important for the study.
BOX ID:
R04_YMD06
Display questions R04_YX0090 through R04_YX0088 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0090 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YX0090
In general, how would you rate your...
physical health?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0091
mental health, which includes stress, depression, and problems with emotions?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0088
overall health?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YMD05
Display questions R04_YX0090_12M through R04_YX0088_12M using the expanded WVB stem-leaf
screen. The introduction text from R04_YX0090_12M is the stem. Show all leaves on the screen at
once.
PATH ID:
R04_YX0090_12M
Compared with 12 months ago, would you say...
your physical health is now...
1
Better
2
Worse
3
About the same
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0091_12M
your mental health is now...
1
Better
2
Worse
3
About the same
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0088_12M
your overall health is now...
1
Better
2
Worse
3
About the same
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0726
Overall, how would you rate the health of your teeth and gums?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0310
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
GO TO R04_YX0311
ASK: All youth respondents.
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PATH ID:
R04_YT0007
About how tall are you without shoes?
1
I___I Feet
2
I__I__I Inches
-8
DON'T KNOW
GO TO R04_YT0008
-7
REFUSED
GO TO R04_YT0008
ASK: Youth respondents who prefer to answer height in feet and inches or did not choose a system of
measurement.
DISPLAY: DISPLAY “Feet” AND “Inches” AS TITLES.
PATH ID:
R04_YT0007_LC1
The computer recorded that you are [R04_YT0007_FT] feet [and R04_YT0007_IN inches] tall. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YT0007
2
NEXT
GO TO R04_YT0008
ASK: IF R04_YT0007_FT < 5 OR (R04_YT0007_FT = 6 AND R04_YT0007_IN > 0) OR
R04_YT0007_FT > 6.
PATH ID:
R04_YX0311
About how tall are you without shoes?
1
I__I__I.I__I__I Meters
-8
DON'T KNOW
GO TO R04_YX0312
-7
REFUSED
GO TO R04_YX0312
ASK: Youth respondents who prefer to answer height in meters.
DISPLAY: DISPLAY “Meters” AS A TITLE.
PATH ID:
R04_YX0311_LC1
The computer recorded that you are [R04_YX0311] meters tall. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0311
2
NEXT
GO TO R04_YX0312
ASK: IF R04_YX0311 < 1.5 OR R04_YX0311 > 1.8.
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PATH ID:
R04_YT0008
About how much do you weigh without clothes or shoes?
1
I___I___I___I Pounds
-8
DON'T KNOW
GO TO R04_YX0241
-7
REFUSED
GO TO R04_YX0241
ASK: Youth respondents who prefer to answer weight in pounds or did not choose a system of
measurement.
DISPLAY: DISPLAY “Pounds” AS A TITLE.
PATH ID:
R04_YT0008_LC1
The computer recorded that you weigh [R04_YT0008] pounds. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YT0008
2
NEXT
GO TO R04_YX0241
ASK: IF (R04_YOUTHAGE < 15 AND (R04_YT0008 < 85 OR R04_YT0008 > 170)) OR
(R04_YOUTHAGE >= 15 AND (R04_YT0008 < 105 OR R04_YT0008 > 200)).
PATH ID:
R04_YX0312
About how much do you weigh without clothes or shoes?
1
I___I___I___I Kilograms
-8
DON'T KNOW
GO TO R04_YX0241
-7
REFUSED
GO TO R04_YX0241
ASK: Youth respondents who prefer to answer weight in kilograms.
DISPLAY: DISPLAY “Kilograms” AS A TITLE.
PATH ID:
R04_YX0312_LC1
The computer recorded that you weigh [R04_YX0312] kilograms. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0312
2
NEXT
GO TO R04_YX0241
ASK: IF (R04_YOUTHAGE < 15 AND (R04_YX0312 < 38.6 OR R04_YX0312 > 77.1)) OR
(R04_YOUTHAGE >= 15 AND (R04_YX0312 < 47.6 OR R04_YX0312 > 90.7)).
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PATH ID:
R04_YX0241
During the past 7 days, on how many days were you physically active for a total of at least 60 minutes
per day? (Add up all the time you spent in any kind of physical activity that increased your heart rate
and made you breathe hard some of the time.)
1
0 days
2
1 day
3
2 days
4
3 days
5
4 days
6
5 days
7
6 days
8
7 days
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "past 7 days"; BOLD "at least 60 minutes per day".
PATH ID:
R04_YX0242
On how many of the past 7 days did you exercise or participate in physical activity for at least 20
minutes that made you sweat and breathe hard, such as basketball, soccer, running, swimming laps,
fast bicycling, fast dancing, or similar aerobic activities?
1
0 days
2
1 day
3
2 days
4
3 days
5
4 days
6
5 days
7
6 days
8
7 days
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "at least 20 minutes that made you sweat and breathe hard".
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PATH ID:
R04_YX0243
On how many of the past 7 days did you do exercises to strengthen or tone your muscles, such as
push-ups, sit-ups, or weight lifting?
1
0 days
2
1 day
3
2 days
4
3 days
5
4 days
6
5 days
7
6 days
8
7 days
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR43
New baseline youth respondents, go to R04_YX0046_NB.
Else,continuing youth respondents, go to R04_YX0047_12M.
PATH ID:
R04_YX0046_NB
Have you ever had wheezing or whistling in the chest at any time in the past?
1
Yes
2
No
GO TO R04_YX0052
-8
DON'T KNOW
GO TO R04_YX0052
-7
REFUSED
GO TO R04_YX0052
ASK: New baseline youth respondents.
DISPLAY: UNDERLINE "ever".
PATH ID:
R04_YX0047_12M
Have you had wheezing or whistling in the chest in the past 12 months?
1
Yes
2
No
GO TO R04_YX0052
-8
DON'T KNOW
GO TO R04_YX0052
-7
REFUSED
GO TO R04_YX0052
ASK: New baseline youth respondents who had wheezing or whistling in the chest at any time in the
past and continuing youth respondents.
DISPLAY: UNDERLINE "past 12 months".
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PATH ID:
R04_YX0048
How many attacks of wheezing have you had in the past 12 months?
1
None
2
1 to 3
3
4 to 12
4
More than 12
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0049
In the past 12 months how often, on average, has your sleep been disturbed due to wheezing?
1
Never woken with wheezing
2
Less than one night per week
3
One or more nights per week
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0050
In the past 12 months, has wheezing ever been severe enough to limit your speech to only one or two
words between breaths?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0052
In the past 12 months, has your chest sounded wheezy during or after exercise?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0053
A dry cough is a cough without phlegm or mucus. In the past 12 months, have you had a dry cough at
night?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR18
Continuing youth respondents, go to R04_YT0031_12M.
Else, go to R04_YT0031_NB.
PATH ID:
R04_YT0031_NB
Have you ever been told by a doctor, nurse or other health professional that you have asthma?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
BOX ID:
R04_YXV03
PROGRAM: CREATE DERIVED VARIABLE (SEE APPENDIX)
R04_YOUTH_ASTHMA = All youth respondents who have ever had asthma.
BOX ID:
R04_YXR09
New baseline youth respondents that have asthma, go to R04_YT0038_NB.
Else, continuing youth respondents that have asthma, go to R04_YX0227.
Else, go to Box R04_YXD06.
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PATH ID:
R04_YT0038_NB
How old were you when you were first told you had asthma?
1
|___|___|___| Years old
-8
DON'T KNOW
GO TO R04_YT0260_NB
-7
REFUSED
GO TO R04_YT0260_NB
ASK: New baseline youth respondents who have asthma.
DISPLAY: DISPLAY “Years old” AS A TITLE.
PATH ID:
R04_YT0038_NB_LC1
The computer recorded that you were [R04_YT0038_NB] years old when you were first told you had
asthma. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YT0038_NB
2
NEXT
GO TO R04_YX0227
ASK: IF R04_YT0038_NB > R04_YOUTHAGE.
PATH ID:
R04_YT0260_NB
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: New baseline youth respondents who did not know or refused to report age when they were first
told they had asthma.
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PATH ID:
R04_YX0227
In the past 30 days, how much of the time did your asthma keep you from getting as much done at
work, school or at home?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "past 30 days".
PATH ID:
R04_YX0228
In the past 30 days, how often have you had shortness of breath?
1
More than once a day
2
Once a day
3
3-6 times a week
4
Once or twice a week
5
None at all
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
PATH ID:
R04_YX0229
In the past 30 days, how often did your asthma symptoms (such as wheezing, coughing, shortness of
breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?
1
4 or more nights a week
2
2 or 3 nights
3
Once a week
4
Once or twice
5
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
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PATH ID:
R04_YT0022
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 R04_YT0127
-8
DON'T KNOW
GO TO R04_YT0127
-7
REFUSED
GO TO R04_YT0127
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "past 12 months".
BOX ID:
R04_YMD01
DISPLAY INSTRUCTION:
For R04_YT0036, display as a stem and leaf question. For each leaf, display a yes/no response.
PATH ID:
R04_YT0036
In the past 12 months, which of the following medications did you regularly take for asthma?
1
Quick-relief inhaler - for example: albuterol (ProAir, Ventolin, Xopenex), ipratropium
(Atrovent), or a combination inhaler (Combivent)
2
Controller or long-acting inhaler including steroid inhaler – for example:
beclomethasone (Qvar), fluticasone (Flovent), salmeterol (Serevent), tiotropium
(Spiriva), or a combination inhaler (Advair)
3
Other controlling medication – for example: montelukast (Singulair), zafirlukast
(Accolate), theophylline, roflumilast (Daliresp)
4
Other asthma medication
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma that have taken medications regularly in the past 12 months.
PATH ID:
R04_YT0125
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 R04_YT0127
-8
DON'T KNOW
GO TO R04_YT0127
-7
REFUSED
GO TO R04_YT0127
ASK: Youth respondents who have asthma that have taken medications regularly in the past 12 months.
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PATH ID:
R04_YT0039
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: Youth respondents who had an asthma attack in the past 12 months that needed oral or injected
steroid medication.
PATH ID:
R04_YT0127
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 R04_YX0230
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who have asthma.
PATH ID:
R04_YT0282
In the past 12 months, how many times have you had to visit an emergency room or urgent care center
because of asthma?
1
|___|___|___|
-8
DON'T KNOW
GO TO BOX R04_YXR42
-7
REFUSED
GO TO BOX R04_YXR42
ASK: Youth respondents who had to go to the emergency room for asthma in the past 12 months.
PATH ID:
R04_YT0282_LC1
The computer recorded that you have visited an emergency room or urgent care center [R04_YT0282]
times in the past 12 months because of asthma. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YT0282
2
NEXT
GO TO BOX R04_YXR42
ASK: IF R04_YT0282 > 20.
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BOX ID:
R04_YXR42
Youth respondents who had to go to the emergency room for asthma once in the past 12 months, go to
R04_YX0695.
Else, youth respondents who had to go to the emergency room for asthma multiple times in the past 12
months, go to R04_YX0720.
Else, youth respondents who have asthma, go to R04_YX0230.
PATH ID:
R04_YX0695
Was that visit due to an asthma attack?
1
Yes
GO TO R04_YX0230
2
No
GO TO R04_YX0230
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who had to go to the emergency room for asthma once in the past 12 months.
PATH ID:
R04_YX0720
How many of those visits were due to an asthma attack?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who had to go to the emergency room for asthma multiple times in the past 12
months.
PATH ID:
R04_YX0720_LC1
The computer recorded that you have visited an emergency room or urgent care center [R04_YX0720]
times in the past 12 months because of an asthma attack. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0720
2
NEXT
GO TO R04_YX0230
ASK: IF R04_YX0720 > R04_YT0282.
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PATH ID:
R04_YX0230
In the past 30 days, how often have you used a rescue inhaler, nebulizer treatment, or other controlling
medication (such as albuterol)?
1
3 or more times per day
2
1 or 2 times per day
3
2 or 3 times per week
4
Once a week or less
5
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "past 30 days".
PATH ID:
R04_YX0231
How would you rate your asthma control during the past 30 days?
1
Not controlled at all
2
Poorly controlled
3
Somewhat controlled
4
Well controlled
5
Completely controlled
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
BOX ID:
R04_YXD06
DISPLAY INSTRUCTION:
For R04_YX0158, display a ‘Yes’ and ‘No’ column with options for each response category.
PATH ID:
R04_YX0158
In the past 12 months, did you take any of the following medications, even once?
1
Ibuprofen (Motrin, Advil, Naprosyn, or Aleve)
2
Acetaminophen (Tylenol)
3
Aspirin
4
Cox-2 inhibitors (Celebrex)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
BOX ID:
R04_YXR50
If youth respondent has not used any tobacco or e-product in the past 12 months, go to
R04_YN0330_12MH.
Else, go to Box R04_YXR19.
PATH ID:
R04_YN0330_12MH
In the past 12 months, have you used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal
spray, lozenge or pill?
1
Yes
2
No
GO TO R04_YN0331_12MH
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth respondents who have not used any tobacco or e-product in the past 12 months.
PATH ID:
R04_YN0307H
When did you last use a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or
pill?
1
In the past hour
2
Sometime today
GO TO R04_YN0309H
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO R04_YN0331_12MH
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth respondents who have used NRT in the past 12 months.
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PATH ID:
R04_YN0308H
When you last used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill
[FILL BASED ON R04_YN0307H], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used NRT today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307H]:
IF R04_YN0307H = 2, DISPLAY "sometime today".
ELSE, IF R04_YN0307H = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0307H = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0309H
When you last used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill
[FILL BASED ON R04_YN0307H], how many did you use?
1
I___I___I
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth who have used NRT in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307H]:
IF R04_YN0307H = 1, 2, DISPLAY “today”.
ELSE, IF R04_YN0307H = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0307H = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0309H_LC1
The computer recorded that [today/yesterday/the day before yesterday], you used a nicotine patch,
nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill [R04_YN0309H] times.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YN0309H
2
NEXT
GO TO R04_YN0331_12MH
ASK: IF R04_YN0309H = 0 OR R04_YN0309H > 5.
DISPLAY: IF R04_YN0307H = 1, 2, DISPLAY “today”.
IF R04_YN0307H = 3, DISPLAY “yesterday”.
IF R04_YN0307H = 4, DISPLAY “the day before yesterday”.
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Wave 4 (version 4.0)
PATH ID:
R04_YN0331_12MH
In the past 12 months, have you used any of the following prescription drugs: Chantix, varenicline,
Wellbutrin, Zyban, or bupropion?
1
Yes
2
No
GO TO BOX R04_YXR19
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have not used any tobacco or e-product in the past 12 months.
PATH ID:
R04_YN0327H
When did you last use Chantix, varenicline, Wellbutrin, Zyban, or bupropion?
1
In the past hour
GO TO R04_YN0329H
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YXR19
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have used a prescription drug in the past 12 months.
PATH ID:
R04_YN0328H
When you last used Chantix, varenicline, Wellbutrin, Zyban, or bupropion [FILL BASED ON
R04_YN0327H], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth who have used a prescription drug today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327H]:
IF R04_YN0327H = 2, DISPLAY "today".
ELSE, IF R04_YN0327H = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0327H = 4, DISPLAY “the day before yesterday”.
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Wave 4 (version 4.0)
PATH ID:
R04_YN0329H
When you used Chantix, varenicline, Wellbutrin, Zyban, or bupropion [FILL BASED ON R04_YN0327H],
how many did you take?
1
I___I___I
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have used a prescription drug in the past hour, today, yesterday or the
day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327H]:
IF R04_YN0327H = 1, 2, DISPLAY “today”.
ELSE, IF R04_YN0327H = 3, DISPLAY "yesterday"
ELSE, IF R04_YN0327H = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0329H_LC1
The computer recorded that [today/yesterday/the day before yesterday], you used Chantix, varenicline,
Wellbutrin, Zyban, or bupropion [R04_YN0329H] times.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
2
NEXT
GO TO R04_YN0329H
ASK: IF R04_YN0329H = 0 OR R04_YN0329H > 5.
DISPLAY: IF R04_YN0327H = 1, 2, DISPLAY “today”.
IF R04_YN0327H = 3, DISPLAY “yesterday”.
IF R04_YN0327H = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YXR19
Female youth respondents aged 15 or older, go to R04_YX0136.
Else, go to Box R04_YXT03.
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Wave 4 (version 4.0)
PATH ID:
R04_YX0136
Are you currently pregnant?
1
Yes
2
No
GO TO BOX R04_YXT03
-8
DON'T KNOW
GO TO BOX R04_YXT03
-7
REFUSED
GO TO BOX R04_YXT03
ASK: Female youth respondents aged 15 years or older.
PATH ID:
R04_YX0137
How many months or weeks pregnant are you? Please enter number of months or weeks.
1
I__I__I Months
2
I__I__I Weeks
-8
DON'T KNOW
-7
REFUSED
ASK: Female youth respondents aged 15 years or older who are currently pregnant.
PATH ID:
R04_YX0137_LC1
The computer recorded that you have been pregnant for [R04_YX0137_NN] [months/weeks]. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0137
2
NEXT
GO TO BOX R04_YXT03
ASK: IF (R04_YX0134_NN > 10 AND R04_YX0137_UN = 1) OR (R04_YX0134_NN > 42 AND
R04_YX0137_UN = 2).
DISPLAY: IF R04_YX0137_UN = 1, DISPLAY "months".
ELSE, IF R04_YX0137_UN = 2, DISPLAY "weeks".
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Wave 4 (version 4.0)
MARKETING, ADVERTISING AND PROMOTION
BOX ID:
R04_YXT03
The next questions ask about tobacco advertising that you may have seen or received.
PATH ID:
R04_YX0708
In the past 12 months, have you received discounts or coupons for any of the following products?
Choose all that apply.
1
Cigarettes
2
E-cigarettes or other electronic nicotine products (including e-liquid)
3
Cigars
4
Shisha or hookah tobacco
5
Snus
6
Other types of smokeless tobacco (such as dip, spit or chew)
7
Some other type of tobacco product
8
None of the above
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0678
In the past 30 days, have you gotten a free sample of an e-cigarette or other electronic nicotine
product (including e-liquid)?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "e-cigarette or other electronic nicotine product".
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Wave 4 (version 4.0)
PATH ID:
R04_YX0182
In the past 30 days, how often did you visit a convenience store, small market, or liquor store?
1
Not at all
2
Once in the past 30 days
3
2-3 times in the past 30 days
4
Once a week
5
2-3 times per week
6
Almost every day
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YX0203
ASK: All youth respondents.
PATH ID:
R04_YX0183
In the past 30 days, when you visited convenience stores, small markets, or liquor stores, how often did
you see ads for e-cigarettes or other electronic nicotine products?
1
Never
2
Rarely
3
Sometimes
4
Often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have visited a store or market in the past 30 days.
DISPLAY: BOLD AND UNDERLINE "e-cigarettes or other electronic nicotine products".
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Wave 4 (version 4.0)
PATH ID:
R04_YX0203
In the past 30 days, have you noticed e-cigarettes or other electronic nicotine products being
advertised in any of the following places? Choose all that apply.
1
I haven't seen any advertisements in the past 30 days
2
At gas stations, convenience stores, or other retail stores
3
On billboards
4
In newspapers or magazines
5
On radio
6
On television
7
At events such as fairs, festivals, or sporting events
8
At nightclubs, bars, or music concerts
9
On websites or social media sites
10
Somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "e-cigarettes or other electronic nicotine products".
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:
R04_YX0709
Do you have a favorite e-cigarette or electronic nicotine product advertisement?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0481
In the past 30 days, have you gotten a free sample of a tobacco product (not including e-cigarettes
or electronic nicotine products)?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "tobacco product (not including e-cigarettes or electronic nicotine
products)"
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Wave 4 (version 4.0)
BOX ID:
R04_YXR24
Youth respondents who have visited a store or market in the past 30 days, go to R04_YX0178.
Else, go to R04_YX0677.
PATH ID:
R04_YX0178
In the past 30 days, when you visited convenience stores, small markets, or liquor stores, how often did
you see ads for cigarettes or other tobacco products (not including e-cigarettes or electronic nicotine
products)?
1
Never
2
Rarely
3
Sometimes
4
Often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have visited a store or market in the past 30 days.
DISPLAY: BOLD AND UNDERLINE "cigarettes or other tobacco products".
PATH ID:
R04_YX0677
In the past 30 days, have you noticed cigarettes or other tobacco products (not including e-cigarettes
or electronic nicotine products) being advertised in any of the following places? Choose all that apply.
1
I haven't seen any advertisements in the past 30 days
2
At gas stations, convenience stores, or other retail stores
3
On billboards
4
In newspapers or magazines
5
On radio
6
On television
7
At events such as fairs, festivals, or sporting events
8
At nightclubs, bars, or music concerts
9
On websites or social media sites
10
Somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "cigarettes or other tobacco products".
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.”
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Wave 4 (version 4.0)
PATH ID:
R04_YX0710
Do you have a favorite tobacco advertisement?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0777
In the past 12 months, how often did you see an anti-tobacco advertising campaign?
1
Never
2
Rarely
3
Sometimes
4
Often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
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Wave 4 (version 4.0)
SOCIAL NORMS, PEER AND FAMILY INFLUENCES
PATH ID:
R04_YX0008
In general, do you think most people disapprove of smoking cigarettes?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "cigarettes".
PATH ID:
R04_YX0012
In general, do you think most people disapprove of using e-cigarettes or other electronic nicotine
products?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "e-cigarettes or other electronic nicotine products".
PATH ID:
R04_YX0071
Thinking about the people who are important to you, how would you describe their views on using
tobacco in general?
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "people who are important to you"; BOLD "tobacco in general".
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Wave 4 (version 4.0)
BOX ID:
R04_YXD89
Display questions R04_YC1143 through R04_YS1143 using the expanded WVB stem-leaf screen. The
introduction text from R04_YC1143 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YC1143
Thinking about the people who are important to you, how would you describe their views on the
following?
Smoking cigarettes
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "people who are important to you"; BOLD "their".
PATH ID:
R04_YV1143
Using e-cigarettes or other electronic nicotine products
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1143
Smoking traditional cigars, cigarillos, or filtered cigars
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1143
Smoking shisha or hookah tobacco
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1143
Using snus
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1143
Using other types of smokeless tobacco (such as dip, spit, or chew)
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0741
Thinking about the people who are important to you, do any of them use any of the following products?
Choose all that apply.
1
Cigarettes
2
E-cigarettes or other electronic nicotine products
3
Traditional cigars
4
Cigarillos
5
Filtered cigars
6
Pipe tobacco
7
Shisha or hookah tobacco
8
Snus
9
Other types of smokeless tobacco (such as dip, spit or chew)
10
None of the above
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "people who are important to you".
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Wave 4 (version 4.0)
PATH ID:
R04_YX0680
How many of your best friends smoke cigarettes?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0681
How many of your best friends use e-cigarettes or other electronic nicotine products?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0683
How many of your best friends smoke cigarillos?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
PATH ID:
R04_YX0693
How many of your best friends use snus?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0685
How many of your best friends use other types of smokeless tobacco (such as dip, spit, or chew)?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PASTYEAR_TOB_USE_LEVEL = 2 (Past year "not light" tobacco users) Youth respondents
who are "not light" users of any tobacco product and have used in the past year.
R04_PASTYEAR_TOB_USE_LEVEL = 1 (Past year "very light" tobacco users) Youth respondents
who have used any tobacco product in the last year, and are not "not light" users of any product.
BOX ID:
R04_YXR40
Past year "not light" tobacco users, go to R04_YX0742.
Else, past year "very light" tobacco users, go to R04_YX0743.
Else, go to R04_YX0714.
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PATH ID:
R04_YX0742
In the past 12 months, to what extent, if at all, has the disapproval of close friends and family led you to
think about quitting?
1
Not at all
GO TO R04_YX0714
2
Somewhat
GO TO R04_YX0714
3
Very much
GO TO R04_YX0714
-8
DON'T KNOW
GO TO R04_YX0714
-7
REFUSED
GO TO R04_YX0714
ASK: Past year "not light" tobacco users.
DISPLAY: UNDERLINE "close friends and family".
PATH ID:
R04_YX0743
In the past 12 months, to what extent, if at all, has the disapproval of close friends and family led you to
think about not using?
1
Not at all
2
Somewhat
3
Very much
-8
DON'T KNOW
-7
REFUSED
ASK: Past year "very light" tobacco users.
DISPLAY: UNDERLINE "close friends and family".
PATH ID:
R04_YX0714
In the past 12 months, have your parents or guardians talked with you, even once, about not using ecigarettes or other electronic nicotine products?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
PATH ID:
R04_YX0694
If your parents or guardians found you using e-cigarettes or other electronic nicotine products, 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 youth respondents.
PATH ID:
R04_YX0500
In the past 12 months, have your parents or guardians talked with you, even once, about not using any
other type of tobacco product?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0200
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 youth respondents.
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Wave 4 (version 4.0)
ACCESSIBILITY
PATH ID:
R04_YX0715
How easy do you think it is for people your age to buy e-cigarettes or other electronic nicotine products
in a store?
1
Very easy
2
Somewhat easy
3
Somewhat difficult
4
Very difficult
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0716
How likely is it that you will try to purchase an e-cigarette or other electronic nicotine products within the
next 30 days?
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 youth respondents.
PATH ID:
R04_YX0499
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 youth respondents.
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Wave 4 (version 4.0)
PATH ID:
R04_YX0501
How likely is it that you will try to purchase cigarettes within the next 30 days?
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 youth respondents.
PATH ID:
R04_YX0502
How likely is it that you will try to purchase tobacco products other than cigarettes within the next 30
days?
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 youth respondents.
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PATH
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Wave 4 (version 4.0)
PSYCHOSOCIAL
PATH ID:
R04_YX0488
The next 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.
1
NEXT
ASK: All youth respondents.
DISPLAY: UNDERLINE "significant".
BOX ID:
R04_YXD07
Display questions R04_YX0161 through R04_YX0164 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0161 is the stem. As each question is answered, show the next one.
PATH ID:
R04_YX0161
When was the last time that you had significant problems with...
feeling very trapped, lonely, sad, blue, depressed, or hopeless about the future?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "significant problems".
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PATH ID:
R04_YX0162
sleep trouble, such as bad dreams, sleeping restlessly, or falling asleep during the day?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0163
feeling very anxious, nervous, tense, scared, panicked, or like something bad was going to happen?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0164
becoming very distressed and upset when something reminded you of the past?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXD08
Display questions R04_YX0165 through R04_YX0251 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0165 is the stem. As each question is answered, show the next one.
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PATH ID:
R04_YX0165
When was the last time that you did any of the following things two or more times...
lied or conned to get things you wanted or to avoid having to do something?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "two or more times".
PATH ID:
R04_YX0166
had a hard time paying attention at school, work, or home?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0167
had a hard time listening to instructions at school, work, or home?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0168
were a bully or threatened 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: All youth respondents.
PATH ID:
R04_YX0169
started physical fights 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: All youth respondents.
PATH ID:
R04_YX0250
felt restless or the need to run around or climb on things?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0251
gave answers before the other person finished asking the question?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR34
If new baseline youth respondent, go to Box R04_YXD90.
Else, go to Box R04_YXR05.
BOX ID:
R04_YXD90
Display questions R04_YX0510_NB through R04_YX0520_NB using the expanded WVB stem-leaf
screen. The introduction text from R04_YX0510_NB is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YX0510_NB
Please answer 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: New baseline youth respondents.
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PATH ID:
R04_YX0515_NB
I like new and exciting experiences, even if I have to break the rules.
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
PATH ID:
R04_YX0520_NB
I prefer friends who are exciting and unpredictable.
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
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SUBSTANCE USE
BOX ID:
R04_YXR05
Continuing youth respondents, go to R04_YX0084_12M.
New baseline youth respondents, go to R04_YX0084_NB.
PATH ID:
R04_YX0084_NB
The next questions ask about your use of alcohol and other drugs. Remember all 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
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: New baseline youth respondents.
DISPLAY: UNDERLINE "at all".
PATH ID:
R04_YX0086_NB
About how old were you when you first drank alcohol at all, counting small tastes or sips?
1
|___|___| Years old
-8
DON'T KNOW
GO TO R04_YX0087_NB
-7
REFUSED
GO TO R04_YX0087_NB
ASK: New baseline youth respondents who have ever used alcohol.
DISPLAY: DISPLAY “Years old” AS A TITLE.
PATH ID:
R04_YX0086_NB_LC1
The computer recorded that you first drank alcohol including small tastes or sips at age
[R04_YX0086_NB]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0086_NB
2
NEXT
GO TO R04_YX0074_NB
ASK: IF R04_YX0086_NB <= 5.
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PATH ID:
R04_YX0086_NB_LC2
The computer recorded that you first drank alcohol including small tastes or sips at age
[R04_YX0086_NB]. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0086_NB
2
NEXT
GO TO R04_YX0074_NB
ASK: IF R04_YX0086_NB > R04_YOUTHAGE.
PATH ID:
R04_YX0087_NB
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: New baseline youth respondents who did not know or refused to report age they first used alcohol.
DISPLAY: UNDERLINE "at all".
PATH ID:
R04_YX0074_NB
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.
-2
1
I have never had an alcoholic drink other than small tastes or sips
I___I___I Years old
-8
DON'T KNOW
GO TO R04_YX0270_NB
-7
REFUSED
GO TO R04_YX0270_NB
ASK: New baseline youth respondents who have ever used alcohol.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD WITH BUTTON “I have never had an alcoholic
drink other than small tastes or sips” ON LEFT.
UNDERLINE "first alcoholic drink".
DISPLAY “Years old” AS A TITLE.
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PATH ID:
R04_YX0074_NB_LC1
The computer recorded that you had your first alcoholic drink, other than small tastes or sips at age
[R04_YX0074_NB]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0074_NB
2
NEXT
GO TO BOX R04_YXR26
ASK: IF R04_YX0074_NB >= 0 AND R04_YX0074_NB <= 10.
PATH ID:
R04_YX0074_NB_LC2
The computer recorded that you had your first alcoholic drink, other than small tastes or sips at age
[R04_YX0074_NB]. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0074_NB
2
NEXT
GO TO BOX R04_YXR26
ASK: IF R04_YX0074_NB > R04_YOUTHAGE.
PATH ID:
R04_YX0270_NB
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: New baseline youth respondents who did not know or refused to report age they first used alcohol.
BOX ID:
R04_YXR26
If new baseline youth respondent has ever used any form of tobacco and reported valid age of first drink
and onset of tobacco use precedes onset of alcohol use, go to R04_YX0077_NB.
Else, go to R04_YX0084_12M.
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PATH ID:
R04_YX0077_NB
When you first used alcohol when you were {AGE OF FIRST 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: New baseline youth respondents who have ever used tobacco and alcohol, where age of onset of
tobacco use precedes onset of alcohol use.
DISPLAY: FILL {AGE OF ALCOHOL USE} WITH AGE REPORTED IN R04_YX0074_NB.
IF R04_EVER_USE_CIGSONLY = 1, DISPLAY “smoke cigarettes”.
ELSE, IF R04_EVER_USE_TOBXCIGS = 1, DISPLAY “use tobacco products”.
ELSE, IF R04_EVER_USE_DUAL = 1, DISPLAY “smoke cigarettes or use other tobacco products”.
PATH ID:
R04_YX0084_12M
[The next questions ask about your use of alcohol and other drugs. Remember all information you give
to the PATH Study will be kept private.
]In the past 12 months, have you used any alcohol, including small sips or tastes?
1
Yes
2
No
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: New baseline youth respondents who have ever used alcohol and continuing youth respondents.
DISPLAY: IF R04_YOUTHTYPE = 1, DISPLAY "The next questions ask about your use of alcohol and
other drugs. Remember all information you give to the PATH Study will be kept private."
ELSE, DO NOT DISPLAY THIS TEXT.
PATH ID:
R04_YX0673
Have you used alcohol in the past 30 days?
1
Yes
2
No
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: Youth respondents who have used alcohol in the past 12 months.
DISPLAY: UNDERLINE "past 30 days".
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PATH ID:
R04_YX0075
In the past 30 days, on how many days did you have one or more alcoholic drinks?
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.
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used alcohol in the past 30 days.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
BOX ID:
R04_YXR46
Youth respondents who have used alcohol on none of the past 30 days or did not know or refused to
report on how many days they have used alcohol in the past 30 days, go to Box R04_YXR06.
Else, go to R04_YX0076.
PATH ID:
R04_YX0076
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.
1
|___|___|
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: Youth respondents who have used alcohol one day or more in the past 30 days.
PATH ID:
R04_YX0076_LC1
The computer recorded that you usually drank [R04_YX0076] alcoholic beverages on the days that you
drank during the last 30 days. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0076
2
NEXT
GO TO BOX R04_YXR06
ASK: IF R04_YX0076 > 30.
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BOX ID:
R04_YXR06
New baseline youth respondents who have never smoked a blunt, smoked marijuana from a hookah, or
used marijuana in an e-product, go to R04_YX0085_NB.
Else, new baseline youth respondents who have ever smoked a blunt, smoked marijuana from a
hookah, or used marijuana in an e-product, go to R04_YX0079_NB.
Else, continuing youth respondents who have not smoked a blunt in the past 12 months, go to
R04_YX0085_12M.
Else, continuing youth respondents who have smoked a blunt in the past 30 days, go to Box
R04_YXR28.
Else, continuing youth respondents who have smoked a blunt in the past 12 months, go to
R04_YX0675.
PATH ID:
R04_YX0085_NB
Have you ever used marijuana, hash, THC, grass, pot or weed?
1
Yes
2
No
GO TO BOX R04_YXD02
-8
DON'T KNOW
GO TO BOX R04_YXD02
-7
REFUSED
GO TO BOX R04_YXD02
ASK: New baseline youth respondents who did not previously report ever smoking a blunt, smoking
marijuana from a hookah, or using marijuana in an e-product.
PATH ID:
R04_YX0079_NB
How old were you when you first used marijuana, hash, THC, grass, pot or weed?
1
|___|___| Years old
-8
DON'T KNOW
GO TO R04_YX0271_NB
-7
REFUSED
GO TO R04_YX0271_NB
ASK: New baseline youth respondents who have ever used marijuana.
DISPLAY: DISPLAY “Years old” AS A TITLE.
PATH ID:
R04_YX0079_NB_LC1
The computer recorded that you first started using marijuana, hash, THC, grass, pot or weed at age
[R04_YX0079_NB]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0079_NB
2
NEXT
GO TO BOX R04_YXR27
ASK: IF R04_YX0079_NB <= 10.
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PATH ID:
R04_YX0079_NB_LC2
The computer recorded that you were [R04_YX0079_NB] years old when you first started using
marijuana, hash, THC, grass, pot or weed. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0079_NB
2
NEXT
GO TO BOX R04_YXR27
ASK: IF R04_YX0079_NB > R04_YOUTHAGE.
PATH ID:
R04_YX0271_NB
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: New baseline youth respondents who did not know or refused to report age they first used
marijuana.
BOX ID:
R04_YXR27
If new baseline youth respondent reported valid age of first marijuana use and has ever used any form
of tobacco, and onset of tobacco use precedes onset of marijuana use, go to R04_YX0080_NB.
Else, youth respondents who have smoked a blunt in the past 30 days, go to Box R04_YXR28.
Else, new baseline youth who have ever used marijuana, go to R04_YX0085_12M.
Else, go to Box R04_YXR41.
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PATH ID:
R04_YX0080_NB
When you first used marijuana when you were {AGE OF FIRST 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: New baseline youth respondents who have ever used tobacco and marijuana, where age of onset
of tobacco use precedes onset of marijuana use.
DISPLAY: FILL {AGE OF FIRST MARIJUANA USE} WITH AGE REPORTED IN R04_YX0079_NB.
IF R04_EVER_USE_CIGSONLY = 1, DISPLAY “smoke cigarettes”.
IF R04_EVER_USE_TOBXCIGS = 1, DISPLAY “use tobacco products”.
IF R04_EVER_USE_DUAL = 1, DISPLAY “smoke cigarettes or use other tobacco products”.
BOX ID:
R04_YXR41
Youth respondents who have smoked a blunt in the past 30 days, go to Box R04_YXR28.
Else, youth respondents who have smoked a blunt in the past 12 months, go to R03_YX0675.
Else, go to R04_YX0085_12M.
PATH ID:
R04_YX0085_12M
In the past 12 months, have you used marijuana, hash, THC, grass, pot or weed?
1
Yes
2
No
GO TO BOX R04_YXR28
-8
DON'T KNOW
GO TO BOX R04_YXR28
-7
REFUSED
GO TO BOX R04_YXR28
ASK: Continuing youth respondents who did not previously report smoking a blunt in the past 12 months
and new baseline youth respondents who ever used marijuana and did not previously report smoking a
blunt in the past 12 months.
PATH ID:
R04_YX0675
Have you used marijuana, hash, THC, grass, pot or weed in the past 30 days?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used marijuana in the past 12 months and did not report smoking
blunts in the past 30 days.
DISPLAY: UNDERLINE "past 30 days".
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BOX ID:
R04_YXR28
New baseline youth respondents, go to Box R04_YXD02.
Continuing youth respondents, go to Box R04_YXD03.
BOX ID:
R04_YXD02
DISPLAY INSTRUCTION:
For R04_YX0089_NB and R04_YX0220_NB, display a “Yes” and “No” column with options for each
response category.
PATH ID:
R04_YX0089_NB
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: New baseline youth respondents.
DISPLAY: UNDERLINE "not" AND "only".
PATH ID:
R04_YX0220_NB
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: New baseline youth respondents.
BOX ID:
R04_YXR07
PROGRAM: Items R04_YX0082_NB[_01/.../_05], R04_YX0272_NB[_01/.../_05],
R04_YX0083_NB[_01/.../_05], and R04_YX0676[_01/.../_05] are asked for each substance the
respondent uses in R04_YX0089_NB[_01/_02] and R04_YX0220_NB[_01/_02/_03]. If respondent uses
more than one substance, repeat items in a loop.
If no substances are selected in R04_YX0089_NB[_01/_02] or R04_YX0220_NB[_01/_02/_03], go to
Box R04_YXV02.
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BOX ID:
R04_YXD05
PROGRAM: CREATE [SUBSTANCEFILL] If R04_YX0089_NB_01 = 1, display "Ritalin® or Adderall®”.
If R04_YX0089_NB_02 = 1, display “painkillers, sedatives, or tranquilizers”.
If R04_YX0220_NB_01 = 1, display “cocaine or crack”.
If R04_YX0220_NB_02 = 1, display “stimulants like methamphetamine or speed”.
If R04_YX0220_NB_03 = 1, display “other drugs like heroin, inhalants, solvents, or hallucinogens”.
PATH ID:
R04_YX0082_NB
How old were you when you first used [SUBSTANCEFILL]?
1
|___|___| Years old
-8
DON'T KNOW
GO TO R04_YX0272_NB[_01/…/_05]
-7
REFUSED
GO TO R04_YX0272_NB[_01/…/_05]
ASK: New baseline youth respondents that have ever used a substance.
DISPLAY: FOR R04_YX0082_NB_01: If R04_YX0089_NB_01 = 1, display “Ritalin® or Adderall®”.
FOR R04_YX0082_NB_02: If R04_YX0089_NB_02 = 1, display “painkillers, sedatives, or tranquilizers”.
FOR R04_YX0082_NB_03: If R04_YX0220_NB_01 = 1, display “cocaine or crack”
FOR R04_YX0082_NB_04: If R04_YX0220_NB_02 = 1, display “stimulants like methamphetamine or
speed”
FOR R04_YX0082_NB_05: If R04_YX0220_NB_03 = 1, display “other drugs like heroin, inhalants,
solvents, or hallucinogens”
PATH ID:
R04_YX0082_NB_01_LC1
The computer recorded that you first started using Ritalin® or Adderall® at age [R04_YX0082_NB_01].
Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_01
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_01 <= 10.
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PATH ID:
R04_YX0082_NB_01_LC2
The computer recorded that you were [R04_YX0082_NB_01] years old when you first started using
Ritalin® or Adderall®. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_01
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_01 > R04_YOUTHAGE.
PATH ID:
R04_YX0082_NB_02_LC1
The computer recorded that you first started using painkillers, sedatives, or tranquilizers at age
[R04_YX0082_NB_02]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_02
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_02 <= 10.
PATH ID:
R04_YX0082_NB_02_LC2
The computer recorded that you were [R04_YX0082_NB_02] years old when you first started using
painkillers, sedatives, or tranquilizers. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_02
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_02 > R04_YOUTHAGE.
PATH ID:
R04_YX0082_NB_03_LC1
The computer recorded that you first started using cocaine or crack at age [R04_YX0082_NB_03]. Is
that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_03
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_03 <= 10.
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PATH ID:
R04_YX0082_NB_03_LC2
The computer recorded that you were [R04_YX0082_NB_03] years old when you first started using
cocaine or crack. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_03
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_03 > R04_YOUTHAGE.
PATH ID:
R04_YX0082_NB_04_LC1
The computer recorded that you first started using stimulants like methamphetamine, or speed at age
[R04_YX0082_NB_04]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_04
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_04 <= 10.
PATH ID:
R04_YX0082_NB_04_LC2
The computer recorded that you were [R04_YX0082_NB_04] years old when you first started using
stimulants like methamphetamine or speed. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_04
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_04 > R04_YOUTHAGE.
PATH ID:
R04_YX0082_NB_05_LC1
The computer recorded that you first started using any other drugs like heroin, inhalants, solvents, or
hallucinogens at age [R04_YX0082_NB_05]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_05
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_05 <= 10.
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PATH ID:
R04_YX0082_NB_05_LC2
The computer recorded that you were [R04_YX0082_NB_05] years old when you first started using
other drugs like heroin, inhalants, solvents, or hallucinogens. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0082_NB_05
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_05 > R04_YOUTHAGE.
PATH ID:
R04_YX0272_NB
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: New baseline youth respondents who did not know or refused to report age they first used
substance.
BOX ID:
R04_YXR30
If new baseline youth respondent reported valid age of first use and has ever used any form of tobacco,
and onset of tobacco use precedes onset of substance use, go to R04_YX0083_NB.
Else, go to Box R04_YXR47.
PATH ID:
R04_YX0083_NB
When you first used [SUBSTANCEFILL] when you were {AGE OF FIRST 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: New baseline youth respondents who have ever used tobacco and substances, where age of
onset of tobacco use precedes onset of substance use.
DISPLAY: FILL {AGE OF FIRST SUBSTANCE USE} WITH AGE REPORTED IN R04_YX0082_NB.
IF R04_EVER_USE_CIGSONLY = 1, DISPLAY “smoke cigarettes”.
IF R04_EVER_USE_TOBXCIGS = 1, DISPLAY “use tobacco products”.
IF R04_EVER_USE_DUAL= 1, DISPLAY “smoke cigarettes or use other tobacco products”.
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BOX ID:
R04_YXR47
New baseline youth respondents who have remaining substance loops to complete, go back to
R04_YX0082_NB and repeat for remaining substances.
Else, if new baseline youth respondent has no remaining substance loops to complete, go to Box
R04_YXD03.
BOX ID:
R04_YXD03
DISPLAY INSTRUCTIONS
For R04_YX0089_12M and R04_YX0220_12M, display a “Yes” and “No” column with options for each
response category.
BOX ID:
R04_YXR48
New baseline youth respondents who have ever used Ritalin® or Adderall®, or painkillers, sedatives, or
tranquilizers and continuing youth respondents, go to R04_YX0089_12M.
Else, new baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs,
go to R04_YX0220_12M.
PATH ID:
R04_YX0089_12M
In the past 12 months, have you 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: New baseline youth respondents who have ever used Ritalin® or Adderall®, or painkillers,
sedatives, or tranquilizers and continuing youth respondents.
DISPLAY: UNDERLINE "not" AND "only".
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0089_NB_01 = 1, DISPLAY OPTION 1; ELSE, DO NOT
DISPLAY OPTION 1.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0089_NB_02 = 1, DISPLAY OPTION 2; ELSE, DO NOT
DISPLAY OPTION 2.
IF R04_YOUTHTYPE = 1, DISPLAY ALL RESPONSE OPTIONS.
BOX ID:
R04_YXR49
New baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs and
continuing youth respondents, go to R04_YX0220_12M.
Else, go to Box R04_YXR08.
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PATH ID:
R04_YX0220_12M
In the past 12 months, have you 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: New baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs
and continuing youth respondents.
DISPLAY: IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_01 = 1, DISPLAY RESPONSE OPTION
1; ELSE, DO NOT DISPLAY OPTION 1.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_02 = 1, DISPLAY RESPONSE OPTION 2; ELSE,
DO NOT DISPLAY OPTION 2.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_03 = 1, DISPLAY RESPONSE OPTION 3; ELSE,
DO NOT DISPLAY OPTION 3.
IF R04_YOUTHTYPE = 1, DISPLAY ALL RESPONSE OPTIONS.
BOX ID:
R04_YXR08
PROGRAM: Repeat R04_YX0676[_01/.../_05] for each substance selected in
R04_YX0089_12M[_01/_02] and R04_YX0220_12M[_01/_02/_03].
If no substances are selected in R04_YX0089_12M[_01/_02] and R04_YX0220_12M[_01/_02/_03], go
to Box R04_YXV02.
PATH ID:
R04_YX0676
Have you used [SUBSTANCEFILL] in the past 30 days?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used a substance in the past 12 months.
DISPLAY: UNDERLINE "past 30 days".
BOX ID:
R04_YXR01
Youth respondents who have remaining substance loops to complete, go back to R04_YX0676 and
repeat for remaining substances.
Else, if youth respondent has no remaining substance loops to complete, go to Box R04_YXV02.
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BOX ID:
R04_YXV02
PROGRAM: CREATE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
R04_EVER_USER_ALC = Has ever used alcohol
R04_EVER_USER_MJ = Has ever used marijuana
R04_EVER_USER_RIT = Has ever used Ritalin® or Adderall®
R04_EVER_USER_PK = Has ever used painkillers, sedatives, or tranquilizers
R04_EVER_USER_COC = Has ever used cocaine or crack
R04_EVER_USER_STIM = Has ever used stimulants like methamphetamine or speed
R04_EVER_USER_OTH = Has ever used other drugs like heroin, inhalants, solvents, or hallucinogens
R04_SUBSTANCE_COUNT = Count of the number of substances ever used
BOX ID:
R04_YXR02
If youth respondent has used at least one substance, go to R04_YX0170.
Else, go to Box R04_YMT01.
PATH ID:
R04_YX0170
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: Youth respondents who report ever using alcohol or ever using drugs.
BOX ID:
R04_YXR03
If youth respondent has used two or more substances and has used alcohol or drugs weekly or more
often, go to R04_YX0175.
Else, go to R04_YX0171.
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PATH ID:
R04_YX0175
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: Youth respondents who used alcohol or other drugs weekly or more often AND report ever using
two or more substances.
PATH ID:
R04_YX0171
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: Youth respondents who report ever using alcohol or ever using drugs.
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PATH ID:
R04_YX0172
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: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0173
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: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0193
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: Youth respondents who report ever using alcohol or ever using drugs.
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PATH ID:
R04_YX0174
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: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0194
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: Youth respondents who report ever using alcohol or ever using drugs.
BOX ID:
R04_YXR31
Youth respondents who use two or more substances and who indicated alcohol or drugs caused
problems for them, go to R04_YX0176.
Else, go to Box R04_YMT01.
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PATH ID:
R04_YX0176
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: Youth respondents who use two or more substances and who indicated alcohol or drugs caused
problems for them.
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ADDITIONAL DEMOGRAPHICS
BOX ID:
R04_YMT01
Finally, we have a few additional questions to ask about you.
PATH ID:
R04_YM0019
Have you been going to school at any time during the past 12 months?
1
Yes
2
No
GO TO R04_YM0020
-8
DON'T KNOW
GO TO R04_YM0020
-7
REFUSED
GO TO R04_YM0020
ASK: All youth respondents.
PATH ID:
R04_YM0018
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.
1
4th grade or below
GO TO R04_YM0032
2
5th
GO TO R04_YM0032
3
6th
GO TO R04_YM0032
4
7th
GO TO R04_YM0032
5
8th
GO TO R04_YM0032
6
9th
GO TO R04_YM0032
7
10th
GO TO R04_YM0032
8
11th
GO TO R04_YM0032
9
12th grade
GO TO R04_YM0032
10
College, vocational or technical school
GO TO R04_YM0032
11
Not enrolled
GO TO R04_YM0032
12
I am home-schooled
GO TO R04_YM0032
13
My school is ungraded
GO TO R04_YM0032
-8
DON'T KNOW
GO TO R04_YM0032
-7
REFUSED
GO TO R04_YM0032
ASK: Youth respondents who went to school in the past 12 months.
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PATH ID:
R04_YM0020
What grade or year in school did you last complete?
1
4th grade or below
2
5th
3
6th
4
7th
5
8th
6
9th
7
10th
8
11th
9
12th grade
10
College, vocational or technical school
11
I am home-schooled
12
My school is ungraded
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not go to school in the past 12 months.
PATH ID:
R04_YM0032
In the past 30 days, did you work for pay for anyone outside your home? This includes both regular jobs
and things like baby-sitting or yard work.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YM0008
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 youth respondents.
BOX ID:
R04_YMR04
Youth respondents aged 17 and older, go to R04_YM0007.
Else, youth respondents aged 14 and older, go to R04_YM0021.
Else, go to R04_YX00769.
PATH ID:
R04_YM0007
Have you ever served on active duty in the U.S. Armed Forces, Military Reserves, or National Guard?
Note: Active duty for the Military Reserves or National Guard does not include regular training for the
Military Reserves or National Guard. It does include being activated for deployment, such as for the
Iraq War.
1
Yes, now on active duty
2
Yes, on active duty in the past, but not now
3
No, training for Reserves or National Guard only
GO TO R04_YM0021
4
No, never served in the military
GO TO R04_YM0021
-8
DON'T KNOW
GO TO R04_YM0021
-7
REFUSED
GO TO R04_YM0021
ASK: Youth respondents aged 17 and older.
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PATH ID:
R04_YM0011
In which branch or branches [do/did] you serve on active duty? Choose all that apply.
1
Army
2
Navy
3
Air Force
4
Marine Corps
5
Coast Guard
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 17 and older who have been on active duty, both currently or in the past.
DISPLAY: IF R04_YM0007 = 1, DISPLAY "do".
ELSE, IF R04_YM0007 = 2, DISPLAY "did".
PATH ID:
R04_YM0021
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
Only to females, never to males
2
Mostly to females, and at least once to a male
3
About equally often to females and to males
4
Mostly to males, and at least once to a female
5
Only to males, never to females
6
I have never felt sexually attracted to anyone at all
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older.
DISPLAY: FOR MALE RESPONDENTS, DISPLAY RESPONSE OPTIONS 1-5 IN THE SPECIFIED
ORDER. FOR FEMALE RESPONDENTS, DISPLAY RESPONSE OPTIONS 1-5 IN REVERSE
ORDER, WHERE RESPONSE OPTION 5 IS PRESENTED FIRST, OPTION 4 SECOND, ETC. IF SEX
IS UNKNOWN, DEFAULT TO ORDER SHOWN FOR MALE RESPONDENTS.
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PATH ID:
R04_YM0063
Do you consider yourself to be…
1
Straight
2
Lesbian or gay
3
Bisexual
4
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older.
PATH ID:
R04_YM0061
Some people describe themselves as transgender when they experience a different gender identity from
their sex at birth. For example, a person born into a male body, but who feels female or lives as a
woman would be transgender.
Do you consider yourself to be transgender?
1
Yes
2
No
GO TO R04_YX0769
-8
DON'T KNOW
GO TO R04_YX0769
-7
REFUSED
GO TO R04_YX0769
ASK: Youth respondents aged 14 and older.
PATH ID:
R04_YM0062
Do you consider yourself to be male-to-female, female-to-male, or non-conforming?
1
Yes, Transgender, male to female
2
Yes, Transgender, female to male
3
Yes, Transgender, gender nonconforming
4
No
5
Not sure
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older who are transgender.
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PATH ID:
R04_YX0769
In the future, the PATH questionnaire may be available to take online on your personal desktop, laptop,
or tablet. Due to its length, the questionnaire will not be available on smart phones.
You would be able to complete the questionnaire at your convenience, without an interviewer present.
The incentive would arrive in the mail a few days after the questionnaire is completed.
How interested would you be in taking the PATH questionnaire online on your personal desktop, laptop,
or tablet?
1
Very interested
GO TO R04_YL3000
2
Somewhat interested
GO TO R04_YL3000
3
Not at all interested
4
Unsure
GO TO R04_YL3000
-8
DON'T KNOW
GO TO R04_YL3000
-7
REFUSED
GO TO R04_YL3000
ASK: All youth respondents.
PATH ID:
R04_YX0770
Why not? Choose all that apply.
1
I do not have a personal desktop, laptop, or tablet with internet access
2
I am concerned about technical difficulties
3
I prefer to have an interviewer present
4
I am concerned about the confidentiality of my information
5
I am concerned that I might not receive my incentive
6
Other (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who would not be interested in doing PATH questionnaires online in the future.
DISPLAY: 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:
R04_YL3000
You have finished[ this part of] the questionnaire. Please hand the computer to the interviewer.
1
CONTINUE
ASK: All youth respondents.
DISPLAY: IF R04_E_YOUTH = 1, DISPLAY “this part of ”;
ELSE, DO NOT DISPLAY THIS TEXT.
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PATH ID:
R04_YL3001
The interviewer must now enter the Monitor Password into the computer.
1
I__I__I__I__I MONITOR PASSWORD
ASK: All youth respondents.
PATH ID:
R04_ERR_YL3001
The password you entered was incorrect.
Please press the BACK button and re-enter. Don’t forget to press the ERASE button before you re-enter
your answer.
1
BACK
GO TO R04_YL3001
ASK: If interviewer entered monitor password incorrectly.
BOX ID:
R04_YLR04
Emancipated youth respondents, go to R04_YL3002.
Else, go to R04_LCYS01.
PATH ID:
R04_YL3002
YOU MUST COLLECT CONTACT INFORMATION FROM THE RESPONDENT.
THE RESPONDENT IS AN EMANCIPATED YOUTH.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: Interviewers
DISPLAY: Display interviewer instructions in blue font.
BOLD "MUST".
BOX ID:
R04_YLR05
Emancipated youth, go to contact information section R04_YXT04.
Else, go to R04_LCYS01
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CONTACT INFORMATION – EMANCIPATED YOUTH
BOX ID:
R04_YXT04
CONTACT INFORMATION SECTION IS ASKED OF EMANCIPATED YOUTH ONLY.
PATH ID:
R04_YL0041
Since your continued participation in the PATH Study is important to the study’s success, I’d like to take
a brief moment to confirm your contact information for my records. We’ll only use this information to
contact you about your participation in the study.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR01
Emancipated youth respondents who have a valid Wave 4 physical address, go to R04_YL0001.
Else, go to R04_YL0037.
PATH ID:
R04_YL0037
What is your address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
GO TO R04_YL0035
-7
REFUSED
GO TO R04_YL0035
ASK: Emancipated youth respondents who need to correct their physical address or who do not have a
valid physical address on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0002
Do you receive mail at this address?
1
YES
2
NO
GO TO R04_YL0035
-8
DON'T KNOW
GO TO R04_YL0035
-7
REFUSED
GO TO R04_YL0035
ASK: Emancipated youth respondents who confirmed or provided their physical address.
PATH ID:
R04_YL0003
Can I please have your mailing address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who do not receive mail at their physical address.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0035
Do you have a second home where you live during the year?
1
YES
2
NO
GO TO BOX R04_YLR02
-8
DON'T KNOW
GO TO BOX R04_YLR02
-7
REFUSED
GO TO BOX R04_YLR02
ASK: Emancipated youth respondents.
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PATH ID:
R04_YL0036
What is the address of the second home?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who have a second home.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR02
Emancipated youth respondents who have a valid telephone number on file, go to R04_YL0004_12M.
Else, go to R04_YL0004.
PATH ID:
R04_YL0004
What is the best telephone number to reach you?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who need to correct their telephone number, who don't know if
the telephone number provided is correct, or who do not have a valid telephone number on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR14
Emancipated youth respondents who provided their telephone number, go to R04_YL0038.
Else, emancipated youth respondents who did not provide, did not know, or refused to report a valid
telephone number, go to R04_YL0012.
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PATH ID:
R04_YL0038
Is this a cell phone number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YLR03
ASK: Emancipated youth respondents who confirmed or provided their telephone number.
PATH ID:
R04_YL0032
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 telephone number is a cell phone or did not know
or refused to report whether it is a cell phone.
BOX ID:
R04_YLR03
Emancipated youth respondents who have a valid second telephone number on file, go to R04_YL0005.
Else, go to R04_YL0006.
PATH ID:
R04_YL0005
I have your second telephone number as [(XXX) XXX-XXXX].
Is that correct?
IF SP DOES NOT WANT TO PROVIDE A SECOND PHONE NUMBER, ENTER REFUSED.
1
YES
2
NO
GO TO R04_YL0039
-8
DON'T KNOW
GO TO R04_YL0012
-7
REFUSED
GO TO R04_YL0012
ASK: Emancipated youth respondents who have a valid second telephone number on file.
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PATH ID:
R04_YL0006
What is a second telephone number where you can be reached?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who need to correct their second telehone number or who do not
have a valid second telephone number on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR15
Emancipated youth respondents who provided their second phone number, go to R04_YL0039.
Else, emancipated youth respondents who did not provide, did not know, or refused to report a valid
second phone number, go to R04_YL0012.
PATH ID:
R04_YL0039
Is this a cell phone number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YL0012
ASK: Emancipated youth respondents who confirmed their phone number in R04_YL0005 or provided a
phone number in R04_YL0006.
PATH ID:
R04_YL0033
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 or did not know or
refused to report whether it is a cell phone.
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PATH ID:
R04_YL0012
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.
1
EMAIL NAME
2
EMAIL PROVIDER
-8
DON'T KNOW
-7
REFUSE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR09
Emancipated youth respondents who provided more than one mode of contact information, go to
R04_YL0017.
Else, go to R04_YL0018.
PATH ID:
R04_YL0017
What is the best way to reach you?
1
PHONE
2
TEXT MESSAGE
3
E-MAIL
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided more than one mode of contact information.
PATH ID:
R04_YL0018
Do you anticipate moving or relocating either permanently or temporarily in the next 12 months?
1
YES
2
NO
3
MAYBE
GO TO R04_YL0020
-8
DON'T KNOW
GO TO R04_YL0020
-7
REFUSED
GO TO R04_YL0020
ASK: Emancipated youth respondents.
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PATH ID:
R04_YL0019
Can you tell me more about your plans to move?
IF NEEDED: [For example, your new street address or the city or state to which you plan to move?]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who plan to move in the next 12 months.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0020
Since we would like to interview you again, it is important that we are able to contact you in about a
year. In case we cannot reach you, is there a relative or friend who does not live in this household, who
will know how to reach you?
IF NEEDED: [Rest assured, we will only use this information if we have lost contact with you.]
What is the person’s name?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE AND BOLD "FIRST NAME".
BOX ID:
R04_YLR10
If FIRST NAME is don’t know or refused, go to R04_YL3003.
Else, go to R04_YL0022.
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PATH ID:
R04_YL0022
What is their address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0023
What is their telephone number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0021
How are they 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 who provided a first name for a proxy contact in
R04_YL0020.
DISPLAY: 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:
R04_YL0025
Could you provide me with the name of a second relative or friend who will know how to reach you?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE AND BOLD "FIRST NAME".
BOX ID:
R04_YLR11
If FIRST NAME is don’t know or refused, go to R04_YL3003.
Else, go to R04_YL0027
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PATH ID:
R04_YL0027
What is their address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0028
What is their telephone number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0026
How are they 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 first name for a proxy contact in R04_YL0025.
DISPLAY: 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:
R04_YL3003
If you do move or change your phone numbers please update your contact information on the PATH
Study website or by calling our toll free number. Each year you may receive a $5 thank you on your
debit card for updating your contact information.
Thank you for taking the time to answer these questions.
ENTER 1 TO CONTINUE.
1
CONTINUE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_LCYS01
INTERVIEWER: IN WHAT LANGUAGE DID YOU MOSTLY CONDUCT THE CAPI PORTIONS OF
THIS INTERVIEW?
1
ENGLISH
END INTERVIEW AND RETURN TO IMS
2
SPANISH
END INTERVIEW AND RETURN TO IMS
ASK: All youth respondents (asked of Interviewer).
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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APPENDIX: USER GROUPS
Variable Name
Variable Description
User Group Definition
Ever or Never users - Cigarettes
R04_EVER_NEVER_CIGS_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a cigarette.
(2) Never user = Youth respondents who have
not ever smoked a cigarette.
IF (R04_YC1002_NB = 1 OR
R04_YC1002_12M = 1 OR
R03_EVER_NEVER_CIGS = 1), THEN
R04_EVER_NEVER_CIGS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_CIGS_YOUTH !=
1, THEN R04_EVER_NEVER_CIGS_YOUTH =
2.
Initiators - Cigarettes
R04_INIT_CIGS_YOUTH
(1) Initiator = Youth respondents who initiated
cigarette use between Waves or new baseline
youth respondents who have ever smoked a
cigarette.
(2) Non-initiator = Youth respondents who did
not initiate cigarette use between Waves or new
baseline youth respondent who have not ever
smoked a cigarette.
IF R03_EVER_NEVER_CIGS ! = 1 AND
R04_EVER_NEVER_CIGS_YOUTH = 1, THEN
R04_INIT_CIGS_YOUTH = 1.
ELSE, R04_INIT_CIGS_YOUTH = 2.
Past 30 Day Users - Cigarettes
R04_PAST30DAY_CIGS
(1) Past 30 day user = Youth respondents who
have smoked a cigarette in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarette in the past 30
days.
IF R04_YC1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_CIGS = 1.
ELSE, R04_PAST30DAY_CIGS = 2.
Past 30 Day "Very Light" or "Not Light" Cigarettes
R04_PAST30DAY_CIGS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a cigarette in the
past 30 days, and have smoked 10 or less
cigarettes in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a cigarette in the
past 30 days, and have smoked more than 10
cigarettes in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YC1005 = 1 OR 2 OR 3 AND
R03_NUMLIFE_CIGS != 1) AND (R04_YC1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_CIGS_LEVEL = 1.
ELSE, IF (R04_YC1005 > 3 OR R04_YC1005 =
-8, -7 OR R03_NUMLIFE_CIGS = 1) AND
(R04_YC1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_CIGS_LEVEL= 2.
ELSE, R04_PAST30DAY_CIGS_LEVEL = 8.
CIGARETTES
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Electronic Nicotine
Products
R04_EVER_NEVER_EPRODS_YOUTH
(1) Ever user = Youth respondents who have
ever used an electronic nicotine product.
(2) Never user = Youth respondents who have
not ever used an electronic nicotine product.
IF (R03_EVER_NEVER_EPRODS = 1 OR
(R04_YV1001_NB = 1 AND R04_YV1002_NB =
1) OR R04_YV1002_12M = 1), THEN
R04_EVER_NEVER_EPRODS_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_EPRODS_YOUTH != 1,
THEN R04_EVER_NEVER_EPRODS_YOUTH
= 2.
Initiators - E-Products
R04_INIT_EPRODS_YOUTH
(1) Initiator = Youth respondents who initiated eproduct use between Waves or new baseline
youth respondents who have ever used an eproduct.
(2) Non-initiator = Youth respondents who have
not initiated e-product use between Waves or
new baseline youth respondents who have not
ever used an e-product.
IF R03_EVER_NEVER_EPRODS != 1 AND
R04_EVER_NEVER_EPRODS = 1, THEN
R04_INIT_EPRODS_YOUTH = 1.
ELSE, R04_INIT_EPRODS_YOUTH = 2.
Past 30 Day Users - E-Products
R04_PAST30DAY_EPRODS
(1) Past 30 day user = Youth respondents who
have used an e-product in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not used an e-product in the past 30
days.
IF R04_YV1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_EPRODS = 1.
ELSE, R04_PAST30DAY_EPRODS = 2.
Past 30 Day "Very Light" or "Not Light
Users - E-Products
R04_PAST30DAY_EPRODS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used an e-product in the
past 30 days, and have used an e-product only
once in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used an e-product in the
past 30 days, and have used e-products more
than once in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YV1005 = 1 AND
R03_NUMLIFE_EPROD != 1) AND
(R04_YV1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_EPRODS_LEVEL = 1.
ELSE, IF (R04_YV1005 > 1 OR R04_YV1005 =
-8, -7 OR R03_NUMLIFE_EPROD = 1) AND
(R04_YV1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_EPRODS_LEVEL= 2.
ELSE, R04_PAST30DAY_EPRODS_LEVEL =
8.
ENDS
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Variable Name
Variable Description
User Group Definition
Ever or Never Smokers – Traditional
Cigars
R04_EVER_NEVER_GTRAD_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a traditional cigar.
(2) Never user = Youth respondents who have
not ever smoked a traditional cigar.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_01 = 1) OR
R04_YG9104_12M_01 = 1 OR
R03_EVER_NEVER_GTRAD = 1, THEN
R04_EVER_NEVER_GTRAD_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_GTRAD_YOUTH
!= 1, THEN
R04_EVER_NEVER_GTRAD_YOUTH = 2.
Initiators – Traditional Cigars
R04_INIT_GTRAD_YOUTH
(1) Initiator = Youth respondents who initiated
traditional cigar use between Waves or new
baseline youth respondents who have ever
smoked a traditional cigar.
(2) Non-initiator = Youth respondents who did
not initiate traditional cigar use between Waves
or new baseline youth respondents who have
not ever smoked a traditional cigar.
IF R03_EVER_NEVER_GTRAD != 1 AND
R04_EVER_NEVER_GTRAD_YOUTH = 1,
THEN R04_INIT_GTRAD_YOUTH = 1.
ELSE, R04_INIT_GTRAD_YOUTH = 2.
Past 30 Day Smokers - Traditional
Cigars
R04_PAST30DAY_GTRAD
(1) Past 30 day user = Youth respondents who
have smoked a traditional cigar in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a traditional cigar in the
past 30 days.
IF R04_YG1112TC = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GTRAD = 1.
ELSE, R04_PAST30DAY_GTRAD = 2.
Past 30 Day "Very Light" or "Not Light"
Smokers - Traditional Cigars
R04_PAST30DAY_GTRAD_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a traditional
cigar in the past 30 days, and have smoked 10
or less traditional cigars in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a traditional
cigar in the past 30 days, and have smoked
more than 10 traditional cigars in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005TC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GTRAD != 1) AND
(R04_YG1112TC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GTRAD_LEVEL = 1.
ELSE, IF (R04_YG1005TC > 3 OR
R04_YG1005TC = -8, -7 OR
R03_NUMLIFE_GTRAD = 1) AND
(R04_YG1112TC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GTRAD_LEVEL = 2.
ELSE, R04_PAST30DAY_GTRAD_LEVEL = 8.
CIGARS
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Variable Name
Variable Description
User Group Definition
Past 12 Month Blunt-Only Smokers –
Traditional Cigars
R04_12MBLUNT_ONLY_BTRAD
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke traditional cigars as
blunts every time when smoked in the past 12
months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke traditional cigars
as blunts every time when smoked in the past
12 months.
IF R04_YG9106_01 = 1 AND R04_YG1095_01
= 1, THEN R04_12MBLUNT_ONLY_BTRAD =
1.
ELSE, R04_12MBLUNT_ONLY_BTRAD = 2.
Past 30 Day Blunt-Only Smokers –
Traditional Cigars
R04_30DBLUNT_ONLY_BTRAD
(1) Past 30 day user = Youth respondents who
have smoked a traditional cigar as a blunt in the
past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a traditional cigar as a
blunt in the past 30 days.
IF R04_12MBLUNT_ONLY_BTRAD = 1 AND
R04_YJ1112TC = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BTRAD = 1.
ELSE, R04_30DBLUNT_ONLY_BTRAD = 2.
Initiators – Traditional Cigars as Blunts
R04_INIT_BLUNT_BTRAD_YOUTH
(1) Initiator = Youth respondents who initiated
smoking traditional cigars as blunts between
Waves or new baseline youth respondents who
have ever used traditional cigars as blunts every
time in the past 12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking traditional cigars as blunts
between Waves or new baseline youth
respondents who have not ever used traditional
cigars as blunts.
IF R03_EVER_NEVER_BTRAD != 1 AND
R04_YG1095_01 = 1 AND R04_YG9106_01 =
1, THEN R04_INIT_BLUNT_BTRAD_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BTRAD_YOUTH = 2.
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Variable Name
Variable Description
User Group Definition
Ever or Never Smokers – Cigarillos
R04_EVER_NEVER_GRILLO_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a cigarillo.
(2) Never user = Youth respondents who have
not ever smoked a cigarillo.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_02 = 1 AND
(R04_YG9009_NB_01= 1 OR
R04_YG9009_NB_03 = 1)) OR
R04_YG9009_12M_01 = 1 OR
R04_YG9009_12M_03 = 1 OR
R03_EVER_NEVER_GRILLO = 1, THEN
R04_EVER_NEVER_GRILLO_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_GRILLO_YOUTH != 1,
THEN R04_EVER_NEVER_GRILLO_YOUTH =
2.
Initiators – Cigarillos
R04_INIT_GRILLO_YOUTH
(1) Initiator = Youth respondents who initiated
cigarillo use between Waves or new baseline
youth respondents who have ever smoked a
cigarillo.
(2) Non-initiator = Youth respondents who did
not initiate cigarillo use between Waves or new
baseline youth respondents who have not ever
smoked a cigarillo.
IF R03_EVER_NEVER_GRILLO != 1 AND
R04_EVER_NEVER_GRILLO_YOUTH = 1,
THEN R04_INIT_GRILLO_YOUTH = 1.
ELSE, R04_INIT_GRILLO_YOUTH = 2.
Past 30 Day Smokers - Cigarillos
R04_PAST30DAY_GRILLO
(1) Past 30 day user = Youth respondents who
have smoked a cigarillo in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarillo in the past 30
days.
IF R04_YG1112CL = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GRILLO = 1.
ELSE, R04_PAST30DAY_GRILLO = 2.
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Variable Name
Variable Description
User Group Definition
Past 30 Day "Very Light" or "Not Light"
Smokers - Cigarillos
R04_PAST30DAY_GRILLO_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a cigarillo in the
past 30 days, and have smoked 10 or less
cigarillos in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a cigarillo in the
past 30 days, and have smoked more than 10
cigarillos in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005CL = 1 OR 2 OR 3 AND
R03_NUMLIFE_GRILLO != 1) AND
(R04_YG1112CL = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GRILLO_LEVEL = 1.
ELSE, IF (R04_YG1005CL > 3 OR
R04_YG1005CL = -8, -7 OR
R03_NUMLIFE_GRILLO = 1) AND
(R04_YG1112CL = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GRILLO_LEVEL = 2.
ELSE, R04_PAST30DAY_GRILLO_LEVEL = 8.
Past 12 Month Blunt-Only Smokers –
Cigarillos
R04_12MBLUNT_ONLY_BRILLO
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke cigarillos as blunts
every time when smoked in the past 12 months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke cigarillos as
blunts every time when smoked in the past 12
months.
IF R04_YG9106_02 = 1 AND R04_YG1095_02
= 1, THEN R04_12MBLUNT_ONLY_BRILLO =
1.
ELSE, R04_12MBLUNT_ONLY_BRILLO = 2.
Past 30 Day Blunt-Only Smokers –
Cigarillos
R04_30DBLUNT_ONLY_BRILLO
(1) Past 30 day user = Youth respondents who
have smoked a cigarillo as a blunt in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarillo as a blunt in the
past 30 days.
IF R04_12MBLUNT_ONLY_BRILLO = 1 AND
R04_YJ1112CG = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BRILLO = 1.
ELSE, R04_30DBLUNT_ONLY_BRILLO = 2.
Initiators – Cigarillos as Blunts
R04_INIT_BLUNT_BRILLO_YOUTH
(1) Initiator = Youth respondents who initiated
smoking cigarillos as blunts between Waves or
new baseline youth respondents who have ever
used cigarillos as blunts every time in the past
12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking cigarillos as blunts between
Waves or new baseline youth respondents who
have not ever used cigarillos as blunts.
IF R03_EVER_NEVER_BRILLO != 1 AND
R04_YG1095_02 = 1 AND R04_YG9106_02 =
1, THEN R04_INIT_BLUNT_BRILLO_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BRILLO_YOUTH = 2.
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Variable Name
Variable Description
User Group Definition
Ever or Never Smokers – Filtered Cigars
R04_EVER_NEVER_GFILTR_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a filtered cigar.
(2) Never user = Youth respondents who have
not ever smoked a filtered cigar.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_02 = 1 AND
R04_YG9009_NB_02 = 1) OR
R04_YG9009_12M_02 = 1 OR
R03_EVER_NEVER_GFILTR = 1, THEN
R04_EVER_NEVER_GFILTR_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_GFILTR_YOUTH
!= 1, THEN
R04_EVER_NEVER_GFILTR_YOUTH = 2.
Initiators – Filtered Cigars
R04_INIT_GFILTR_YOUTH
(1) Initiator = Youth respondents who initiated
filtered cigar use between Waves or new
baseline youth respondents who ever smoked a
filtered cigar.
(2) Non-initiator = Youth respondents who did
not initiate filtered cigar use between Waves or
new baseline youth respondents who have not
ever smoked a filtered cigar.
IF R03_EVER_NEVER_GFILTR != 1 AND
R04_EVER_NEVER_GFILTR_YOUTH = 1,
THEN R04_INIT_GFILTR_YOUTH = 1.
ELSE, R04_INIT_GFILTR_YOUTH = 2.
Past 30 Day Users – Filtered Cigars
R04_PAST30DAY_GFILTR
(1) Past 30 day user = Youth respondents who
have smoked a filtered cigar in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a filtered cigar in the past
30 days.
IF R04_YG1112FC = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GFILTR = 1.
ELSE, R04_PAST30DAY_GFILTR = 2.
Past 30 Day "Very Light" or "Not light"
Smokers - Filtered Cigars
R04_PAST30DAY_GFILTR_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a filtered cigar in
the past 30 days, and have smoked 10 or less
filtered cigars in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a filtered cigar in
the past 30 days, and have smoked more than
10 filtered cigars in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005FC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GFILTR != 1) AND
(R04_YG1112FC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GFILTR_LEVEL = 1.
ELSE, IF (R04_YG1005FC > 3 OR
R04_YG1005FC = -8, -7 OR
R03_NUMLIFE_GFILTR = 1) AND
(R04_YG1112FC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GFILTR_LEVEL = 2.
ELSE, R04_PAST30DAY_GFILTR_LEVEL = 8.
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Variable Name
Variable Description
User Group Definition
Past 12 Month Blunt-Only Smokers –
Filtered Cigars
R04_12MBLUNT_ONLY_BFILTR
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke filtered cigars as blunts
every time when smoked in the past 12 months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke filtered cigars as
blunts every time when smoked in the past 12
months.
IF R04_YG9106_03 = 1 AND R04_YG1095_03
= 1, THEN R04_12MBLUNT_ONLY_BFILTR =
1.
ELSE, R04_12MBLUNT_ONLY_BFILTR = 2.
Past 30 Day Blunt-Only Smokers –
Filtered Cigars
R04_30DBLUNT_ONLY_BFILTR
(1) Past 30 day user = Youth respondents who
have smoked a filtered cigar as a blunt in the
past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a filtered cigar as a blunt
in the past 30 days.
IF R04_12MBLUNT_ONLY_BFILTR = 1 AND
R04_YJ1112FC = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BFILTR = 1.
ELSE, R04_30DBLUNT_ONLY_BFILTR = 2.
Initiators – Filtered Cigars as Blunts
R04_INIT_BLUNT_BFILTR_YOUTH
(1) Initiator = Youth respondents who initiated
smoking filtered cigars as blunts between
Waves or new baseline youth respondents who
have ever used filtered cigars as blunts every
time in the past 12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking filtered cigars as blunts
between Waves or new baseline youth
respondents who have not ever used filtered
cigars as blunts.
IF R03_EVER_NEVER_BFILTR != 1 AND
R04_YG9106_03 = 1 AND R04_YG1095_03 =
1, THEN R04_INIT_BLUNT_BFILTR_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BFILTR_YOUTH = 2.
(1) Ever user = Youth respondents who have
ever smoked pipe tobacco.
(2) Never user = Youth respondents who have
not ever smoked pipe tobacco.
IF (R04_YP1001_NB = 1 AND
R04_YP1002_NB = 1) OR R04_YP1002_12M =
1 OR R03_EVER_NEVER_PIPE = 1, THEN
R04_EVER_NEVER_PIPE_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_PIPE_YOUTH !=
1, THEN R04_EVER_NEVER_PIPE_YOUTH =
2.
PIPES
Ever or Never Users - Pipe
R04_EVER_NEVER_PIPE_YOUTH
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Variable Name
Variable Description
User Group Definition
Initiator - Pipe
R04_INIT_PIPE_YOUTH
(1) Initiator = Youth respondents who initiated
pipe use between Waves or new baseline youth
respondents who have ever smoked a pipe.
(2) Non-initiator = Youth respondents who did
not initiate pipe use between Waves or new
baseline youth respondents who have not ever
smoked a pipe.
IF R03_EVER_NEVER_PIPE != 1 AND
R04_EVER_NEVER_PIPE_YOUTH = 1, THEN
R04_INIT_PIPE_YOUTH = 1.
ELSE, R04_INIT_PIPE_YOUTH = 2.
Past 30 Day Users - Pipe
R04_PAST30DAY_PIPE
(1) Past 30 day user = Youth respondents who
have smoked a pipe in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a pipe in the past 30
days.
IF R04_YP1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_PIPE = 1.
ELSE, R04_PAST30DAY_PIPE = 2.
Ever or Never Users - Hookah
R04_EVER_NEVER_HOOK_YOUTH
(1) Ever user = Youth respondents who have
ever smoked hookah.
(2) Never user = Youth respondents who have
not ever smoked hookah.
IF (R04_YH1001_NB = 1 AND
R04_YH1002_NB = 1) OR R04_YH1002_12M =
1 OR R03_EVER_NEVER_HOOK = 1, THEN
R04_EVER_NEVER_HOOK_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_HOOK_YOUTH
!= 1, THEN
R04_EVER_NEVER_HOOK_YOUTH = 2.
Initiator - Hookah
R04_INIT_HOOK_YOUTH
(1) Initiator = Youth respondents who initiated
hookah use between Waves or new baseline
youth respondents who have ever smoked a
hookah.
(2) Non-initiator = Youth respondents who have
did not initiate hookah use between Waves or
new baseline youth respondents who have not
ever smoked a hookah.
IF R03_EVER_NEVER_HOOK != 1 AND
R04_EVER_NEVER_HOOK_YOUTH = 1,
THEN R04_INIT_HOOK_YOUTH = 1.
ELSE, R04_INIT_HOOK_YOUTH = 2.
Past 30 Day Users - Hookah
R04_PAST30DAY_HOOK
(1) Past 30 day user = Youth respondents who
have smoked hookah in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked hookah in the past 30
days.
IF R04_YH1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_HOOK = 1.
ELSE, R04_PAST30DAY_HOOK = 2.
HOOKAH
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Snus
R04_EVER_NEVER_SNUS_YOUTH
(1) Ever user = Youth respondents who have
ever used snus.
(2) Never user = Youth respondents who have
not ever used snus.
IF (R04_YU1001_NB = 1 AND
R04_YU1002_NB = 1) OR R04_YU1002_12M =
1 OR R03_EVER_NEVER_SNUS = 1, THEN
R04_EVER_NEVER_SNUS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_SNUS_YOUTH
!= 1, THEN
R04_EVER_NEVER_SNUS_YOUTH = 2.
Initiator - Snus
R04_INIT_SNUS_YOUTH
(1) Initiator = Youth respondents who initiated
snus use between Waves or new baseline youth
respondents who have ever used snus.
(2) Non-initiator = Youth respondents who did
not initiate snus use between Waves or new
baseline youth respondents who have not ever
used snus.
IF R03_EVER_NEVER_SNUS != 1 AND
R04_EVER_NEVER_SNUS_YOUTH = 1, THEN
R04_INIT_SNUS_YOUTH = 1.
ELSE, R04_INIT_SNUS_YOUTH = 2.
Past 30 Day Users - Snus
R04_PAST30DAY_SNUS
(1) Past 30 day user = Youth respondents who
have used snus in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not used snus in the past 30 days.
IF R04_YU1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SNUS = 1.
ELSE, R04_PAST30DAY_SNUS = 2.
Past 30 Day "Very Light" or "Not Light"
Users - Snus
R04_PAST30DAY_SNUS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used snus in the past 30
days, and have used snus 10 or fewer times in
their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used snus in the past 30
days, and have used snus more than 10 times in
their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YU1005 = 1 OR 2) AND (R04_YU1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_SNUS_LEVEL = 1.
ELSE, IF (R04_YU1005> 2 OR R04_YU1005 = 8, -7 OR R03_NUMLIFE_SNUS = 1) AND
(R04_YU1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_SNUS_LEVEL = 2.
ELSE, R04_PAST30DAY_SNUS_LEVEL = 8.
SNUS
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Smokeless
Tobacco
R04_EVER_NEVER_SMKLS_YOUTH
(1) Ever user = Youth respondents who have
ever used smokeless tobacco.
(2) Never user = Youth respondents who have
not ever used smokeless tobacco.
IF (R04_YS1001_NB = 1 AND
R04_YS1002_NB = 1) OR R04_YS1002_12M =
1 OR R03_EVER_NEVER_SMKLS = 1, THEN
R04_EVER_NEVER_SMKLS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_SMKLS_YOUTH
!= 1, THEN
R04_EVER_NEVER_SMKLS_YOUTH = 2.
Initiator - Smokeless Tobacco
R04_INIT_SMKLS_YOUTH
(1) Initiator = Youth respondents who initiated
smokeless tobacco use between Waves or new
baseline youth respondents who have ever used
smokeless tobacco.
(2) Non-initiator = Youth respondents who did
not initiate smokeless tobacco use between
Waves or new baseline youth respondents who
have not ever used smokeless tobacco.
IF R03_EVER_NEVER_SMKLS != 1 AND
R04_EVER_NEVER_SMKLS_YOUTH = 1,
THEN R04_INIT_SMKLS_YOUTH = 1.
ELSE, R04_INIT_SMKLS_YOUTH = 2.
Past 30 Day Users – Smokeless
Tobacco
R04_PAST30DAY_SMKLS
(1) Past 30 day user = Youth respondents who
have used smokeless tobacco in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not used smokeless tobacco in the
past 30 days.
IF R04_YS1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SMKLS = 1.
ELSE, R04_PAST30DAY_SMKLS = 2.
Past 30 Day "Very Light" or "Not Light"
Users - Smokeless Tobacco
R04_PAST30DAY_SMKLS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used smokeless tobacco
in the past 30 days, and have used 10 times or
less in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used smokeless tobacco
in the past 30 days, and have used more than
10 times in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YS1005 = 1 OR 2) AND (R04_YS1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_SMKLS_LEVEL = 1.
ELSE, IF (R04_YS1005 > 2 OR R04_YS1005 =
-8, -7 OR R03_NUMLIFE_SMKLS = 1) AND
R04_YS1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SMKLS_LEVEL = 2.
ELSE, R04_PAST30DAY_SMKLS_LEVEL = 8.
SMOKELESS TOBACCO
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Dissolvable
Tobacco
R04_EVER_NEVER_DISSBL_YOUTH
(1) Ever user = Youth respondents who have
ever used dissolvable tobacco.
(2) Never user = Youth respondents who have
not ever used dissolvable tobacco.
IF (R04_YD1001_NB = 1 AND
R04_YD1002_NB = 1) OR R04_YD1002_12M =
1 OR R03_EVER_NEVER_DISSBL = 1, THEN
R04_EVER_NEVER_DISSBL_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_DISSBL_YOUTH
!= 1, THEN
R04_EVER_NEVER_DISSBL_YOUTH = 2.
Initiator - Dissolvable Tobacco
R04_INIT_DISSBL_YOUTH
(1) Initiator = Youth respondents who initiated
dissolvable tobacco use between Waves new
baseline youth respondents who have ever used
dissolvable tobacco.
(2) Non-initiator = Youth respondents who did
not initiate dissolvable tobacco use between
Waves or new baseline youth respondents who
have not ever used dissolvable tobacco.
IF R03_EVER_NEVER_DISSBL != 1 AND
R04_EVER_NEVER_DISSBL_YOUTH = 1,
THEN R04_INIT_DISSBL_YOUTH = 1.
ELSE, R04_INIT_DISSBL_YOUTH = 2.
Past 30 Day Users - Dissolvable
Tobacco
R04_PAST30DAY_DISS
(1) Past 30 day user = Youth respondents who
have used dissolvable tobacco in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not used dissolvable tobacco in the
past 30 days.
IF R04_YD1002_30D = 1, THEN
R04_PAST30DAY_DISS = 1.
ELSE, R04_PAST30DAY_DISS = 2.
(1) Ever user = Youth respondents who have
ever smoked a bidi.
(2) Never user = Youth respondents who have
not ever smoked a bidi.
IF ((R04_YB9101_NB_01 = 1 OR
R04_YB9101_NB_02 = 1) AND
R04_YB9102_NB_01 = 1) OR
R04_YB9102_12M_01 = 1 OR
R03_EVER_NEVER_BIDI = 1, THEN
R04_EVER_NEVER_BIDI_YOUTH= 1.
ELSE, IF R04_EVER_NEVER_BIDI_YOUTH !=
1, THEN R04_EVER_NEVER_BIDI_YOUTH =
2.
DISSOLVABLE TOBACCO
BIDIS AND KRETEKS
Ever or Never Users - Bidis
R04_EVER_NEVER_BIDI_YOUTH
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Variable Name
Variable Description
User Group Definition
Initiator - Bidis
R04_INIT_BIDI_YOUTH
(1) Initiator = Youth respondents who initiated
bidi use between Waves or new baseline youth
respondents who have ever smoked a bidi.
(2) Non-initiator = Youth respondents who did
not initiate bidi use between Waves or new
baseline youth respondents who have not ever
smoked a bidi.
IF R03_EVER_NEVER_BIDI != 1 AND
R04_EVER_NEVER_BIDI_YOUTH = 1, THEN
R04_INIT_BIDI_YOUTH = 1.
ELSE, R04_INIT_BIDI_YOUTH = 2.
Past 30 Day Users - Bidis
R04_PAST30DAY_BIDI
(1) Past 30 day user = Youth respondents who
have smoked a bidi in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have never smoked a bidi in the past 30
days.
IF R04_YB9102_30D_01 = 1, THEN
R04_PAST30DAY_BIDI = 1.
ELSE, R04_PAST30DAY_BIDI = 2.
Ever or Never Users - Kreteks
R04_EVER_NEVER_KRETEK_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a kretek.
(2) Never user = Youth respondents who have
not ever smoked a kretek.
IF ((R04_YB9101_NB_01 = 1 OR
R04_YB9101_NB_02 = 1) AND
R04_YB9102_NB_02 = 1) OR
R04_YB9102_12M_02 = 1 OR
R03_EVER_NEVER_KRETEK = 1, THEN
R04_EVER_NEVER_KRETEK_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_KRETEK_YOUTH != 1,
THEN R04_EVER_NEVER_KRETEK_YOUTH =
2.
Initiator - Kreteks
R04_INIT_KRETEK_YOUTH
(1) Initiator = Youth respondents who initiated
kretek use between Waves or new baseline
youth respondents who have ever smoked a
kretek.
(2) Non-initiator = Youth respondents who did
not initiate smokeless tobacco use between
Waves or new baseline youth respondents who
have not ever smoked a kretek.
IF R03_EVER_NEVER_KRETEK != 1 AND
R04_EVER_NEVER_KRETEK_YOUTH = 1,
THEN R04_INIT_KRETEK_YOUTH = 1.
ELSE, R04_INIT_KRETEK_YOUTH = 2.
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Variable Name
Variable Description
User Group Definition
Past 30 Day Users - Kreteks
R04_PAST30DAY_KRETEK
(1) Past 30 day user = Youth respondents who
have smoked a kretek in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have never smoked a kretek in the past 30
days.
IF R04_YB9102_30D_02 = 1, THEN
R04_PAST30DAY_KRETEK = 1.
ELSE, R04_PAST30DAY_KRETEK = 2.
(1) Ever user = Youth respondents who have
ever used any type of tobacco product(s) in
lifetime.
(2) Never user = Youth respondents who have
not ever used any type of tobacco product(s) in
lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 OR
R04_EVER_NEVER_EPRODS_YOUTH = 1 OR
(R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
R04_EVER_NEVER_PIPE_YOUTH = 1 OR
R04_EVER_NEVER_HOOK_YOUTH = 1 OR
R04_EVER_NEVER_SMKLS_YOUTH = 1 OR
R04_EVER_NEVER_SNUS_YOUTH = 1 OR
R04_EVER_NEVER_DISSBL_YOUTH = 1 OR
R04_EVER_NEVER_BIDI_YOUTH = 1 OR
R04_EVER_NEVER_KRETEK_YOUTH = 1,
THEN R04_EVER_USE_TOB=1.
ELSE, R04_EVER_USE_TOB=2.
TOBACCO (GENERAL)
Ever Users - Tobacco
R04_EVER_USE_TOB
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Variable Name
Variable Description
User Group Definition
Ever Users – Cigarettes Only
R04_EVER_USE_CIGSONLY
(1) Ever user = Youth respondents who have
ever used only cigarettes, and no other
products, in lifetime.
(2) Never user = Youth respondents who have
not ever used only cigarettes, and no other
products, in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 AND
R04_EVER_NEVER_EPRODS_YOUTH != 1
AND R04_EVER_NEVER_GTRAD_YOUTH != 1
AND R04_EVER_NEVER_GRILLO_YOUTH !=
1 AND R04_EVER_NEVER_GFILTR_YOUTH
!= 1 AND R04_EVER_NEVER_PIPE_YOUTH !=
1 AND R04_EVER_NEVER_HOOK_YOUTH !=
1 AND R04_EVER_NEVER_SMKLS_YOUTH !=
1 AND R04_EVER_NEVER_SNUS_YOUTH !=
1 AND R04_EVER_NEVER_DISSBL_YOUTH
!= 1 AND R04_EVER_NEVER_BIDI_YOUTH !=
1 AND R04_EVER_NEVER_KRETEK_YOUTH
!= 1, THEN R04_EVER_USE_CIGSONLY= 1.
ELSE, R04_EVER_USE_CIGSONLY= 2.
Ever Users - Dual
R04_EVER_USE_DUAL
(1) Ever user = Youth respondents who have
ever used cigarettes and at least one other
tobacco product in lifetime.
(2) Never user = Youth respondents who have
not ever used cigarettes and at least one other
tobacco product in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 AND
((R04_EVER_NEVER_EPRODS_YOUTH = 1)
OR (R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
(R04_EVER_NEVER_PIPE_YOUTH = 1) OR
(R04_EVER_NEVER_HOOK_YOUTH = 1) OR
(R04_EVER_NEVER_SMKLS_YOUTH = 1) OR
(R04_EVER_NEVER_SNUS_YOUTH = 1) OR
(R04_EVER_NEVER_DISSBL_YOUTH = 1) OR
(R04_EVER_NEVER_BIDI_YOUTH = 1) OR
(R04_EVER_NEVER_KRETEK_YOUTH = 1)),
THEN R04_EVER_USE_DUAL= 1.
ELSE, R04_EVER_USE_DUAL= 2.
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Variable Name
Variable Description
User Group Definition
Ever Users – Tobacco (Excluding
Cigarettes)
R04_EVER_USE_TOBXCIGS
(1) Ever user = Youth respondents who have
ever used any tobacco products, excluding
cigarettes, in lifetime.
(2) Never user = Youth respondents who have
not ever used any tobacco products, excluding
cigarettes, in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 2 AND
(R04_EVER_NEVER_EPRODS_YOUTH = 1
OR (R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
(R04_EVER_NEVER_PIPE_YOUTH = 1) OR
(R04_EVER_NEVER_HOOK_YOUTH = 1) OR
(R04_EVER_NEVER_SMKLS_YOUTH = 1) OR
(R04_EVER_NEVER_SNUS_YOUTH = 1) OR
(R04_EVER_NEVER_DISSBL_YOUTH = 1) OR
(R04_EVER_NEVER_BIDI_YOUTH = 1) OR
(R04_EVER_NEVER_KRETEK_YOUTH = 1)),
THEN R04_EVER_USE_TOBXCIGS = 1.
ELSE, R04_EVER_USE_TOBXCIGS = 2.
Past 30 Day Users - Tobacco
R04_PAST30DAY_TOB
(1) Past 30 day user = Youth respondents who
have used any tobacco product(s) in the past 30
days.
(2) Not past 30 day user = Youth respondents
who have not ever used any tobacco product(s)
in the past 30 days.
IF R04_PAST30DAY_CIGS = 1 OR
R04_PAST30DAY_EPRODS = 1 OR
R04_PAST30DAY_GTRAD = 1 OR
R04_PAST30DAY_GRILLO = 1 OR
R04_PAST30DAY_GFILTR = 1 OR
R04_PAST30DAY_PIPE = 1 OR
R04_PAST30DAY_HOOK = 1 OR
R04_PAST30DAY_SMKLS = 1 OR
R04_PAST30DAY_SNUS = 1 OR
R04_PAST30DAY_DISS = 1 OR
R04_PAST30DAY_BIDI = 1 OR
R04_PAST30DAY_KRETEK = 1,
THEN R04_PAST30DAY_TOB = 1.
ELSE, R04_PAST30DAY_TOB = 2.
Past Year Level - Tobacco
R04_PASTYEAR_TOB_USE_LEVEL
(1) Very light = Youth respondents who have
used any tobacco product in the last year, and
are not "not light" users of any product.
(2) Not light = Youth respondents who are not
IF R04_EVER_USE_TOB = 1 AND
(((R04_YC1005 = 1 OR 2 OR 3 AND
R03_NUMLIFE_CIGS != 1) AND (R04_YC1112
= 1, 2, 3, 4, OR 5)) OR ((R04_YV1005 = 1 AND
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Wave 4 (version 4.0)
Variable Name
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
Variable Description
User Group Definition
light users of any tobacco product and have
used in the past year.
R03_NUMLIFE_ECIG != 1) AND (R04_YV1112
= 1, 2, 3, 4, OR 5)) OR ((R04_YG1005TC = 1
OR 2 OR 3 AND R03_NUMLIFE_GTRAD != 1)
AND (R04_YG1112TC = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005CL = 1 OR 2 OR 3 AND
R03_NUMLIFE_GRILLO != 1) AND
(R04_YG1112CL = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005FC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GFILTR != 1) AND
(R04_YG1112FC = 1, 2, 3, 4, OR 5)) OR
(R04_YP1112 = 1, 2, 3, 4, OR 5) OR
(R04_YH1112 = 1, 2, 3, 4, OR 5) OR
((R04_YU1005 = 1 OR 2) AND (R04_YU1112 =
1, 2, 3, 4, OR 5)) AND ((R04_YS1005 = 1 OR 2)
AND (R04_YS1112 = 1, 2, 3, 4, OR 5)) OR
R04_YD1002_12M = 1 OR R04_YB9102_01 = 1
OR R04_YB9102_02 = 1), THEN
R04_PASTYEAR_TOB_USE_LEVEL = 1.
IF ((R04_YC1005 > 3 OR R04_YC1005 = -8, -7
OR R03_NUMLIFE_CIGS = 1) AND
(R04_YC1112 = 1 OR 2 OR 3 OR 4 OR 5)) OR
((R04_YV1005 > 1 OR R04_YV1005 = -8, -7 OR
R03_NUMLIFE_ECIG = 1) AND (R04_YV1112 =
1, 2, 3, 4, OR 5)) OR ((R04_YG1005TC > 3 OR
R04_YG1005TC = -8, -7 OR
R03_NUMLIFE_GTRAD = 1) AND
(R04_YG1112TC = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005CL > 3 OR R04_YG1005CL = -8,
-7 OR R03_NUMLIFE_GRILLO = 1) AND
(R04_YG1112CL = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005FC > 3 OR R04_YG1005FC = -8,
-7 OR R03_NUMLIFE_GFILTR = 1) AND
(R04_YG1112FC = 1, 2, 3, 4, OR 5)) OR
((R04_YU1005 > 2 OR R04_YU1005 = -8, -7
OR R03_NUMLIFE_SNUS = 1) AND
(R04_YU1112 = 1, 2, 3, 4, OR 5)) OR
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Variable Name
Variable Description
User Group Definition
((R04_YS1005 > 2 OR R04_YS1005 = -8, -7 OR
R03_NUMLIFE_SMKLS = 1) AND
(R04_YS1112 = 1, 2, 3, 4, OR 5)), THEN
R04_PASTYEAR_TOB_USE_LEVEL = 2.
Past Year Users - Tobacco
R04_PASTYEAR_TOB_USE
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
(1) Past year tobacco = (Past year users of
tobacco only) Youth respondents who have
used any tobacco product(s) in the past 12
months, but have not used any e-products in the
past 12 months.
(2) Past year e-product = (Past year users of eproducts only) Youth respondents who have
used any e-product in the past 12 months, but
have not used any other tobacco product(s) in
the past 12 months.
(3) Past year both = (Past year users of tobacco
and e-products) Youth respondents who have
used any e-product in the past 12 months and
have used at least one other tobacco product in
the past 12 months.
(4) Past year non-user = (Past year non-users of
any tobacco or e-product) Youth respondents
who have not used any e-product in the past 12
months and have not used any other tobacco
product in the past 12 months.
348
IF [R04_YV1112 != 1, 2, 3, 4, 5] AND
[(R04_YC1112 = 1, 2, 3, 4, 5) OR
(R04_YG1112TC = 1, 2, 3, 4, 5) OR
(R04_YG1112CL = 1, 2, 3, 4, 5) OR
(R04_YG1112FC = 1, 2, 3, 4, 5) OR
(R04_YP1112 = 1, 2, 3, 4, 5) OR (R04_YH1112
= 1, 2, 3, 4, 5) OR (R04_YU1112 = 1, 2, 3, 4, 5)
OR (R04_YS1112 = 1, 2, 3, 4, 5) OR
R04_YB9102_12M_01 = 1 OR
R04_YB9102_12M_02 = 1 OR
R04_YD1002_12M = 1], THEN
R04_PASTYEAR_TOB_USE = 1.
ELSE, IF [R04_YV1112 = 1, 2, 3, 4, 5] AND
[(R04_YC1112 != 1, 2, 3, 4, 5) AND
(R04_YG1112TC != 1, 2, 3, 4, 5) AND
(R04_YG1112CL != 1, 2, 3, 4, 5) AND
(R04_YG1112FC != 1, 2, 3, 4, 5) AND
(R04_YP1112 != 1, 2, 3, 4, 5) AND
(R04_YH1112 != 1, 2, 3, 4, 5) AND
(R04_YU1112 != 1, 2, 3, 4, 5) AND
(R04_YS1112 != 1, 2, 3, 4, 5) AND
R04_YB9102_12M_01 != 1 AND
R04_YB9102_12M_02 != 1 AND
R04_YD1002_12M != 1], THEN
R04_PASTYEAR_TOB_USE = 2.
ELSE, IF [R04_YV1112 = 1, 2, 3, 4, 5] AND
[(R04_YC1112=1, 2, 3, 4, 5) OR
(R04_YG1112TC = 1, 2, 3, 4, 5) OR
(R04_YG1112CL = 1, 2, 3, 4, 5) OR
(R04_YG1112FC = 1, 2, 3, 4, 5) OR
(R04_YP1112 = 1, 2, 3, 4, 5) OR (R04_YH1112
= 1, 2, 3, 4, 5) OR (R04_YU1112 = 1, 2, 3, 4, 5)
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
User Group Definition
OR (R04_YS1112 = 1, 2, 3, 4, 5) OR
R04_YB9102_12M_01 = 1 OR
R04_YB9102_12M_02 = 1 OR
R04_YD1002_12M = 1], THEN
R04_PASTYEAR_TOB_USE = 3.
ELSE, IF [R04_YV1112 != 1, 2, 3, 4, 5] AND
[(R04_YC1112 != 1, 2, 3, 4, 5) AND
(R04_YG1112TC != 1, 2, 3, 4, 5) AND
(R04_YG1112CL != 1, 2, 3, 4, 5) AND
(R04_YG1112FC != 1, 2, 3, 4, 5) AND
(R04_YP1112 != 1, 2, 3, 4, 5) AND
(R04_YH1112 != 1, 2, 3, 4, 5) AND
(R04_YU1112 != 1, 2, 3, 4, 5) AND
(R04_YS1112 != 1, 2, 3, 4, 5) AND
R04_YB9102_12M_01 != 1 AND
R04_YB9102_12M_02 != 1 AND
R04_YD1002_12M != 1], THEN
R04_PASTYEAR_TOB_USE = 4.
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APPENDIX: DERIVED VARIABLES
Variable Name
Variable Description
Variable Definition
R04_YOUTHAGE
Youth respondent age.
IF R04_E_YOUTH = 1, THEN R04_YOUTHAGE
= R04_CURRENT_AGE_LD.
ELSE, R04_YOUTHAGE = R04_PARYTHAGE.
R04_EPRODCOUNT
The number of different electronic nicotine
products used.
R04_EPRODCOUNT = 0;
IF R04_YV9035_01 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_02 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_03 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_04 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_05 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1.
DERIVED VARIABLES
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Variable Name
Variable Description
Variable Definition
R04_EDEVICETYPE
Electronic nicotine product device type.
IF R04_YV9005 = 2, -8 OR -7 AND
R04_YV9008 = 2, -8 OR -7 AND R04_YV9038 =
2, 3, -8 OR -7 AND R04_YV9009 = 2, -8 OR -7,
THEN R04_EDEVICETYPE = 1 (Disposable).
ELSE, IF R04_YV9005 = 1 AND R04_YV9008 =
1 AND R04_YV9038 = 2, 3, -8 OR -7 AND
R04_YV9009 = 2, -8 OR -7, THEN
R04_EDEVICETYPE = 2 (Non-Refillable
Cartridge).
ELSE, IF R04_YV9005 = 1 AND R04_YV9008 =
1 AND R04_YV9038 != 1 AND R04_YV9009 =
1, THEN R04_EDEVICETYPE = 3 (Refillable
Cartridge).
ELSE, IF R04_YV9005 = 1 AND R04_YV9038 =
1 AND R04_YV9009 = 1, THEN
R04_EDEVICETYPE = 4 (Refillable Tank
System).
ELSE, IF R04_YV9005 = 1, 2, -8 OR -7 AND
R04_YV9008 = 2, -8 OR -7 AND R04_YV9038 =
2, 3, -8 OR -7 AND R04_YV9009 = 1, THEN
R04_EDEVICETYPE = 5 (Refillable Mod
System).
ELSE, R04_EDEVICETYPE = 6 (Unknown).
CIGARFILL
Fill to be shown in question text to indicate the
cigar type.
Fill with "traditional cigar" for traditional
cigar/blunt smokers
Fill with "cigarillo" for cigarillo/blunt smokers
Fill with "filtered cigar" for filtered cigar/blunt
smokers
IF R04_EVER_NEVER_GTRAD = 1 OR
R04_12MBLUNT_ONLY_GTRAD = 1, THEN
CIGARFILL = "traditional cigar".
IF R04_EVER_NEVER_GRILLO = 1 OR
R04_12MBLUNT_ONLY_GRILLO = 1, THEN
CIGARFILL = "cigarillo".
IF R04_EVER_NEVER_GFILTR = 1 OR
R04_12MBLUNT_ONLY_GFILTR = 1, THEN
CIGARFILL = "filtered cigar".
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Variable Name
Variable Description
Variable Definition
CIGARLOOP
Cigars as Non-Blunts:
GTRAD = Youth respondents who have ever
smoked traditional cigars and have not smoked
traditional cigars as blunts every time when
smoked in the past 12 months.
GRILLO = Youth respondents who have ever
smoked cigarillos and have not smoked
cigarillos as blunts every time when smoked in
the past 12 months.
GFILTR = Youth respondents who have ever
smoked filtered cigars and have not smoked
filtered cigars as blunts every time when smoked
in the past 12 months.
Cigars as Non-Blunts:
GTRAD: IF R04_EVER_NEVER_GTRAD = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2,
THEN LOOP = GTRAD.
GRILLO: IF R04_EVER_NEVER_GRILLO = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2,
THEN LOOP = GRILLO.
GFILTR: IF R04_EVER_NEVER_GFILTR = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2,
THEN LOOP = GFILTR.
Cigars as Blunts-Only:
BTRAD = Youth respondents who smoke
traditional cigars as blunts every time when
smoked in the past 12 months.
BRILLO = Youth respondents who smoke
cigarillos as blunts every time when smoked in
the past 12 months.
BFILTR = Youth respondents who smoke filtered
cigars as blunts every time when smoked in the
past 12 months.
R04_YOUTH_ASTHMA
PATH – Wave 4
Youth Questionnaire – New and Aged-Up Interview
(1) Asthma = Youth respondent has ever had
asthma.
(2) No asthma = Youth respondent has never
had asthma.
352
Cigars as Blunts-Only:
BTRAD: IF R04_12MBLUNT_ONLY_BTRAD =
1, THEN LOOP = BTRAD.
BRILLO: IF R04_12MBLUNT_ONLY_BRILLO =
1, THEN LOOP = BRILLO.
BFILTR: IF R04_12MBLUNT_ONLY_BFILTR =
1, THEN LOOP = BFILTR.
IF R03_ASTHMA = 1 OR R04_YT0031_NB = 1
OR R04_YT0031_12M = 1, THEN
R04_YOUTH_ASTHMA = 1.
ELSE, R04_YOUTH_ASTHMA = 2.
PATH
Youth Questionnaire – New and Aged-Up Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
Variable Definition
R04_SUBSTANCE_COUNT
Number of substances the youth respondent has
ever used.
R04_SUBSTANCE_COUNT = 0;
IF R04_EVER_USER_ALC = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_MJ = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_RIT = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_PK = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_COC = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_STIM = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_OTH = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
R04_EVER_USER_ALC
Youth respondent has ever used alcohol.
IF R03_EVER_USER_ALCOHOL = 1 OR
R04_YX0084_NB = 1 OR R04_YX0084_12M =
1, THEN R04_EVER_USER_ALC = 1. ELSE
R04_EVER_USER_ALC = 2.
R04_EVER_USER_MJ
Youth respondent has ever used marijuana.
IF R03_EVER_USER_MARIJUANA = 1 OR
R04_YX0085_NB =1 OR R04_YG9105_NB = 1
OR R04_YH9031 = 1 OR R04_YV9042 = 1 OR
R04_YX0085_12M = 1 OR R04_YG9107 = 1,
THEN R04_EVER_USER_MJ = 1. ELSE,
R04_EVER_USER_MJ = 2.
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Variable Name
Variable Description
Variable Definition
R04_EVER_USER_RIT
Youth respondent has ever used Ritalin® or
Adderall®.
IF R03_EVER_USER_RITALIN = 1 OR
R04_YX0089_NB_01= 1 OR
R04_YX0089_12M_01 = 1, THEN
R04_EVER_USER_RIT = 1. ELSE
R04_EVER_USER_RIT = 2.
R04_EVER_USER_PK
Youth respondent has ever used painkillers,
sedatives, or tranquilizers.
IF R03_EVER_USER_PAINKILLERS = 1 OR
R04_YX0089_NB_02 = 1 OR
R04_YX0089_12M_02 = 1 , THEN
R04_EVER_USER_PK = 1. ELSE
R04_EVER_USER_PK = 2.
R04_EVER_USER_COC
Youth respondent has ever used cocaine or
crack.
IF R03_EVER_USER_COCAINE = 1 OR
R04_YX0220_NB_01 = 1 OR
R04_YX0220_12M_01 = 1, THEN
R04_EVER_USER_COC = 1. ELSE,
R04_EVER_USER_COC = 2.
R04_EVER_USER_STIM
Youth respondent has ever used stimulants like
methamphetamine or speed.
IF R03_EVER_USER_STIMULANTS = 1 OR
R04_YX0220_NB_02 = 1 OR
R04_YX0220_12M_02 = 1, THEN
R04_EVER_USER_STIM = 1. ELSE,
R04_EVER_USER_STIM = 2.
R04_EVER_USER_OTH
Youth respondent has ever used other drugs like
heroin, inhalants, solvents, or hallucinogens.
IF R03_EVER_USER_OTHERDRUG = 1 OR
R04_YX0220_NB_03 = 1 OR
R04_YX0220_12M_03 = 1, THEN
R04_EVER_USER_OTH = 1. ELSE,
R04_EVER_USER_OTH = 2.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
Table of Contents
INTRODUCTORY DEMOGRAPHICS ................................................................................. 1
CIGARETTE ........................................................................................................................ 8
ELECTRONIC NICOTINE PRODUCTS ............................................................................ 28
CIGAR ............................................................................................................................... 63
PIPE................................................................................................................................. 114
HOOKAH ......................................................................................................................... 121
SNUS ............................................................................................................................... 145
SMOKELESS TOBACCO................................................................................................ 166
DISSOLVABLE TOBACCO ............................................................................................. 188
BIDIS AND KRETEKS ..................................................................................................... 190
OTHER TOBACCO ......................................................................................................... 193
NEW PRODUCT - PLACEHOLDER ............................................................................... 194
FIRST TOBACCO PRODUCT......................................................................................... 196
NICOTINE DEPENDENCE AND CESSATION / QUITTER ............................................ 198
PACKAGING AND HEALTH WARNINGS ...................................................................... 215
RISK PERCEPTIONS AND ATTITUDES........................................................................ 228
MEDIA USE .................................................................................................................... 249
SECONDHAND SMOKE EXPOSURE ............................................................................ 254
HEALTH .......................................................................................................................... 256
MARKETING, ADVERTISING AND PROMOTION ......................................................... 277
SOCIAL NORMS, PEER AND FAMILY INFLUENCES .................................................. 282
ACCESSIBILITY .............................................................................................................. 290
PSYCHOSOCIAL ............................................................................................................ 292
SUBSTANCE USE .......................................................................................................... 298
ADDITIONAL DEMOGRAPHICS .................................................................................... 318
CONTACT INFORMATION – EMANCIPATED YOUTH ................................................. 325
APPENDIX: USER GROUPS .......................................................................................... 336
APPENDIX: DERIVED VARIABLES ............................................................................... 354
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Wave 4 (version 4.0)
SECTION
# OF QUESTIONS
Introductory Demographics
10
Cigarettes
Electronic Nicotine Products
Cigar
Pipe
Hookah
Snus
44
73
88
14
57
49
Smokeless Tobacco
Dissolvable Tobacco
Bidis and Kreteks
Other Tobacco
New Product - Placeholder
First Tobacco Product
48
4
4
1
5
1
Nicotine Dependence and Cessation/Quitter
Packaging and Health Warnings
Risk Perceptions and Attitudes
Media Use
Secondhand Smoke Exposure
Health
39
31
56
8
2
49
Marketing, Advertising and Promotion
Social Norms, Peer and Family Influences
Accessibility
Psychosocial
Substance Use
Additional Demographics
11
21
5
15
33
13
Contact Information – Emancipated Youth
24
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Wave 4 (version 4.0)
Número de control de la OMB: 0925-0664
Fecha de vencimiento: XX/XX/XXXX
Se calcula que el tiempo para esta recolección de información es de 45 minutos por cuestionario,
incluyendo el tiempo necesario para revisar las instrucciones, buscar fuentes de datos existentes, reunir
y mantener los datos necesarios y completar y revisar la recolección de información. Ninguna agencia
puede realizar ni patrocinar una recolección de información, y ninguna persona está obligada a
responder a dicha recolección de información, a menos que esta muestre un número de control vigente
de la OMB. Envíe sus comentarios respecto a este cálculo de tiempo o a otro aspecto de esta
recolección de información, incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH,
Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA
(0925-0664). No devuelva el cuestionario contestado a esta dirección.
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Wave 4 (version 4.0)
INTRODUCTORY DEMOGRAPHICS
BOX ID:
R04_YMV01
PROGRAM: LOAD THE FOLLOWING DERIVED VARIABLES FROM PRELOAD FILE.
R03_EVER_NEVER_CIGS - Wave 3 ever or never user of cigarettes
R03_EVER_NEVER_EPRODS - Wave 3 ever or never user of e-products
R03_EVER_NEVER_GTRAD - Wave 3 ever or never user of traditional cigars
R03_EVER_NEVER_GRILLO - Wave 3 ever or never user of cigarillos
R03_EVER_NEVER_GFILTR - Wave 3 ever or never user of filtered cigars
R03_EVER_NEVER_BTRAD - Wave 3 ever or never user of traditional cigars as blunts
R03_EVER_NEVER_BRILLO - Wave 3 ever or never user of cigarillos as blunts
R03_EVER_NEVER_BFILTR - Wave 3 ever or never user of filtered cigars as blunts
R03_EVER_NEVER_PIPE - Wave 3 ever or never user of pipes
R03_EVER_NEVER_HOOK - Wave 3 ever or never user of hookah
R03_EVER_NEVER_SNUS - Wave 3 ever or never user of snus
R03_EVER_NEVER_SMKLS - Wave 3 ever or never user of smokeless tobacco
R03_EVER_NEVER_DISSBL - Wave 3 ever or never user of dissolvable tobacco
R03_EVER_NEVER_BIDI - Wave 3 ever or never user of bidis
R03_EVER_NEVER_KRETEK - Wave 3 ever or never user of kreteks
R03_NUMLIFE_CIGS - The respondent reported smoking 100+ cigarettes in their lifetime at any
previous wave.
R03_NUMLIFE_ECIG - The respondent reported using e-cigarettes 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_GTRAD - The respondent reported smoking 100+ traditional cigars in their lifetime at
any previous wave.
R03_NUMLIFE_GRILLO - The respondent reported smoking 100+ cigarillos in their lifetime at any
previous wave.
R03_NUMLIFE_GFILTR - The respondent reported smoking 100+ filtered cigars in their lifetime at any
previous wave.
R03_NUMLIFE_PIPE - The respondent reported smoking a pipe 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_HOOK - The respondent reported smoking hookah 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_SNUS - The respondent reported using 100+ snus pouches in their lifetime at any
previous wave.
R03_NUMLIFE_SMKLS - The respondent reported using smokeless tobacco 100+ times in their
lifetime at any previous wave.
R03_REGUSE_CIGS - The respondent reported smoking cigarettes fairly regularly at any previous
wave.
R03_REGUSE_ECIG - The respondent reported using e-cigarettes fairly regularly at any previous
wave.
R03_REGUSE_GTRAD - The respondent reported smoking traditional cigars fairly regularly at any
previous wave.
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Wave 4 (version 4.0)
R03_REGUSE_GRILLO - The respondent reported smoking cigarillos fairly regularly at any previous
wave.
R03_REGUSE_GFILTR - The respondent reported smoking filtered cigars fairly regularly at any
previous wave.
R03_REGUSE_PIPE - The respondent reported smoking a pipe fairly regularly at any previous wave.
R03_REGUSE_HOOK - The respondent reported smoking hookah fairly regularly at any previous wave.
R03_REGUSE_SNUS - The respondent reported using snus fairly regularly at any previous wave.
R03_REGUSE_SMKLS - The respondent reported using smokeless tobacco fairly regularly at any
previous wave.
R03_GENDER - Respondent reported gender
R03_ASTHMA - Respondent reported being diagnosed with asthma in any previous wave.
R03_EVER_USER_ALCOHOL - Respondent reported ever using alcohol in any previous wave.
R03_EVER_USER_MARIJUANA - Respondent reported ever using marijuana in any previous wave.
R03_EVER_USER_RITALIN - Respondent reported ever using ritalin in any previous wave.
R03_EVER_USER_PAINKILLERS - Respondent reported ever using painkillers in any previous wave.
R03_EVER_USER_COCAINE - Respondent reported ever using cocaine in any previous wave.
R03_EVER_USER_STIMULANTS - Respondent reported ever using stimulants in any previous wave.
R03_USCITIZEN – Respondent reported US citizenship in any previous wave.
R04_LINKED_ADDRESS - Emancipated youth respondents' best address from IMS.
R04_VTBESTSPPHONE - Emancipated youth respondents' best phone number from IMS.
R04_PHONE2 - Emancipated youth respondents' second phone number from IMS.
R04_E_YOUTH - Youth respondents that are emancipated.
BOX ID:
R04_YMV02
PROGRAM: DERIVE THE FOLLOWING VARIABLE (SEE APPENDIX).
R04_YOUTHAGE = Age verified by parent or age derived from emancipated youth's birthdate.
BOX ID:
R04_YMD04
Note - In the following specifications, "!=" represents "not equal to".
Note - References to the various respondent types are as follows:
"New baseline youth respondents" = Youth respondents where this is their first interview in the Youth
cohort and in the PATH Study. Includes youth who have aged-up into the Youth cohort and youth who
are new to the PATH Study as part of the replenishment sample.
"Continuing youth respondents" = Youth respondents whose last completed interview in a previous
wave was in the Youth cohort, and they continue to be in the Youth cohort. This is not their first
interview in the Youth cohort or the PATH Study.
"Emancipated youth respondents" = Youth respondents who are emancipated.
"All youth respondents" = All youth respondents in the Youth cohort.
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Wave 4 (version 4.0)
BOX ID:
R04_YMR03
New baseline youth respondents, go to R04_YM0004_NB.
Else, continuing youth respondents who did not report US citizenship in a previous wave, go to
R04_YM0069.
Else, go to R04_YM0065.
PATH ID:
R04_YM0004_NB
¿Cuál es su sexo?
1
Masculino
2
Femenino
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
PATH ID:
R04_YM0005_NB
¿Es usted de origen hispano, latino o español? Escoja todas las opciones que correspondan.
1
No. De ningún origen hispano, latino ni español
2
Sí. Mexicano, mexicano americano o chicano
3
Sí. Puertorriqueño
4
Sí. Cubano
5
Sí. De otro origen hispano, latino o español
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
DISPLAY: IF R04_YM0004_NB = 1, DISPLAY "" AND "";
ELSE, IF R04_YM0004_NB = 2, DISPLAY "" AND "";
ELSE, IF R04_YM0004_NB= -8 OR -7, DISPLAY "" AND "".
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PATH ID:
R04_YM0006_NB
¿Cuál es su raza? Escoja todas las opciones que correspondan.
1
Blanca
2
Negra o africana americana
3
India americana o nativa de Alaska
4
Hindú
5
China
6
Filipina
7
Japonesa
8
Coreana
9
Vietnamita
10
Otra raza asiática
11
Nativa de Hawái
12
Guameña o chamorra
13
Samoana
14
De otra isla del Pacífico
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
PATH ID:
R04_YM0069
¿Es usted ciudadano estadounidense?
1
Sí. Nació en Estados Unidos
2
Sí. Nació en Puerto Rico, Guam, las Islas Vírgenes de los Estados Unidos o las Islas Marianas
del Norte
3
Sí. Nació en el extranjero de padres ciudadanos estadounidenses
4
Sí. Es ciudadano estadounidense por naturalización
5
No. No es ciudadano estadounidense
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents and continuing youth respondents who did not report US
citizenship in a previous wave.
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PATH ID:
R04_YM0065
Aproximadamente, ¿cuántos años lleva viviendo en Estados Unidos? (Si lleva menos de un año
viviendo en Estados Unidos, anote 1).
1
He vivido en Estados Unidos toda mi vida
2
I___I___I___I AÑOS
GO TO BOX R04_YMD03
-8
DON'T KNOW
GO TO BOX R04_YMD03
-7
REFUSED
GO TO BOX R04_YMD03
ASK: All youth respondents.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD, WITH BUTTON “He vivido en Estados Unidos
toda mi vida” ON RIGHT.
DISPLAY "AÑOS" AS A TITLE.
PATH ID:
R04_YM0065_LC1
La computadora registró que usted lleva viviendo en Estados Unidos [R04_YM0065] años. Son más
años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YM0065
2
NEXT
GO TO BOX R04_YMD03
ASK: IF R04_YM0065 > R04_YOUTHAGE
BOX ID:
R04_YMD03
Display questions R04_YM0066 through R04_YM0073 using the expanded WVB stem-leaf screen. The
introduction text from R04_YM0066 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YM0066
¿Qué tan bien...
habla usted inglés?
1
Muy bien
2
Bien
3
No muy bien
4
Nada en absoluto
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0070
lee usted en inglés?
1
Muy bien
2
Bien
3
No muy bien
4
Nada en absoluto
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YM0073
escribe usted en inglés?
1
Muy bien
2
Bien
3
No muy bien
4
Nada en absoluto
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YM0071
¿Habla en su casa un idioma diferente al inglés?
1
Sí
2
No
GO TO BOX R04_YCT01
-8
DON'T KNOW
GO TO BOX R04_YCT01
-7
REFUSED
GO TO BOX R04_YCT01
ASK: All youth respondents.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0072
¿Qué otros idiomas habla en casa? Escoja todas las opciones que correspondan.
1
Español
2
Chino
3
Tagalo
4
Vietnamita
5
Francés
6
Coreano
7
Alemán
8
Árabe
9
Ruso
10
Otro idioma (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who speak another language at home.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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CIGARETTE
BOX ID:
R04_YCT01
Las siguientes preguntas son acerca de su experiencia con cigarrillos.
BOX ID:
R04_YCR02
New baseline youth respondents, go to R04_YC1002_NB.
Continuing youth respondents, go to R04_YC1002_12M.
PATH ID:
R04_YC1002_NB
¿Alguna vez ha fumado un cigarrillo, incluso si solo fueron una o dos probaditas?
1
Sí
GO TO BOX R04_YCV02
2
No
GO TO BOX R04_YCV02
-8
DON'T KNOW
GO TO BOX R04_YCV02
-7
REFUSED
GO TO BOX R04_YCV02
ASK: New baseline youth respondents.
BOX ID:
R04_YCV02
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_CIGS_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
cigarette.
R04_EVER_NEVER_CIGS_YOUTH = 2 (Never user) Youth respondents who have not ever smoked a
cigarette.
R04_INIT_CIGS_YOUTH = 1 (Initiator) Youth respondents who initiated cigarette use between Waves
or new baseline youth respondents who have ever smoked a cigarette.
BOX ID:
R04_YCR01
Youth respondents who have never smoked a cigarette, go to R04_YC1103.
Else, new baseline youth respondents who have ever smoked a cigarette, go to R04_YC1006_NB.
Else, continuing youth respondents who initiated cigarette smoking since the previous wave, go to
R04_YC1108.
Else, continuing youth respondents who had smoked 100 or more cigarettes in the previous wave, go to
Box R04_YCR21.
Else, go to R04_YC1005.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1103
Alguna vez, ¿ha sentido curiosidad por fumar un cigarrillo?
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1206
¿Cree que fumará un cigarrillo el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1104
¿Cree que probará un cigarrillo pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1105
¿Si uno de sus mejores amigos le ofreciera un cigarrillo, lo fumaría?
1
Definitivamente sí
GO TO BOX R04_YVT01
2
Probablemente sí
GO TO BOX R04_YVT01
3
Probablemente no
GO TO BOX R04_YVT01
4
Definitivamente no
GO TO BOX R04_YVT01
-8
DON'T KNOW
GO TO BOX R04_YVT01
-7
REFUSED
GO TO BOX R04_YVT01
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1006_NB
¿Qué edad tenía la primera vez que trató de fumar un cigarrillo, incluso si solo fueron una o dos
probaditas?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YC1120_NB
-7
REFUSED
GO TO R04_YC1120_NB
ASK: New baseline youth respondents who have ever smoked a cigarette.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YC1006_NB_LC1
La computadora registró que la primera vez que usted intentó probar cigarrillos fue a la edad de
[R04_YC1006_NB] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1006_NB
2
NEXT
GO TO R04_YC1108
ASK: IF R04_YC1006_NB <= 5.
PATH ID:
R04_YC1006_NB_LC2
La computadora registró que la primera vez que usted intentó probar cigarrillos fue a la edad de
[R04_YC1006_NB] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1006_NB
2
NEXT
GO TO R04_YC1108
ASK: IF R04_YC1006_NB > R04_YOUTHAGE.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1120_NB
La primera vez que probó un cigarrillo, incluso si solo fueron una o dos probaditas, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever smoked a cigarette and did not know or refused
to report the age they first tried cigarette smoking.
PATH ID:
R04_YC1108
El primer cigarrillo que fumó, ¿tenía sabor a mentol o menta?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC9104
¿Qué tantas sensaciones agradables sintió la primera vez que fumó un cigarrillo?
1
Nada
2
Muy pocas
3
Algo
4
Muchas
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
DISPLAY: UNDERLINE "agradables".
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9105
¿Qué tantas sensaciones desagradables sintió la primera vez que fumó un cigarrillo?
1
Nada
2
Muy pocas
3
Algo
4
Muchas
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
DISPLAY: UNDERLINE "desagradables".
PATH ID:
R04_YC9106
¿Qué tantas náuseas tuvo la primera vez que fumó un cigarrillo?
1
Nada
2
Muy pocas
3
Algo
4
Muchas
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC1005
¿Cuántos cigarrillos ha fumado en toda su vida? Una cajetilla normalmente contiene 20 cigarrillos.
1
Una o más probaditas, pero nunca un cigarrillo completo
2
Un cigarrillo
3
2 a 10 cigarrillos (aproximadamente media cajetilla en total)
4
11 a 20 cigarrillos (aproximadamente de media a una cajetilla)
5
21 a 50 cigarrillos (más de una pero menos de 3 cajetillas)
6
51 a 99 cigarrillos (más de 2 cajetillas y media pero menos de 5 cajetillas)
7
100 o más cigarrillos (5 cajetillas o más)
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever smoked a cigarette and had not
smoked 100 or more cigarettes in the previous wave, and new cohort youth respondents who have ever
smoked a cigarette.
PATH – Wave 4
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12
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YCR21
Youth respondents who have ever smoked a cigarette and had never smoked cigarettes fairly regularly
in the previous wave, go to R04_YC1100.
Else, go to R04_YC9022.
PATH ID:
R04_YC1100
Alguna vez, ¿ha fumado cigarrillos de manera habitual?
1
Sí
2
No
GO TO R04_YC9022
-8
DON'T KNOW
GO TO R04_YC9022
-7
REFUSED
GO TO R04_YC9022
ASK: Youth respondents who have ever smoked a cigarette and had never smoked fairly regularly in
the previous wave.
PATH ID:
R04_YC1007
¿Qué edad tenía la primera vez que comenzó a fumar cigarrillos habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YC1121
-7
REFUSED
GO TO R04_YC1121
ASK: Youth respondents who have ever smoked cigarettes fairly regularly and did not smoke fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YC1007_LC1
La computadora registró que usted comenzó a fumar cigarrillos de manera habitual a la edad de
[R04_YC1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1007
2
NEXT
GO TO R04_YC9022
ASK: IF R04_YC1007 <= 5 OR R04_YC1007 < R04_YC1006_NB.
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13
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1007_LC2
La computadora registró que usted comenzó a fumar cigarrillos de manera habitual a la edad de
[R04_YC1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1007
2
NEXT
GO TO R04_YC9022
ASK: IF R04_YC1007 > R04_YOUTHAGE.
PATH ID:
R04_YC1121
La primera vez que comenzó a fumar cigarrillos habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked cigarettes fairly regularly and did not smoke fairly
regularly in a previous wave and who did not know or refused to report the age they started smoking.
PATH ID:
R04_YC9022
¿Se considera usted fumador?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette.
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14
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1112
¿Cuándo fue la última vez que fumó un cigarrillo, incluso si solo fueron una o dos probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YCV01
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YCV01
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YCV01
6
Hace 1 a 4 años
GO TO BOX R04_YCV01
7
Hace 5 años o más
GO TO BOX R04_YCV01
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC0100
¿Cuándo fue la última vez que fumó un cigarrillo?
1
Hace menos de una hora
GO TO R04_YC0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YCV01
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who smoked a cigarette in the past 7 days.
PATH ID:
R04_YC0102
La última vez que fumó un cigarrillo [FILL BASED ON R04_YC0100], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigarette today, yesterday or the day before yesterday,
but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YC0100]: IF R04_YC0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YC0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YC0100 = 4, DISPLAY "hace dos días".
PATH – Wave 4
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15
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC0103
¿Cuántos cigarrillos [ha fumado/fumó] [FILL BASED ON R04_YC0100]? Una cajetilla normalmente
contiene 20 cigarrillos.
1
I__I__I Cantidad de cigarrillos
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who have smoked a cigarette in the past hour, sometime today, yesterday or
the day before yesterday.
DISPLAY: DISPLAY "Cantidad de cigarrillos" AS A TITLE.
IF R04_YC0100 = 1, 2, DISPLAY "ha fumado".
IF R04_YC0100 = 3, 4, DISPLAY, "fumó".
FOR [FILL BASED ON R04_YC0100]:
IF R04_YC0100 = 1, 2, DISPLAY "hoy".
IF R04_YC0100 = 3, DISPLAY "ayer".
IF R04_YC0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YC0103_LC1
La computadora registró que usted fumó [R04_YC0103] cigarrillos [hoy/ayer/hace dos días]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC0103
2
NEXT
GO TO BOX R04_YCV01
ASK: IF R04_YC0103 > 60 OR R04_YC0103 = 11, 22, 33, 44, 55.
DISPLAY: IF R04_YC0100 = 1, 2, DISPLAY "hoy".
IF R04_YC0100 = 3, DISPLAY "ayer".
IF R04_YC0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YCV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_CIGS = 1 (Past 30 day cigarette smoker) Youth respondents who have smoked a
cigarette in the past 30 days.
R04_PAST30DAY_CIGS_LEVEL = 1 (Past 30 day "Very Light" cigarette smokers) Youth
respondents who have smoked a cigarette in the past 30 days, and have smoked 10 or less cigarettes
in their lifetime.
R04_PAST30DAY_CIGS_LEVEL = 2 (Past 30 day "Not Light" cigarette smokers) Youth
respondents who have smoked a cigarette in the past 30 days, and have smoked more than 10
cigarettes in their lifetime.
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BOX ID:
R04_YCR22
Past 30 day cigarette smokers, go to R04_YC1022.
Else, go to R04_YVT01.
PATH ID:
R04_YC1022
¿En cuántos de los últimos 30 días fumó usted cigarrillos?
1
I__I__I DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
DISPLAY: DISPLAY "DÍAS" AS A TITLE.
PATH ID:
R04_YC1023
En los últimos 30 días, en los días en que fumó, ¿cuántos cigarrillos fumó cada día? Una cajetilla
normalmente contiene 20 cigarrillos.
1
Menos de un cigarrillo cada día
2
Un cigarrillo cada día
3
2 a 5 cigarrillos cada día
4
6 a 10 cigarrillos cada día
5
11 a 20 cigarrillos cada día
6
Más de 20 cigarrillos cada día
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
PATH ID:
R04_YC9048
En los últimos 30 días, ¿fumó cigarrillos que ya vienen listos para fumar o fumó cigarrillos que uno
mismo arma?
1
Cigarrillos que ya vienen listos para fumar
2
Cigarrillos que uno mismo arma
3
Tanto cigarrillos que ya vienen listos para fumar como cigarrillos que
uno mismo arma
4
No sé
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YCR20
ASK: Past 30 day cigarette smokers.
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Wave 4 (version 4.0)
PATH ID:
R04_YC1130
En los últimos 30 días, ¿tenían algunos de los cigarrillos que fumó sabor a mentol o menta?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day manufactured cigarette smokers.
BOX ID:
R04_YCR20
Youth respondents who have smoked roll-your-own cigarettes in the past 30 days, go to R04_YC9045.
Else, go to R04_YC1142.
PATH ID:
R04_YC9045
En los últimos 30 días, ¿tenía sabor a mentol o menta el tabaco para armar sus propios cigarrillos que
usted fumó?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day roll-your-own cigarette smokers.
PATH ID:
R04_YC1142
En los últimos 30 días, ¿alguien le vendió cigarrillos?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
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Wave 4 (version 4.0)
PATH ID:
R04_YC1123
En los últimos 30 días, ¿le negó alguien la venta de cigarrillos debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
PATH ID:
R04_YC1118
En los últimos 30 días, ¿cómo obtuvo sus cigarrillos normalmente?
1
Le di dinero a otra persona para que me los compre
2
Yo mismo los compré en una tienda
3
Se los pedí a una persona
4
Alguien me lo ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YCR03
Past 30 day cigarette smokers who usually buy cigarettes for themselves or give someone else money
to buy cigarettes for them, go to R04_YC1030.
Else, go to Box R04_YCR23.
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PATH ID:
R04_YC1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente sus
cigarrillos?
1
En persona
2
En Internet
GO TO R04_YC1039
3
Por teléfono
GO TO R04_YC1039
-8
DON'T KNOW
GO TO R04_YC1039
-7
REFUSED
GO TO R04_YC1039
ASK: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them.
DISPLAY: IF R04_YC1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona".
IF R04_YC1118 = 2, DISPLAY "¿Cómo compra usted".
PATH ID:
R04_YC1032
Normalmente, ¿[compra/le compran] cigarrillos...?
1
En su propio estado
2
En otro estado
3
Fuera de Estados Unidos
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them in person.
DISPLAY: IF R04_YC1118 = 1, DISPLAY "le compran"; IF R04_YC1118 = 2, DISPLAY "compra".
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PATH ID:
R04_YC1033
¿Dónde [compra/le compran] sus cigarrillos la mayoría del tiempo?
1
Una tienda de conveniencia o estación de gasolina
2
Un supermercado, tienda de comestibles o farmacia
3
Una tienda mayorista como Sam's o Costco
4
Una tienda especializada o un almacén de tabaco o una tabaquería
5
Una tienda libre de impuestos o un economato militar
6
Un bar, restaurante, casino o una taberna
7
Un amigo o familiar
8
Un mercadillo o mercado de pulgas
9
Una tienda en una reserva indígena
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them in person.
DISPLAY: IF R04_YC1118 = 1, DISPLAY "le compran"; IF R04_YC1118 = 2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YCR24
Past 30 day "not-light" cigarette smokers who usually buy cigarettes for themselves or give someone
else money to buy cigarettes for them, go to R04_YC1039.
Else, go to Box R04_YCR23.
PATH ID:
R04_YC1039
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] cigarrillos. ¿Los
compró en cartón, cajetilla o sueltos?
1
Cartón
2
Cajetilla
3
Sueltos
-8
DON'T KNOW
GO TO BOX R04_YCR23
-7
REFUSED
GO TO BOX R04_YCR23
ASK: Past 30 day "not-light" cigarette smokers who buy cigarettes for themselves or someone else buys
for them.
DISPLAY: IF R04_YC1118 = 2, DISPLAY "compró". IF R04_YC1118 = 1, DISPLAY "le dio dinero a
alguien para que le compre".
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PATH ID:
R04_YC1034
¿Cuánto pagó por [un cartón de cigarrillos/una cajetilla de cigarrillos/un cigarrillo suelto]?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YCR23
-7
REFUSED
GO TO BOX R04_YCR23
ASK: Past 30 day "not-light" cigarette smokers who buy cigarettes for themselves or someone else buys
for them by the carton, pack or as singles.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YC1039 = 1, DISPLAY "un cartón de cigarrillos"; IF R04_YC1039 = 2, DISPLAY una cajetilla de
cigarrillos"; IF R04_YC1039 = 3, DISPLAY "un cigarrillo suelto".
PATH ID:
R04_YC1034_LC1
La computadora registró que usted pagó $[R04_YC1034_D].[R04_YC1034_C] por [un cartón de
cigarrillos/una cajetilla de cigarrillos/un cigarrillo suelto]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
2
NEXT
GO TO R04_YC1034
ASK: IF ((R04_YC1034_D > 125 OR R04_YC1034_D < 25) AND R04_YC1039 = 1) OR
((R04_YC1034_D > 15 OR R04_YC1034_D < 4) AND R04_YC1039 = 2) OR ((R04_YC1034_D > 3 OR
(R04_YC1034_D = 0 AND R04_YC1034_C < 50)) AND R04_YC1039 = 3).
DISPLAY: IF R04_YC1039 = 1, DISPLAY "un cartón de cigarrillos".
IF R04_YC1039 = 2, DISPLAY "una cajetilla de cigarrillos".
IF R04_YC1039 = 3, DISPLAY "un cigarrillo suelto".
BOX ID:
R04_YCR23
Past 30 day "not light" cigarette smokers, go to R04_YC1047.
Else, past 30 day cigarette smokers, go to R04_YC1945.
Else, go to Box R04_YVT01.
PATH ID:
R04_YC1047
¿Tiene una marca habitual de cigarrillos que normalmente fuma?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
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PATH ID:
R04_YC1945
¿Sabe el nombre de la marca de cigarrillos que [fuma normalmente/fumó la última vez]?
1
Sí
2
No
GO TO BOX R04_YCR07
-8
DON'T KNOW
GO TO BOX R04_YCR07
-7
REFUSED
GO TO BOX R04_YCR07
ASK: Past 30 day cigarette smokers.
DISPLAY: IF R04_YC1047 = 1, DISPLAY "fuma normalmente".
ELSE, DISPLAY "fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YC1048
¿Qué marca de cigarrillos [fuma/fumó] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers who know the brand name.
DISPLAY: IF R04_YC1047 = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó" AND "la última vez".
[If multiple screens] DISPLAY: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] DISPLAY: Si no ve la opción a continuación, toque
la casilla que dice "Otra".
BOX ID:
R04_YCR04
If youth respondent selects brand in R04_YC1048_BRAND, go to R04_YC1070_PRODUCT.
Else, if youth respondent selects “Something else” in R04_YC1048_BRAND, go to R04_YC1049.
Else, go to Box R04_YCR07.
PATH ID:
R04_YC1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YCR07
-8
DON'T KNOW
GO TO BOX R04_YCR07
-7
REFUSED
GO TO BOX R04_YCR07
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
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Wave 4 (version 4.0)
PATH ID:
R04_YC1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [fuma/fumó]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YC1047 = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó" AND "la última vez".
[If multiple screens] Display: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] Display: Si no ve la opción a continuación, toque la
casilla que dice "Otra".
BOX ID:
R04_YCR05
If youth respondent selects "Something else" in R04_YC1070_PRODUCT, go to R04_YC1071.
Else, go to Box R04_YCR07.
PATH ID:
R04_YC1071
Usted dijo que el tipo de [BRANDFILL]s que usted fuma no está en las opciones. ¿Qué tipo es?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected a brand
image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YCR07
Past 30 day “not-light” cigarette smokers who have a regular brand, go to R04_YC1051.
Else, youth respondents who have smoked a cigarette today, yesterday or the day before yesterday
who know the name of their brand AND selected a valid brand and product for the last cigarette
smoked, go to R04_YC0104.
Else, go to Box R04_YVT01.
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PATH ID:
R04_YC1051
Aproximadamente, ¿cuánto tiempo lleva fumando su marca habitual de cigarrillos?
1
I___I___I DÍAS
2
I___I___I MESES
3
I___I___I AÑOS
-8
DON'T KNOW
GO TO R04_YC9019
-7
REFUSED
GO TO R04_YC9019
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
PATH ID:
R04_YC1051_LC1
La computadora registró que usted lleva [R04_YC1051] fumando su marca habitual]. Son más años de
los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1051
2
NEXT
GO TO R04_YC9019
ASK: IF (R04_YC1051_NN > R04_YOUTHAGE) AND R04_YC1051_UN = 3.
PATH ID:
R04_YC1051_LC2
La computadora registró "cero" para la cantidad de tiempo que usted lleva fumando su marca habitual
de cigarrillos.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1051
2
NEXT
GO TO R04_YC9019
ASK: IF R04_YC1051_NN = 0.
PATH ID:
R04_YC9019
¿Cree que la marca de cigarrillos que normalmente fuma podría ser menos dañina, igual de dañina o
más dañina en comparación con otras marcas de cigarrillos?
1
Menos dañina
2
Igual de dañina
3
Más dañina
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
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BOX ID:
R04_YCD01
PROGRAM: Display questions R04_YC9010 and R04_YC9014 on one screen. Show the intro/transition
text from R04_YC9010 first, then show each item with a Sí/No response. As each item is answered,
show the next one.
PATH ID:
R04_YC9010
Al seleccionar su marca habitual de cigarrillos, ¿basó su decisión en parte en alguno de los siguientes
criterios?
Es más económica.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
PATH ID:
R04_YC9014
El sabor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
BOX ID:
R04_YCR08
Youth respondents who have smoked a cigarette today, yesterday or the day before yesterday who
know the name of their brand AND selected a valid brand in R04_YC1048_BRAND and valid product in
R04_YC1070_PRODUCT, go to R04_YC0104.
Else, go to Box R04_YVT01.
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Wave 4 (version 4.0)
PATH ID:
R04_YC0104
Tengo una pregunta más acerca de [su marca habitual/la última marca] de cigarrillos [ que fumó].
Anteriormente dijo que fumó un cigarrillo [TIME OF LAST USE].
Piense en el último cigarrillo que fumó. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers who have smoked a cigarette in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a valid brand
AND valid product.
DISPLAY: UNDERLINE "su marca habitual" AND "la última marca" IN THE QUESTION TEXT.
IF R04_YC1047 = 1, DISPLAY "su marca habitual".
ELSE, DISPLAY "la última marca" AND "que fumó".
IF R04_YC0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una hora".
IF R04_YC0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
IF R04_YC0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
IF R04_YC0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH R04_YC1070_PRODUCT RESPONSE.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
ELECTRONIC NICOTINE PRODUCTS
BOX ID:
R04_YVT01
Las siguientes preguntas son acerca de productos electrónicos con nicotina, tales como cigarrillos
electrónicos, puros electrónicos, pipas electrónicas, hookahs electrónicas, vaporizadores personales de
fumar y plumas hookah.
Estos productos funcionan con batería y producen vapor o aerosol en vez de humo. Contienen un
líquido con nicotina que a veces se conoce como "líquido electrónico" o "jugo electrónico", aunque la
cantidad de nicotina puede variar y es posible que algunos no contengan nada de nicotina.
Algunos se pueden comprar como productos desechables que se usan una sola vez, mientras que
otros se compran como productos reusables que son recargables. Algunas marcas conocidas son
Vuse, Blu, Logic, MarkTen, NJOY, eGo y iTaste.
[SHOW GENERIC IMAGE OF E-PRODUCTS]
BOX ID:
R04_YVR03
New baseline youth respondents, go to R04_YV1001_NB.
Else, continuing youth respondents, go to R04_YV1002_12M.
PATH ID:
R04_YV1001_NB
¿Alguna vez había visto u oído hablar de productos electrónicos con nicotina antes de este estudio?
(Los productos electrónicos con nicotina incluyen cigarrillos electrónicos, puros electrónicos, pipas
electrónicas, hookahs electrónicas, vaporizadores personales de fumar y plumas hookah.)
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Sí
2
No
GO TO BOX R04_YVV02
-8
DON'T KNOW
GO TO BOX R04_YVV02
-7
REFUSED
GO TO BOX R04_YVV02
ASK: New baseline youth respondents.
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Wave 4 (version 4.0)
PATH ID:
R04_YV1002_NB
Alguna vez, ¿ha fumado un producto electrónico con nicotina, incluso si solo fueron una o dos veces?
(Los productos electrónicos con nicotina incluyen cigarrillos electrónicos, puros electrónicos, pipas
electrónicas, hookahs electrónicas, vaporizadores personales de fumar y plumas hookah.)
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Sí
GO TO BOX R04_YVV02
2
No
GO TO BOX R04_YVV02
-8
DON'T KNOW
GO TO BOX R04_YVV02
-7
REFUSED
GO TO BOX R04_YVV02
ASK: New baseline youth respondents who have heard of e-products.
BOX ID:
R04_YVV02
PROGRAM - CREATE THE FOLLOWING USER GROUPS AND DERIVED VARIABLES (SEE
APPENDIX):
R04_EVER_NEVER_EPRODS_YOUTH = 1 (Ever user) Youth respondents who have ever used an
electronic nicotine product.
R04_EVER_NEVER_EPRODS_YOUTH = 2 (Never user) Youth respondents who have not ever used
an electronic nicotine product.
R04_INIT_EPRODS_YOUTH = 1 (Initiator) Youth respondents who initiated electronic nicotine product
use between Waves or new baseline respondents who have ever used an e-product.
R04_EPRODCOUNT= The number of electronic nicotine products used.
BOX ID:
R04_YVR01
New baseline youth respondents who did not say they have heard of e-products, go to Box
R04_YGT01.
Else, continuing youth respondents who have never used e-products, and new baseline youth
respondents who have heard of but never used e-products, go to R04_YV1103.
Else, go to Box R04_YVR02.
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PATH ID:
R04_YV1103
Alguna vez, ¿ha sentido curiosidad por fumar un producto electrónico con nicotina? (Los productos
electrónicos con nicotina incluyen cigarrillos electrónicos, puros electrónicos, pipas electrónicas,
hookahs electrónicas, vaporizadores personales de fumar y plumas hookah.)
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have never used e-products, and new baseline youth
respondents who have heard of but never used e-products.
PATH ID:
R04_YV1206
¿Cree que probará un producto electrónico con nicotina el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used e-products.
PATH ID:
R04_YV1104
¿Cree que probará un producto electrónico con nicotina pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used e-products.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
30
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1105
¿Si uno de sus mejores amigos le ofreciera un producto electrónico con nicotina, lo probaría?
1
Definitivamente sí
GO TO R04_YV9041
2
Probablemente sí
GO TO R04_YV9041
3
Probablemente no
GO TO R04_YV9041
4
Definitivamente no
GO TO R04_YV9041
-8
DON'T KNOW
GO TO R04_YV9041
-7
REFUSED
GO TO R04_YV9041
ASK: Youth respondents who have heard of but never used e-products.
BOX ID:
R04_YVR02
New baseline youth respondents who have ever used e-products, go to R04_YV1006_NB.
Else, continuing youth respondents who initiated e-product since the previous wave, go to
R04_YV1011.
Else, continuing youth respondents who had used e-products 100 or more times in the previous wave,
go to Box R04_YVR37.
Else, go to R04_YV1005.
PATH ID:
R04_YV1006_NB
¿Qué edad tenía la primera vez que probó un producto electrónico con nicotina, incluso si solo fueron
una o dos veces?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YV1120_NB
-7
REFUSED
GO TO R04_YV1120_NB
ASK: New baseline youth respondents who have ever used an e-product.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YV1006_NB_LC1
La computadora registró que la primera vez que usted fumó un producto electrónico con nicotina fue a
la edad de [R04_YV1006_NB] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1006_NB
2
NEXT
GO TO R04_YV1011
ASK: IF R04_YV1006_NB <= 5.
PATH – Wave 4
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31
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1006_NB_LC2
La computadora registró que la primera vez que usted fumó un producto electrónico con nicotina fue a
la edad de [R04_YV1006_NB] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1006_NB
2
NEXT
GO TO R04_YV1011
ASK: IF R04_YV1006_NB > R04_YOUTHAGE.
PATH ID:
R04_YV1120_NB
La primera vez que probó un producto electrónico con nicotina, incluso si solo fueron una o dos veces,
¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report the age they first tried an
e-product.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
32
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1011
La primera vez que fumó un producto electrónico con nicotina, ¿qué sabor fumaba? Escoja todas las
opciones que correspondan.
1
Sabor a tabaco
2
Mentol o menta
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Una bebida no alcohólica (como café, gaseosa, bebidas energizantes u otras bebidas)
8
Caramelos u otros sabores dulces
9
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated e-product use since the previous wave, and new
baseline youth respondents who have ever used an e-product.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YV1005
¿Cuántas veces ha fumado un producto electrónico con nicotina en toda su vida?
1
Una vez, incluso si solo fueron unas probaditas
2
2 a 10
3
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever used an e-product and had not used
100 or more times in the previous wave, and new cohort youth respondents who have ever used an eproduct.
BOX ID:
R04_YVR37
Youth respondents who have ever used an e-product and had never used e-products fairly regularly in
the previous wave, go to R04_YV1100.
Else, go to R04_YV1112.
PATH – Wave 4
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33
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1100
¿Alguna vez ha fumado productos electrónicos con nicotina habitualmente?
1
Sí
2
No
GO TO R04_YV1112
-8
DON'T KNOW
GO TO R04_YV1112
-7
REFUSED
GO TO R04_YV1112
ASK: Youth respondents who have ever used an e-product and had never used fairly regularly in the
previous wave.
PATH ID:
R04_YV1007
¿Qué edad tenía la primera vez que comenzó a fumar productos electrónicos con nicotina
habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YV1121
-7
REFUSED
GO TO R04_YV1121
ASK: Youth respondents who have ever used e-products fairly regularly and did not use fairly regularly
in the previous wave.
DISPLAY: Display "Años" as a title.
PATH ID:
R04_YV1007_LC1
La computadora registró que usted comenzó a fumar productos electrónicos con nicotina de manera
habitual a la edad de [R04_YV1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1007
2
NEXT
GO TO R04_YV1112
ASK: IF R04_YV1007 <= 5 OR (R04_YV1007 < R04_YV1006_NB).
PATH ID:
R04_YV1007_LC2
La computadora registró que usted comenzó a fumar productos electrónicos con nicotina de manera
habitual a la edad de [R04_YV1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1007
2
NEXT
GO TO R04_YV1112
ASK: IF R04_YV1007 > R04_YOUTHAGE.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
34
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1121
La primera vez que comenzó a fumar productos electrónicos con nicotina habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age they started using e-products
fairly regularly.
PATH ID:
R04_YV1112
¿Cuándo fue la última vez que fumó un producto electrónico con nicotina, incluso si solo fueron una o
dos veces?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YVV01
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YVV01
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YVV01
6
Hace 1 a 4 años
GO TO BOX R04_YVV01
7
Hace 5 años o más
GO TO BOX R04_YVV01
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who have ever used an e-product.
PATH ID:
R04_YV0100
¿Cuándo fue la última vez que fumó un producto electrónico con nicotina?
1
Hace menos de una hora
GO TO R04_YV0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YVV01
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who used e-products in the past 7 days.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
35
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV0102
La última vez que fumó un producto electrónico con nicotina [FILL BASED ON R04_YV0100], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used an e-product today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YV0100]:
IF R04_YV0100 = 2, DISPLAY "hoy".
IF R04_YV0100 = 3, DISPLAY "ayer".
IF R04_YV0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YV0103
¿Cuántas probaditas le [ha dado/dio] a un producto electrónico con nicotina [FILL BASED ON
R04_YV0100]?
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who have used an e-product in the past hour, sometime today, yesterday or
the day before yesterday.
DISPLAY: IF R04_YV0100 = 1, 2, DISPLAY "ha dado".
IF R04_YV0100 = 3, 4, DISPLAY "dio".
FOR [FILL BASED ON R04_YV0100]:
IF R04_YV0100 = 1, 2, DISPLAY "hoy".
IF R04_YV0100 = 3, DISPLAY "ayer".
IF R04_YV0100 = 4, DISPLAY "hace dos días".
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
36
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV0103_LC1
La computadora registró que usted le dio [R04_YV0103] probaditas a un producto electrónico con
nicotina [hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV0103
2
NEXT
GO TO BOX R04_YVV01
ASK: IF R04_YV0103 > 200 OR R04_YV0103 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV0100 = 1, 2, DISPLAY "hoy".
IF R04_YV0100 = 3, DISPLAY "ayer".
IF R04_YV0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YVV01
PROGRAM - CREATE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_EPRODS = 1 (Past 30 day e-product user) Youth respondents who have used an
electronic nicotine product in the past 30 days.
R04_PAST30DAY_EPRODS_LEVEL = 1 (Past 30 day "Very Light" e-product user) Youth
respondents who have used an electronic nicotine product in the past 30 days, and have used an
electronic nicotine product only once in their lifetime.
R04_PAST30DAY_EPRODS_LEVEL = 2 (Past 30 day "Not Light" e-product user) Youth
respondents who have used an electronic nicotine product in the past 30 days, and have used
electronic nicotine products more than once in their lifetime.
PATH ID:
R04_YV9041
Sin incluirse a usted mismo, ¿tiene alguna de las personas que vive en su hogar un cigarrillo
electrónico u otro producto electrónico con nicotina?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have seen, heard of, or ever used e-product, and continuing
youth respondents.
BOX ID:
R04_YVR54
Continuing youth respondents that have used an e-product in the past 12 months and new baseline
youth respondents that have ever used an e-product, go to R04_YV9035.
Else, go to Box R04_YVR04.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
37
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9035
¿Cuál de los siguientes productos electrónicos con nicotina ha fumado? Escoja todas las opciones que
correspondan.
[SHOW GENERIC IMAGE OF E-PRODUCTS BY SUBTYPE]
1
Cigarrillo electrónico, incluyendo un vaporizador personal de fumar
2
Puro electrónico
3
Pipa electrónica
4
Hookah electrónica, incluyendo una pluma hookah
5
Otro (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YVR55
If the only device type selected is “Something else” or the respondent did not know or refused to report
which device types they have used, go to Box R04_YVR04.
Else, repeat R04_YV9060 for each device type selected, except "Something else".
When all loops complete, go to Box R04_YVV04.
PATH ID:
R04_YV9060
Fuma más de una clase de [FILL WITH DEVICE TYPE SELECTED IN R04_YV9035]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months and selected a type of e-product.
DISPLAY: FOR R04_YV9060_01, DISPLAY "cigarrillo electrónico".
FOR R04_YV9060_02, DISPLAY "puro electrónico".
FOR R04_YV9060_03, DISPLAY "pipa electrónica".
FOR R04_YV9060_04, DISPLAY "hookah electrónica".
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
38
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR59
If there are remaining device types, go back to Box R04_YVR55 and complete loop for all remaining
device types.
Else, if all loops are complete, go to Box R04_YVV04.
BOX ID:
R04_YVV04
PROGRAM - CREATE THE FOLLOWING DERIVED VARIABLE (SEE APPENDIX):
R04_EPRODCOUNT = Number of e-products used.
BOX ID:
R04_YVR56
If the respondent uses more than one type of electronic nicotine product, go to R04_YV9044.
Else, go to Box R04_YVR04.
PATH ID:
R04_YV9044
Usted mencionó que actualmente fuma más de un tipo de producto electrónico con nicotina.
¿Qué tipo de producto electrónico con nicotina fuma con más frecuencia?
[SHOW GENERIC IMAGE OF E-PRODUCTS BY SUBTYPE]
1
Cigarrillo electrónico, incluyendo un vaporizador personal de fumar
2
Puro electrónico
3
Pipa electrónica
4
Hookah electrónica, incluyendo una pluma hookah
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months and selected a type of e-product and
have used more than one e-product.
DISPLAY: BOLD AND UNDERLINE "con más frecuencia".
BOX ID:
R04_YVR04
Past 30 day e-product users (including "very light" users), go to R04_YV9140.
Else, go to Box R04_YVR58.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
39
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9140
Por favor mire esta imagen. ¿Cuál grupo se parece más al producto electrónico con nicotina que usted
fuma con más frecuencia?
[SHOW GENERIC IMAGE OF 6 E-PRODUCT GROUPS]
1
Grupo 1
2
Grupo 2
3
Grupo 3
4
Grupo 4
5
Grupo 5
6
Grupo 6
7
Ninguno de los anteriores
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users (including "very light" users).
DISPLAY: UNDERLINE "con más frecuencia".
BOX ID:
R04_YVR58
Past 30 day "not light" e-product users, go to Box R04_YVD04.
Else, past 30 day e-product users, go to Box R04_YVV03.
Else, go to R04_YV9042.
BOX ID:
R04_YVD04
Display questions R04_YV9005 through R04_YV9009 using the expanded WVB stem-leaf screen. For
each leaf, display a Sí/No response. The introduction text from R04_YV9005 is the stem. Show all
leaves on the screen at once.
PATH ID:
R04_YV9005
Para las siguientes preguntas, piense en el producto electrónico con nicotina que usted fuma con más
frecuencia.
¿Se puede recargar?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
DISPLAY: BOLD AND UNDERLINE "con más frecuencia".
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
40
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9038
¿Funciona con un sistema de tanque?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9008
¿Funciona con cartuchos?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9009
¿Se puede volver a llenar con líquido electrónico?
1
Sí
2
No
GO TO BOX R04_YVV03
-8
DON'T KNOW
GO TO BOX R04_YVV03
-7
REFUSED
GO TO BOX R04_YVV03
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9046
¿Con qué frecuencia llena su producto electrónico con nicotina con líquido electrónico?
1
Por lo menos una vez al día
2
Una vez cada dos días
3
Una vez a la semana
4
Algunas veces al mes
5
Una vez al mes
6
Algunas veces al año
7
Una vez al año
8
Nunca
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YVV03
ASK: Past 30 day "not light" e-product users that use refillable e-products.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
41
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9036
¿Quién lo llena con líquido electrónico?
1
Yo mismo lo lleno
2
Lo lleno en un bar de fumadores
3
Lo compro lleno
4
Lo lleno de otra manera
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users that use refillable e-products and has refilled them before.
BOX ID:
R04_YVV03
PROGRAM - CREATE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
R04_EDEVICETYPE (E-Product device type):
R04_EDEVICETYPE = 1 (Disposable E-Product Users).
R04_EDEVICETYPE = 2 (Non-Refillable Cartridge E-Product Users).
R04_EDEVICETYPE = 3 (Refillable Cartridge E-Product Users).
R04_EDEVICETYPE = 4 (Refillable Tank System E-Product Users).
R04_EDEVICETYPE = 5 (Refillable Mod System E-Product Users).
R04_EDEVICETYPE = 6 (Unknown E-Product User Type).
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
42
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVT04
PROGRAM - CREATE [EPRODFILL1-3]:
EPRODFILL1:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL1 = "productos electrónicos con
nicotina".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL1 = "cartuchos electrónicos con
nicotina".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL1 = "mililitros de líquido
electrónico".
EPRODFILL2:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL2 = "productos electrónicos con
nicotina".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL2 = "cartuchos electrónicos con
nicotina".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL2 = "líquido electrónico".
EPRODFILL3:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL3 = "producto electrónicos con
nicotina".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL3 = "cartucho electrónico con
nicotina".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL3 = "líquido electrónico".
PATH ID:
R04_YV9010
Piense en el [EPRODFILL3] que fuma la mayoría del tiempo.
¿Contiene nicotina?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: BOLD AND UNDERLINE "la mayoría del tiempo".
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
43
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1022
¿En cuántos de los últimos 30 días fumó usted un producto electrónico con nicotina?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
PATH ID:
R04_YV9040
En los últimos 30 días, en los días en que fumó un producto electrónico con nicotina, ¿cuántos
[EPRODFILL1] fumó cada día?
1
Menos de una cada día
2
I___I___I
GO TO R04_YV1131
-8
DON'T KNOW
GO TO R04_YV1131
-7
REFUSED
GO TO R04_YV1131
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD, WITH BUTTON LABEL: "Menos de una cada
día" ON RIGHT.
PATH ID:
R04_YV9040_LC1
La computadora registró que en los días en que usted fumó en los últimos 30 días, usted fumó
[R04_YV9040] [EPRODFILL1] cada día.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV9040
2
NEXT
GO TO R04_YV1131
ASK: IF R04_YV9040 > 5.
PATH ID:
R04_YV1026
En promedio, en los días en que fuma, ¿cuántas veces fuma su producto electrónico con nicotina cada
día, ya sea que le dé una probadita o varias?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_YV1027
-7
REFUSED
GO TO R04_YV1027
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
44
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1026_LC1
La computadora registró que en los días en que ha fumado, usted fumó su producto electrónico con
nicotina [R04_YV1026] [vez / veces] cada día, en promedio.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1026
2
NEXT
GO TO R04_YV1027
ASK: IF R04_YV1026 > 50 OR R04_YV1026 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV1026 = 1, DISPLAY "vez".
ELSE, DISPLAY "veces".
PATH ID:
R04_YV1027
Cada vez que fumó su producto electrónico con nicotina, ¿aproximadamente cuántas probaditas le dio?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_YV1131
-7
REFUSED
GO TO R04_YV1131
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1027_LC1
La computadora registró que usted le dio [R04_YV1027] [probadita/probaditas] a su producto
electrónico con nicotina cada vez que lo fumó, en promedio.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1027
2
NEXT
GO TO R04_YV1131
ASK: IF R04_YV1027 > 50 OR R04_YV1027 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV1027 = 1, DISPLAY "probadita".
ELSE, DISPLAY "probaditas".
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
45
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1131
¿Qué sabores de [EPRODFILL2] ha fumado en los últimos 30 días? Escoja todas las opciones que
correspondan.
1
Sabor a tabaco
2
Mentol o menta
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Una bebida no alcohólica (como café, gaseosa, bebidas energizantes u otras bebidas)
8
Caramelos u otros sabores dulces
9
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YVR38
Youth respondents who used menthol or mint flavored e-products in the past 30 days, go to
R04_YV1147.
Else, youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in
the past 30 days, go to R04_YV1157.
Else, go to R04_YV1142.
PATH ID:
R04_YV1147
En los últimos 30 días, en los días en que fumó un producto electrónico con nicotina, ¿con qué
frecuencia tenía sabor a mentol o menta?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users that have used menthol or mint flavored e-products.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
46
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR40
Youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in the
past 30 days, go to R04_YV1157.
Else, go to R04_YV1142.
PATH ID:
R04_YV1157
En los últimos 30 días, en los días en que fumó un producto electrónico con nicotina, ¿con qué
frecuencia tenía sabor a clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros
sabores dulces?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in
the past 30 days.
PATH ID:
R04_YV1142
En los últimos 30 días, ¿le vendió alguien [EPRODFILL2]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1123
En los últimos 30 días, ¿le negó alguien la venta de [EPRODFILL2] debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
47
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1118
En los últimos 30 días, ¿cómo obtuvo sus propios [EPRODFILL2] normalmente?
1
Le di dinero a otra persona para que me los compre
2
Yo mismo los compré en una tienda (incluyendo un bar de fumadores)
3
Se lo pedí a una persona
4
Alguien me lo ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YVR05
Past 30 day e-product users who usually buy e-products for themselves or give someone else money to
buy e-products for them, go to R04_YV1030.
Else, go to Box R04_YVR57.
PATH ID:
R04_YV1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente sus
[EPRODFILL2]?
1
En persona
2
En Internet
GO TO BOX R04_YVR06
3
Por teléfono
GO TO BOX R04_YVR06
-8
DON'T KNOW
GO TO BOX R04_YVR06
-7
REFUSED
GO TO BOX R04_YVR06
ASK: Past 30 day e-product users (including "very light" users) who buy e-products for themselves or
someone else buys for them.
DISPLAY: IF R04_YV1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona";
IF R04_YV1118 = 2, DISPLAY "¿Cómo compra usted".
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
48
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1033
¿Dónde [compra /le compran] sus [EPRODFILL2] la mayoría del tiempo?
11
Un bar de fumadores
1
Un kiosco en un centro comercial
2
Una tienda de conveniencia o estación de gasolina
3
Un supermercado, tienda de comestibles o farmacia
4
Una tienda mayorista como Sam's o Costco
5
Una tienda especializada o un almacén de tabaco o una tabaquería
6
Una tienda libre de impuestos o un economato militar
7
Un bar, restaurante, casino o una taberna
8
Un amigo o familiar
9
Un mercadillo o mercado de pulgas
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users (including "very light" users) who buy e-products for themselves or
someone else buys for them in person.
DISPLAY: IF R04_YV1118 = 1, DISPLAY "le compran";
IF R04_YV1118 = 2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YVR06
Past 30 day "not-light" disposable e-product users and e-product users of undetermined types who buy
e-products for themselves or someone else buys for them, go to R04_YV1136.
Else, refillable cartridge, tank system, and mod system e-product users, go to R04_YV1041.
Else, non-refillable e-product users, go to R04_YV1039.
Else, go to Box R04_YVR57.
PATH ID:
R04_YV1136
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] productos electrónicos
con nicotina ¿Los compró por caja o paquete o como un producto electrónico con nicotina suelto?
1
Caja o paquete
2
Producto electrónico con nicotina suelto
GO TO R04_YV1034
-8
DON'T KNOW
GO TO R04_YV1034
-7
REFUSED
GO TO R04_YV1034
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
49
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1137
¿Cuántos productos electrónicos con nicotina venían en la caja o paquete que compró la última vez?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who last bought e-products in a box
or pack.
PATH ID:
R04_YV1138
¿Cuánto pagó por una caja o paquete de productos electrónicos con nicotina?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who last bought e-products in a box
or pack.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
PATH ID:
R04_YV1138_LC1
La computadora registró que usted pagó $[R04_YV1138_D].[R04_YV1138_C] por una caja o paquete
de productos electrónicos con nicotina. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1138
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1138_D < 10 OR R04_YV1138_D > 75.
PATH ID:
R04_YV1034
¿Cuánto pagó por un producto electrónico con nicotina suelto?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who did not buy their last e-product
in box or pack.
DISPLAY: DISPLAY"$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
50
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1034_LC1
La computadora registró que usted pagó $[R04_YV1034_D].[R04_YV1034_C] por un producto
electrónico con nicotina suelto. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1034
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1034_D > 50.
PATH ID:
R04_YV1041
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] líquido electrónico.
¿Cuánto pagó por un frasco o envase de líquido electrónico?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" refillable cartridge, tank system, and mod system e-product users who buy
e-liquid for themselves or someone else buys for them.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YV1118 = 1, DISPLAY "le dio dinero a alguien para que le compre".
IF R04_YV1118 = 2, DISPLAY "compró".
PATH ID:
R04_YV1041_LC1
La computadora registró que usted pagó $[R04_YV1041_D].[R04_YV1041_C] por un frasco o envase
de líquido electrónico. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1041
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1041_D > 50 OR (R04_YV1041_D = 50 AND R04_YV1041_C > 00).
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
51
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1039
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] cartuchos para un
producto electrónico con nicotina.
¿Los compró por caja o paquete o en cartuchos suelto?
1
Caja o paquete
2
Cartuchos sueltos
GO TO R04_YV1043
-8
DON'T KNOW
GO TO R04_YV1043
-7
REFUSED
GO TO R04_YV1043
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them.
DISPLAY: IF R04_YV1118 = 1, DISPLAY “le dio dinero a alguien para que le compre".
IF R04_YV1118 = 2, DISPLAY "compró".
PATH ID:
R04_YV1040
¿Cuántos cartuchos para productos electrónicos con nicotina venían en la caja o paquete que compró
la última vez?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought cartridges in a box or pack.
PATH ID:
R04_YV1042
¿Cuánto pagó por una caja o paquete de cartuchos para productos electrónicos con nicotina?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought cartridges in a box or pack.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
52
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1042_LC1
La computadora registró que usted pagaba $[R04_YV1042_D].[R04_YV1042_C] por una caja o
paquete de [EPRODFILL1]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1042
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1042_D > 50 OR (R04_YV1042_D = 50 AND R04_YV1042_C > 00).
PATH ID:
R04_YV1043
¿Cuánto pagó por un cartucho suelto para productos electrónicos con nicotina?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought single cartridges or did not know or refused to report
whether the non-refillable cartridge was in a box or pack or a single cartridge.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
PATH ID:
R04_YV1043_LC1
La computadora registró que usted pagó $[R04_YV1043_D].[R04_YV1043_C] por un [EPRODFILL3]
suelto. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1043
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1043_D > 50 OR (R04_YV1043_D = 50 AND R04_YV1043_C > 00).
BOX ID:
R04_YVR57
Past 30 day "not-light" e-product users, go to R04_YV1047.
Else, go to R04_YV1945.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
53
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1047
¿Tiene una marca habitual de [EPRODFILL2] que normalmente fuma?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" e-product users.
PATH ID:
R04_YV1945
¿Sabe el nombre de la marca de [EPRODFILL2] que usted [fuma normalmente/fumó la última vez]?
1
Sí
2
No
GO TO BOX R04_YVD02
-8
DON'T KNOW
GO TO BOX R04_YVD02
-7
REFUSED
GO TO BOX R04_YVD02
ASK: Past 30 day e-product users.
DISPLAY: IF R04_YV1047 = 1, DISPLAY "fuma normalmente".
ELSE, DISPLAY "fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YV1048
¿Qué marca de [EPRODFILL2] [fuma/fumó] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra."]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who know the brand name.
DISPLAY: IF R04_YV1047 = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó" AND "la última vez".
[If multiple screens] Display: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] Display: Si no ve la opción a continuación, toque la
casilla que dice "Otra".
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
54
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR33
If youth respondent selects "Something else" in R04_YV1048_BRAND, go to R04_YV1049.
Else, past 30 day e-product users who have used an e-product today, yesterday or the day before
yesterday who know the name of their brand AND selected a valid brand in R04_YV1048_BRAND, go
to R04_YV0104.
Else, go to Box R04_YVD02.
PATH ID:
R04_YV1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO R04_YVD02
-8
DON'T KNOW
GO TO R04_YVD02
-7
REFUSED
GO TO R04_YVD02
ASK: Past 30 day e-product users that know the name of the brand they use who selected "Something
else" for their brand.
PATH ID:
R04_YV0104
Usted dijo anteriormente que la última vez que fumó un producto electrónico con nicotina fue [TIME OF
LAST USE].
Piense en la última probadita que tomó. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have used an e-product in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a valid brand.
DISPLAY: IF R04_YV0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una hora".
IF R04_YV0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
IF R04_YV0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
IF R04_YV0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH SELECTION MADE IN R04_YV1048_BRAND.
BOX ID:
R04_YVD02
Display question R04_YV1060, R04_YV1085, R04_YV1062, R04_YV1075, R04_YV1063,
R04_YV1064, R04_YV1065, R04_YV1066, R04_YV1067 on one screen. Show the intro/transition text
from R04_YV1060 first, then show each item with a Sí/No response. As each item is answered, show
the next one.
PROGRAM: Randomize order of R04_YV1060 through R04_YV1067.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
55
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1060
Las siguientes preguntas son acerca de las razones por las que la gente fuma productos electrónicos
con nicotina. Seleccione las razones que aplican a usted.
Fumo productos electrónicos con nicotina porque…
Son económicos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1085
Puedo fumar productos electrónicos con nicotina en ocasiones o en lugares donde no se permite fumar
cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1062
Podrían ser menos dañinos para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1075
Podrían ser menos dañinos que los cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
56
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1063
El líquido electrónico viene en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
BOX ID:
R04_YVR13
Past 30 day e-product users who have also smoked cigarettes in the past year, go to R04_YV1064.
Else, go to R04_YV1065.
PATH ID:
R04_YV1064
Fumar productos electrónicos con nicotina le ayuda a algunas personas a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have also smoked cigarettes in the past year.
PATH ID:
R04_YV1065
Los productos electrónicos con nicotina no tienen olor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1066
Fumar un producto electrónico con nicotina se siente como fumar un cigarrillo tradicional.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1067
Los productos electrónicos con nicotina no molestan a las personas que no consumen tabaco.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
BOX ID:
R04_YVR14
Past 30 day e-product users who have also smoked cigarettes in the past 30 days, go to R04_YV1086.
Else, past 30 day e-product users, go to R04_YV1139.
Else, go to R04_YV9042.
PATH ID:
R04_YV1086
En los últimos 30 días, ¿ha fumado un producto electrónico con nicotina en ocasiones o en lugares en
donde no se podía fumar cigarrillos tradicionales?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have also smoked cigarettes in the past 30 days.
PATH ID:
R04_YV1139
Por favor, califique su nivel de acuerdo con cada una de las siguientes afirmaciones usando la siguiente
escala: 1 = no es cierto en absoluto y 4 = es muy cierto.
Es más fácil hablar y llevarse bien con otras personas cuando fumo un producto electrónico con
nicotina.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1140
Al fumar un producto electrónico con nicotina, me siento más seguro con otras personas.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH ID:
R04_YV1141
Fumo productos electrónicos con nicotina mucho más cuando estoy con otras personas.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH ID:
R04_YV9042
¿Alguna vez ha consumido marihuana, concentrados de marihuana, cera de marihuana, THC o aceites
de hachís en un producto electrónico como un cigarrillo electrónico, una hookah electrónica, un
vaporizador personal de fumar o una pluma hookah?
(Recuerde que toda la información que usted le dé al Estudio PATH se mantendrá en privado.)
1
Sí
2
No
GO TO BOX R04_YGT01
-8
DON'T KNOW
GO TO BOX R04_YGT01
-7
REFUSED
GO TO BOX R04_YGT01
ASK: New baseline youth respondents who have seen, heard of, or ever used e-products, and
continuing youth respondents.
DISPLAY: UNDERLINE "producto electrónico".
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9106
Cuando fumó un producto electrónico, ¿con qué frecuencia lo usó para fumar marihuana, concentrados
de marihuana, cera de marihuana, THC o aceites de hachís?
1
Siempre
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products to smoke marijuana.
PATH ID:
R04_YM0100
¿Cuándo fue la última vez que consumió marihuana, concentrados de marihuana, cera de marihuana,
THC o aceites de hachís en un producto electrónico como un cigarrillo electrónico, una hookah
electrónica, un vaporizador personal de fumar o una pluma hookah?
1
Hace menos de una hora
2
Hoy
3
Ayer
4
Hace dos días
5
GO TO R04_YM0103
Hace tres o más días
GO TO BOX R04_YVR10
-8
DON'T KNOW
GO TO BOX R04_YVR10
-7
REFUSED
GO TO BOX R04_YVR10
ASK: Youth respondents who have ever used marijuana in an e-product.
DISPLAY: UNDERLINE "producto electrónico".
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0102
La última vez que consumió marihuana, concentrados de marihuana, cera de marihuana, THC o
aceites de hachís en un producto electrónico [FILL BASED ON R04_YM0100], ¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used marijuana in an e-product today, yesterday or the day before
yesterday, but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YM0100]:
IF R04_YM0100 = 2, DISPLAY "hoy".
IF R04_YM0100 = 3, DISPLAY "ayer".
IF R04_YM0100 = 4, DISPLAY "hace dos días".
UNDERLINE "producto electrónico".
PATH ID:
R04_YM0103
¿Cuántas probaditas de marihuana, concentrados de marihuana, cera de marihuana, THC o aceites de
hachís le [ha dado/dio] a un producto electrónico [FILL BASED ON R04_YM0100]?
1
I__I__I__I
-8
DON'T KNOW
GO TO BOX R04_YVR10
-7
REFUSED
GO TO BOX R04_YVR10
ASK: Youth respondents who have used marijuana in an e-product in the past hour, today, yesterday or
the day before yesterday.
DISPLAY: IF R04_YM0100 = 1, 2, DISPLAY "ha dado".
IF R04_YM0100 = 3, 4, DISPLAY "dio".
FOR [FILL BASED ON R04_YM0100]:
IF R04_YM0100 = 1, 2, DISPLAY "hoy".
IF R04_YM0100 = 3, DISPLAY "ayer".
IF R04_YM0100 = 4, DISPLAY "hace dos días".
UNDERLINE "producto electrónico".
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0103_LC1
La computadora registró que usted le dio [R04_YM0103] probaditas de marihuana, concentrados de
marihuana, cera de marihuana, THC o aceites de hachís de un producto electrónico [hoy/ayer/hace dos
días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YM0103
2
NEXT
GO TO BOX R04_YVR10
ASK: IF R04_YM0103 > 200 OR R04_YM0103 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YM0100 = 1, 2, DISPLAY "hoy".
IF R04_YM0100 = 3, DISPLAY "ayer".
IF R04_YM0100 = 4, DISPLAY "hace dos días".
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Wave 4 (version 4.0)
CIGAR
BOX ID:
R04_YGT01
Las siguientes preguntas son acerca de puros tradicionales o "grandes", puritos y puros con filtro.
Ya que a estos productos se les conocen por distintos nombres, use las siguientes descripciones y
fotos para identificarlos.
Los puros tradicionales o "grandes" contienen tabaco envuelto en una hoja de tabaco. Algunas
marcas conocidas de puros son Macanudo, Romeo y Julieta, Arturo Fuente y Cohiba, pero hay muchas
más.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
BOX ID:
R04_YGT02
Los puritos y los puros con filtro son más pequeños que los puros tradicionales. Normalmente son de
color café. Algunos son del mismo tamaño que los cigarrillos y otros vienen con filtros o con boquillas
de plástico o madera. Algunas marcas conocidas son Black & Mild, Swisher Sweets, Dutch Masters,
Phillies Blunts, Zig Zag y Cheyenne.
[SHOW GENERIC IMAGES OF CIGARILLOS AND FILTERED CIGARS]
BOX ID:
R04_YGR03
New baseline youth respondents, go to R04_YG9101_NB.
Continuing youth respondents, go to R04_YG1002_12M.
PATH ID:
R04_YG9101_NB
¿Alguna vez había visto u oído hablar de un puro tradicional, un purito o un puro con filtro antes de este
estudio?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS, CIGARILLOS AND FILTERED CIGARS]
1
Sí
2
No
GO TO BOX R04_YGV04
-8
DON'T KNOW
GO TO BOX R04_YGV04
-7
REFUSED
GO TO BOX R04_YGV04
ASK: New baseline youth respondents.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1002_NB
Alguna vez, ¿ha fumado un puro tradicional o "grande", un purito o un puro con filtro, incluso si solo
fueron una o dos probaditas?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS, CIGARILLOS AND FILTERED CIGARS]
1
Sí
2
No
GO TO BOX R04_YGV04
-8
DON'T KNOW
GO TO BOX R04_YGV04
-7
REFUSED
GO TO BOX R04_YGV04
ASK: New baseline youth respondents who have heard of traditional cigars, cigarillos, or filtered cigars.
BOX ID:
R04_YGD02
DISPLAY INSTRUCTIONS
For R04_YG9104_NB, display a "Sí" and "No" column with options for each response category.
PATH ID:
R04_YG9104_NB
Si alguna vez ha fumado un puro, ¿qué tipo era?
1
Puros tradicionales o "grandes" como Macanudo, Romeo y Julieta, Arturo Fuente, Cohiba u otros
2
Puritos o puros con filtro como Black & Mild, Swisher Sweets, Dutch Masters, Phillies Blunts, Zig
Zag, Cheyenne u otros
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever smoked a traditional cigar, cigarillo or filtered
cigar.
BOX ID:
R04_YGR19
New baseline youth respondents who have ever smoked a cigarillo or filtered cigar, go to
R04_YG9009_NB.
Else, go to Box R04_YGV04.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9009_NB
¿Cuál de los siguientes tipos de puritos o puros con filtro ha fumado alguna vez? Escoja todas las
opciones que correspondan.
Los que...
[SHOW GENERIC IMAGE OF CIGARILLOS WITH TIPS, FILTERED CIGARS, AND CIGARILLOS
WITHOUT TIPS]
1
tienen una boquilla de plástico o de madera
GO TO BOX R04_YGV04
2
tienen un filtro (como un filtro de cigarrillo)
GO TO BOX R04_YGV04
3
no tienen una boquilla ni un filtro
GO TO BOX R04_YGV04
-8
DON'T KNOW
GO TO BOX R04_YGV04
-7
REFUSED
GO TO BOX R04_YGV04
ASK: New baseline youth respondents who have ever smoked a cigarillo or filtered cigar.
BOX ID:
R04_YGD05
DISPLAY INSTRUCTIONS
For R04_YG9104_12M, display a "Sí" and "No" column with options for each response category.
BOX ID:
R04_YGR20
Continuing youth respondents who have smoked a cigarillo or filtered cigar in the past 12 months, go to
R04_YG9009_12M.
Else, go to Box R04_YGV04.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YGV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_GTRAD_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
traditional cigar.
R04_EVER_NEVER_GTRAD_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
a traditional cigar.
R04_INIT_GTRAD_YOUTH = 1 (Initiator) Youth respondents who initiated traditional cigar use
between Waves or new baseline youth respondents who have ever smoked a traditional cigar.
R04_EVER_NEVER_GRILLO_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
cigarillo.
R04_EVER_NEVER_GRILLO_YOUTH = 2 (Never user) Youth respondents who have not ever
smoked a cigarillo.
R04_INIT_GRILLO_YOUTH = 1 (Initiator) Youth respondents who initiated cigarillo use between
Waves or new baseline youth respondents who have ever smoked a cigarillo.
R04_EVER_NEVER_GFILTR_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
filtered cigar.
R04_EVER_NEVER_GFILTR_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
a filtered cigar.
R04_INIT_GFILTR_YOUTH = 1 (Initiator) Youth respondents who initiated filtered cigar use between
Waves or new baseline youth respondents who have ever smoked a filtered cigar.
BOX ID:
R04_YGR04
Youth respondents who have never heard of traditional cigars, cigarillos, and filtered cigars, go to Box
R04_YPT01.
Else, youth respondents who have heard of cigars but never smoked a traditional cigar, go to
R04_YG9010.
Else, youth respondents who have heard of cigars but never smoked a cigarillo, go to R04_YG9011.
Else, youth respondents who have heard of cigars but never smoked a filtered cigar, go to
R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9010
Alguna vez, ¿ha sentido curiosidad por fumar un puro tradicional o "grande"?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
PATH ID:
R04_YG9020
¿Cree que fumará un puro tradicional o "grande" el próximo año?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
PATH ID:
R04_YG9013
¿Cree que probará un puro tradicional o "grande" pronto?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9016
¿Si uno de sus mejores amigos le ofreciera un puro tradicional o "grande", lo fumaría?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
BOX ID:
R04_YGR12
Youth respondents who have heard of cigars but never smoked a cigarillo, go to R04_YG9011.
Else, youth respondents who have heard of cigars but never smoked a filtered cigar, go to
R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
PATH ID:
R04_YG9011
Alguna vez, ¿ha sentido curiosidad por fumar un purito?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9021
¿Cree que fumará un purito el próximo año?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
PATH ID:
R04_YG9014
¿Cree que probará un purito pronto?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
PATH ID:
R04_YG9017
¿Si uno de sus mejores amigos le ofreciera un purito, lo fumaría?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YGR13
Youth respondents who have heard of cigars but never smoked a filtered cigar, go to R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
PATH ID:
R04_YG9012
Alguna vez, ¿ha sentido curiosidad por fumar un puro con filtro?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH ID:
R04_YG9022
¿Cree que fumará un puro con filtro el próximo año?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9015
¿Cree que probará un puro con filtro pronto?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH ID:
R04_YG9018
¿Si uno de sus mejores amigos le ofreciera un puro con filtro, lo fumaría?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
BOX ID:
R04_YGR14
New baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, go to R04_YG9107.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9105_NB
A veces las personas sacan el tabaco de un puro tradicional, un purito o de un puro con filtro y lo
substituyen con marihuana. A esto también se le conoce como un "toque o blunt".
Alguna vez, ¿ha fumado parte o todo un puro tradicional, purito o puro con filtro de marihuana?
(Recuerde que toda la información que usted le dé al Estudio PATH se mantendrá en privado.)
1
Sí
2
No
GO TO BOX R04_YGV01
-8
DON'T KNOW
GO TO BOX R04_YGV01
-7
REFUSED
GO TO BOX R04_YGV01
ASK: New baseline youth respondents who have heard of cigars.
DISPLAY: UNDERLINE "Alguna vez".
PATH ID:
R04_YG9107
[A veces las personas sacan el tabaco de un puro tradicional, un purito o de un puro con filtro y lo
substituyen con marihuana. A esto también se le conoce como un "toque o blunt".
]En los últimos 12 meses, ¿ha fumado parte o todo un puro tradicional, purito o puro con filtro con
marihuana? [(Recuerde que toda la información que usted le dé al Estudio PATH se mantendrá en
privado.)]
1
Sí
2
No
GO TO BOX R04_YGV01
-8
DON'T KNOW
GO TO BOX R04_YGV01
-7
REFUSED
GO TO BOX R04_YGV01
ASK: New baseline youth respondents who have ever smoked a blunt and all continuing youth
respondents.
DISPLAY: UNDERLINE "últimos 12 meses".
IF R04_YOUTHTYPE = 1, DISPLAY "A veces las personas sacan el tabaco de un puro tradicional, un
purito o de un puro con filtro y lo substituyen con marihuana. A esto también se le conoce como un
"toque o blunt". AND "(Recuerde que toda la información que usted le dé al Estudio PATH se
mantendrá en privado.)".
ELSE, DO NOT DISPLAY THIS TRANSITION TEXT.
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1095
¿Cuál de los siguientes se parecen al tipo de puro que normalmente fuma como si fuera un "toque o
blunt"? Escoja todas las opciones que correspondan.
[SHOW GENERIC IMAGE OF 3 CIGAR GROUPS]
1
Grupo 1
2
Grupo 2
3
Grupo 3
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked blunts in the past 12 months.
PATH ID:
R04_YG9106
Ahora piense en los últimos 12 meses cuando fumó el tipo de puro que se muestra a continuación.
En los últimos 12 meses, ¿con qué frecuencia reemplazó el tabaco por marihuana?
[SHOW GENERIC IMAGE OF [YG1095CIGARTYPE]]
1
Siempre
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked blunts in the past 12 months. (This question is repeated for
every cigar type identified in R04_YG1095[_01/_02/_03].)
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YGV01
DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
BLUNT-ONLY USER GROUPS:
R04_12MBLUNT_ONLY_BTRAD = Youth respondents who smoke traditional cigars as blunts every
time when smoked in the past 12 months.
R04_12MBLUNT_ONLY_BRILLO = Youth respondents who smoke cigarillos as blunts every time
when smoked in the past 12 months.
R04_12MBLUNT_ONLY_BFILTR = Youth respondents who smoke filtered cigars as blunts every time
when smoked in the past 12 months.
R04_INIT_BLUNT_BTRAD_YOUTH = Youth respondents who initiated smoking traditional cigars as
blunts between Waves or new baseline youth respondents who have ever used traditional cigars as
blunts every time in the past 12 months.
R04_INIT_BLUNT_BRILLO_YOUTH = Youth respondents who initiated smoking cigarillos as blunts
between Waves or new baseline youth respondents who have ever used cigarillos as blunts every time
in the past 12 months.
R04_INIT_BLUNT_BFILTR_YOUTH = Youth respondents who initiated smoking filtered cigars as
blunts between Waves or new baseline youth respondents who have ever used filtered cigars as blunts
every time in the past 12 months.
DEFINE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
CIGAR LOOPS
Cigars as Non-Blunts:
GTRAD = Youth respondents who have ever smoked traditional cigars and have not smoked traditional
cigars as blunts every time when smoked in the past 12 months.
GRILLO = Youth respondents who have ever smoked cigarillos and have not smoked cigarillos as
blunts every time when smoked in the past 12 months.
GFILTR = Youth respondents who have ever smoked filtered cigars and have not smoked filtered cigars
as blunts every time when smoked in the past 12 months.
Cigars as Blunts-Only:
BTRAD = Youth respondents who smoke traditional cigars as blunts every time when smoked in the
past 12 months.
BRILLO = Youth respondents who smoke cigarillos as blunts every time when smoked in the past 12
months.
BFILTR = Youth respondents who smoke filtered cigars as blunts every time when smoked in the past
12 months.
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BOX ID:
R04_YGR02
PROGRAM: CREATE LOOPS FOLLOWING ROUTING INSTRUCTIONS FOR VARIOUS CIGAR
TYPES:
Blunt/Cigar Loops
If the respondent has smoked cigars as blunts-only, R04_YJ1108[TC/CL/FC] through
R04_YJ1071[TC/CL/FC] are repeated in a loop for each cigar type as blunts. See Box R04_YJT04 for
transition text shown at the start of each loop.
After all blunt loops are complete, items from R04_YG1006_NB[TC/CL/FC] through
R04_YG1141[TC/CL/FC] are repeated once for each type of cigar the respondent has smoked,
following skips appropriately. See Box R04_YGT04 for transition text shown at the start of each loop.
If the respondent only smoked traditional cigars, cigarillos, or filtered cigars as blunts, go to Box
R04_YJT04.
Else, if the respondent has ever smoked traditional cigars, cigarillos, or filtered cigars, go to Box
R04_YGT04.
Else, if the respondent has not smoked traditional cigars, cigarillos, or filtered cigars as blunts, and has
never smoked traditional cigars, cigarillos, or filtered cigars, go to Box R04_YPT01.
[CIGARFILL]
If traditional cigar/blunt smoker, [CIGARFILL] = "puro tradicional"
If cigarillo/blunt smoker, [CIGARFILL] = "purito"
If filtered cigar/blunt smoker, [CIGARFILL] = "puro con filtro"
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BOX ID:
R04_YJT04
PROGRAM - DISPLAY THE FOLLOWING TRANSITION TEXT AT THE START OF LOOPS:
IF LOOP=BTRAD Traditional Cigars (as blunts-only):
Las siguientes preguntas son acerca de los puros tradicionales o "grandes" que se fumaron como si
fueran "toques o blunts".
Los puros tradicionales o "grandes" contienen tabaco envuelto en una hoja de tabaco. A veces las
personas sacan el tabaco de un puro tradicional y lo substituyen con marihuana. A esto también se le
conoce como un "toque o blunt". Cuando conteste estas preguntas, por favor piense únicamente en su
consumo de puros tradicionales cuando los fumó como si fueran toques o blunts, como los que se
muestran a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más
adelante habrá otra sección acerca de otras clases de toques o blunts.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGAR]
IF LOOP=BRILLO Cigarillos (as blunts-only):
Las siguientes preguntas son acerca de los puritos que se fumaron como si fueran "toques o
blunts".
Los puritos son puros de tamaño mediano que a veces vienen con boquillas de plástico o madera. [A
veces las personas sacan el tabaco de un purito y lo substituyen con marihuana. A esto también se le
conoce como un "toque o blunt".] Cuando conteste estas preguntas, por favor piense únicamente en su
consumo de puritos cuando los fumó como si fueran toques o blunts, como los que se muestran a
continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más adelante
habrá otra sección acerca de otras clases de toques o blunts.
[SHOW GENERIC IMAGE OF CIGARILLO]
IF LOOP=BFILTR Filtered Cigars (as blunts-only):
Las siguientes preguntas son acerca de los puros con filtro que se fumaron como si fueran "toques
o blunts".
Los puros con filtro normalmente son de color café y tienen un filtro como el de un cigarrillo. [A veces
las personas sacan el tabaco de un puro con filtro y lo substituyen con marihuana. A esto también se le
conoce como un "toque o blunt".] Cuando conteste estas preguntas, por favor piense únicamente en su
consumo de puros con filtro cuando los fumó como si fueran toques o blunts, como los que se muestran
a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más adelante
habrá otra sección acerca de otras clases de toques o blunts.
[SHOW GENERIC IMAGE OF FILTERED CIGAR]
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BOX ID:
R04_YJR09
Continuing youth respondents who have initiated blunt use since the previous wave, and new baseline
youth respondents who have ever smoked a blunt, go to R04_YJ1108[TC/CL/FC].
Else, youth respondents who have smoked blunts in the past 12 months, go to R04_YJ1112[TC/CL/FC].
PATH ID:
R04_YJ1108
La primera vez que fumó [CIGARFILL] como si fuera un toque o blunt, ¿tenía sabor a mentol, menta,
clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO R04_YJ1112[TC/CL/FC]
3
No sé
GO TO R04_YJ1112[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1112[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1112[TC/CL/FC]
ASK: Continuing youth respondents who have initiated blunt use since previous wave, and new baseline
youth respondents who have ever smoked blunts.
PATH ID:
R04_YJ1011
¿Qué sabor tenía el primer [CIGARFILL] que fumó como si fuera un toque o blunt? Escoja todas las
opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first blunt was flavored.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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PATH ID:
R04_YJ1112
¿Cuándo fue la última vez que fumó un [CIGARFILL] como si fuera un toque o blunt, incluso si solo
fueron una o dos probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YJV02
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YJV02
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YJV02
-8
DON'T KNOW
GO TO BOX R04_YJV02
-7
REFUSED
GO TO BOX R04_YJV02
ASK: Youth respondents who have smoked blunts in the past 12 months.
PATH ID:
R04_YJ0100
¿Cuándo fue la última vez que fumó un [CIGARFILL] como si fuera un toque o blunt?
1
Hace menos de una hora
GO TO R04_YJ0103[TC/CL/FC]
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YJV02
-8
DON'T KNOW
GO TO BOX R04_YJV02
-7
REFUSED
GO TO BOX R04_YJV02
ASK: Youth respondents who have smoked blunts in the past 7 days.
PATH ID:
R04_YJ0102
La última vez que fumó un [CIGARFILL] como si fuera un toque o blunt [FILL BASED ON R04_YJ0100],
¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a blunt today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YJ0100[TC/CL/FC]]: IF R04_YJ0100[TC/CL/FC] = 2, DISPLAY
"hoy".
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100[TC/CL/FC] = 4, DISPLAY "hace dos días".
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PATH ID: R04_YJ0103
¿Cuántos [CIGARFILL]s [ha fumado/fumó] como si fuera un "toque" o "blunt" [FILL BASED ON
R04_YJ0100[TC/CG/FC]]? (Si fumó menos de 1, anote 1).
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YJV02[TC/CL/FC]
-7
REFUSED
GO TO BOX R04_YJV02[TC/CL/FC]
ASK: Youth respondents who have smoked a blunt in the past hour, today, yesterday or the day before
yesterday.
DISPLAY: IF R04_YJ0100[TC/CL/FC] = 1, 2, DISPLAY "ha fumado".
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, 4, DISPLAY "fumó".
FOR [FILL BASED ON R04_YJ0100[TC/CL/FC]]:
IF R04_YJ0100[TC/CL/FC] = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100[TC/CL/FC] = 4, DISPLAY "hace dos días".
PATH ID:
R04_YJ0103TC_LC1
La computadora registró que usted fumó [R04_YJ0103TC] puros tradicionales como si fueran toques o
blunts [hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ0103TC
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103TC > 15 OR R04_YJ0103TC = 11.
DISPLAY: IF R04_YJ0100TC = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YJ0100TC = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100TC = 4, DISPLAY "hace dos días".
PATH ID:
R04_YJ0103CL_LC1
La computadora registró que usted fumó [R04_YJ0103CL] puritos como si fueran toques o blunts
[hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ0103CL
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103CL > 15 OR R04_YJ0103CL = 11.
DISPLAY: IF R04_YJ0100CL = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YJ0100CL = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100CL = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YJ0103FC_LC1
La computadora registró que usted fumó [R04_YJ0103FC] puros con filtro como si fueran toques o
blunts [hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ0103FC
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103FC > 15 OR R04_YJ0103FC = 11.
DISPLAY: IF R04_YJ0100FC = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YJ0100FC = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100FC = 4, DISPLAY "hace dos días".
BOX ID:
R04_YJV02
PROGRAM - CREATE THE FOLLOWING VARIABLES FOR EACH CIGAR TYPE (SEE APPENDIX):
R04_30DBLUNT_ONLY_BTRAD = Youth respondents who have smoked a traditional cigar as a blunt
in the past 30 days.
R04_30DBLUNT_ONLY_BRILLO = Youth respondents who have smoked a cigarillo as a blunt in the
past 30 days.
R04_30DBLUNT_ONLY_BFILTR = Youth respondents who have smoked a filtered cigar as a blunt in
the past 30 days.
BOX ID:
R04_YJR06
Past 30 day blunt-only smokers, go to R04_YJ1022[TC/CL/FC].
Else, go to R04_YJ1047[TC/CL/FC].
PATH ID:
R04_YJ1022
¿En cuántos de los últimos 30 días fumó un [CIGARFILL] como si fuera un toque o blunt?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
DISPLAY: DISPLAY 'DÍAS' AS TITLE.
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PATH ID:
R04_YJ1023
Durante los últimos 30 días, en los días en que fumó [CIGARFILL]s como si fueran toques o blunts,
¿cuántos [CIGARFILL]s fumó como si fuera un toque o blunt cada día?
1
Menos de un [CIGARFILL] cada día
2
Un [CIGARFILL] cada día
3
2 a 5 [CIGARFILL]s cada día
4
6 a 10 [CIGARFILL]s cada día
5
11 a 20 [CIGARFILL]s cada día
6
Más de 20 [CIGARFILL]s cada día
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
PATH ID:
R04_YJ1130
En los últimos 30 días, ¿tenía alguno de los [CIGARFILL]s que fumó como si fuera un toque o blunt
sabor a mentol, menta, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros
sabores dulces?
1
Sí
2
No
GO TO R04_YJ1142[TC/CL/FC]
3
No sé
GO TO R04_YJ1142[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1142[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1142[TC/CL/FC]
ASK: Past 30 day blunt-only smokers.
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PATH ID:
R04_YJ1131
¿Qué sabores ha fumado en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored blunt-only smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YJ1147
En los días en que fumó [CIGARFILL]s como si fueran toques o blunts en los últimos 30 días, ¿con qué
frecuencia fumó [CIGARFILL]s con sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored blunt-only smokers.
DISPLAY: UNDERLINE "con sabor".
PATH ID:
R04_YJ1142
En los últimos 30 días, ¿le vendió alguien [CIGARFILL]s?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
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PATH ID:
R04_YJ1123
En los últimos 30 días, ¿le negó alguien la venta de [CIGARFILL]s debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
PATH ID:
R04_YJ1118
En los últimos 30 días, ¿cómo obtuvo normalmente sus propios [CIGARFILL]s cuando los fuma como si
fueran toques o blunts?
1
Le dí dinero a otra persona para que me los compre
2
Yo mismo los compré en una tienda (incluyendo un bar de
fumadores)
3
Se lo pedí a una persona
GO TO R04_YJ1047[TC/CL/FC]
4
Alguien me lo ofreció
GO TO R04_YJ1047[TC/CL/FC]
5
Los compré de otra persona
GO TO R04_YJ1047[TC/CL/FC]
6
Me los llevé de una tienda o se los quité a alguien sin que se
dieran cuenta
GO TO R04_YJ1047[TC/CL/FC]
7
Los obtuve de otra manera (ESPECIFIQUE)
GO TO R04_YJ1047[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day blunt-only smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YJ1030
¿Cómo [compra/le compran] sus [CIGARFILL]s normalmente cuando los fuma como si fueran toques o
blunts?
1
En persona (en una tienda o bar de fumadores)
2
En Internet
GO TO R04_YJ1039[TC/CL/FC]
3
Por teléfono
GO TO R04_YJ1039[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1039[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1039[TC/CL/FC]
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar as a blunt-only smokers who buy traditional
cigars/cigarillos/filtered cigars for blunts for themselves or someone else buys for them.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =1, DISPLAY "compran";
ELSE, IF R04_YJ1118[TC/CL/FC] =2, DISPLAY "compra".
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PATH ID:
R04_YJ1033
¿Dónde [compra/le compran] sus [CIGARFILL]s para fumar toques o blunts la mayoría del tiempo?
1
Un bar de fumadores
2
Una tienda de conveniencia o estación de gasolina
3
Un supermercado, tienda de comestibles o farmacia
4
Una tienda mayorista como Sam's o Costco
5
Una tienda especializada o un almacén de tabaco o una tabaquería
6
Una tienda libre de impuestos o un economato militar
7
Un bar, restaurante, casino o una taberna
8
Un amigo o familiar
9
Un mercadillo o mercado de pulgas
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only traditional cigar/cigarillo/filtered cigar smokers who buy traditional
cigars/cigarillos/filtered cigars for blunts for themselves or someone else buys for them in person.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =1, DISPLAY "le compran";
ELSE, IF R04_YJ1118[TC/CL/FC] =2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
PATH ID: R04_YJ1039
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] [CIGARFILL]s para
fumar toques o blunts. ¿Los compró por caja o paquete o como [CIGARFILL]s sueltos?
1
Caja o paquete
2
[CIGARFILL]s sueltos
GO TO R04_YJ1034[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day blunt-only smokers who buy blunts for themselves or someone else buys for them.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =2, DISPLAY "compró".
ELSE, IF R04_YJ1118[TC/CL/FC] =1, DISPLAY "le dio dinero a alguien para que le compre".
PATH ID:
R04_YJ1040
¿Cuántos [CIGARFILL]s venían en la caja o paquete que compró la última vez para fumar toques o
blunts?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers who last bought cigars by the box or pack.
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PATH ID:
R04_YJ1034
¿Cuánto pagó por [una caja o paquete de [CIGARFILL]s/un [CIGARFILL] suelto]?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar as blunts-only smokers who buy traditional
cigar/cigarillo/filtered cigar as blunts for themselves or someone else buys for them who last bought by
box or pack or as single traditional cigars/cigarillos/filtered cigars.
DISPLAY: DISPLAY AS QUANTITY/QUANTITY. DISPLAY "$" AS LEFT LABEL; "Dólares" AND
"Centavos" AS TITLES.
IF R04_YJ1039[TC/CL/FC] =1, DISPLAY "una caja o paquete de [CIGARFILL]s".
ELSE, IF R04_YJ1039[TC/CL/FC] =2, DISPLAY "un [CIGARFILL] suelto".
PATH ID:
R04_YJ1034TC_LC1
La computadora registró que usted pagó $[R04_YJ1034TC_D].[R04_YJ1034TC_C] por [una caja o
paquete de puros tradicionales para fumar toques o blunts/un puro tradicional suelto para fumar toques
o blunts]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ1034TC
2
NEXT
GO TO R04_YJ1047TC
ASK: IF ((R04_YJ1034TC_D > 300 OR R04_YJ1034TC_D < 10) AND R04_YJ1039TC = 1 ), OR
((R04_YJ1034TC_D > 15 OR R04_YJ1034TC_D < 1) AND R04_YJ1039TC = 2).
DISPLAY: IF R04_YJ1039TC = 1, DISPLAY "una caja o paquete de puros tradicionales para fumar
toques o blunts";
ELSE, IF R04_YJ1039TC = 2, DISPLAY "un puro tradicional suelto para fumar toques o blunts".
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YJ1034CL_LC1
La computadora registró que usted pagó $[R04_YJ1034CL_D].[R04_YJ1034CL_C] por [una caja o
paquete de puritos para fumar toques o blunts/un purito suelto para fumar toques o blunts]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ1034CL
2
NEXT
GO TO R04_YJ1047CL
ASK: IF ((R04_YJ1034CL_D > 11 OR R04_YJ1034CL_D < 1) AND R04_YJ1039CL = 1), OR
((R04_YJ1034CL_D > 3 OR (R04_YJ1034CL_D = 0 AND R04_YJ1034CL_C < 50)) AND
R04_YJ1039CL = 2).
DISPLAY: IF R04_YJ1039CL = 1, DISPLAY "una caja o paquete de puritos para fumar toques o blunts";
ELSE, IF R04_YJ1039CL = 2, DISPLAY "un purito suelto para fumar toques o blunts".
PATH ID:
R04_YJ1034FC_LC1
La computadora registró que usted pagó $[R04_YJ1034FC_D].[R04_YJ1034FC_C] por [una caja o
paquete de puros con filtro para fumar toques o blunts/un puro con filtro suelto para fumar toques o
blunts]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ1034FC
2
NEXT
GO TO R04_YJ1047FC
ASK: IF ((R04_YJ1034FC_D > 100 OR R04_YJ1034FC_D < 1) AND R04_YJ1039FC = 1) OR
((R04_YJ1034FC_D > 3 OR (R04_YJ1034FC_D = 0 AND R04_YJ1034FC_C < 50)) AND
R04_YJ1039FC = 2).
DISPLAY: IF R04_YJ1039FC = 1, DISPLAY "una caja o paquete de puros con filtro para fumar toques
o blunts";
ELSE, IF R04_YJ1039FC = 2, DISPLAY "un puro con filtro suelto para fumar toques o blunts".
PATH ID:
R04_YJ1047
¿Tiene una marca habitual de [CIGARFILL]s que normalmente fuma como si fueran toques o blunts?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers.
PATH – Wave 4
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YJ1945
¿Sabe el nombre de la marca de [CIGARFILL]s que [fuma normalmente/fumó la última vez] como si
fueran toques o blunts?
1
Sí
2
No
GO TO BOX R04_YJR08
-8
DON'T KNOW
GO TO BOX R04_YJR08
-7
REFUSED
GO TO BOX R04_YJR08
ASK: Past 12 month blunt-only smokers.
DISPLAY: IF R04_YJ1047[TC/CL/FC] = 1, DISPLAY "fuma normalmente".
ELSE, IF R04_YJ1047[TC/CL/FC] = 2, -8, -7, DISPLAY "fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YJ1048
¿Qué marca de [CIGARFILL] [fuma/fumó] [normalmente/la última vez] como si fuera un toque o blunt?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra". ]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers who know the brand name.
DISPLAY: IF R04_YJ1047[TC/CL/FC] =1, DISPLAY "fuma" AND "normalmente".
ELSE, IF R04_YJ1047[TC/CL/FC] = 2, -8, -7, DISPLAY "fumó" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN.]
BOX ID:
R04_YJR01
If youth respondent selects "Something else" in R04_YJ1048[TC/CL/FC]_BRAND, go to
R04_YJ1049[TC/CL/FC].
Else, if youth respondent selects brand in R04_YJ1048[TC/CL/FC]_BRAND, go to
R04_YJ1070[TC/CL/FC]_PRODUCT.
Else, go to Box R04_YJR08.
PATH – Wave 4
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YJ1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YJR08
-8
DON'T KNOW
GO TO BOX R04_YJR08
-7
REFUSED
GO TO BOX R04_YJR08
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH ID:
R04_YJ1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [fuma/fumó]
[normalmente/la última vez] como si fuera un toque o blunt?
Seleccione de las opciones a continuación tocando la pantalla. [ Si no ve la opción a continuación,
toque el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice
"Otra". ]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected a
brand image.
DISPLAY: IF R04_YJ1047[TC/CL/FC] =1, DISPLAY "fuma" AND "normalmente".
ELSE, IF R04_YJ1047[TC/CL/FC] =2, -8, -7, DISPLAY "fumó" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN R04_YJ1048[TC/CL/FC]]
BOX ID:
R04_YJR02
If youth respondent selects "Something else" in R04_YJ1070[TC/CL/FC]_PRODUCT, go to
R04_YJ1071[TC/CL/FC].
Else, go to Box R04_YJR08.
PATH – Wave 4
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YJ1071
Usted dijo que el tipo de [BRANDFILL] que usted fuma como si fueran toques o blunts no está en las
opciones. ¿Qué tipo es?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected a
brand image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YJR08
END BLUNT LOOP:
If respondent has loops to complete for other blunt types, return to Box R04_YJT04 and loop through
subsection for any other blunt types.
Else, if respondent has loops to complete for non-blunt cigar types, go to Box R04_YGT04.
Else, if respondent has no more remaining loops to complete, go to Box R04_YPT01.
PATH – Wave 4
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YGT04
PROGRAM - DISPLAY THE FOLLOWING TRANSITION TEXT AT THE START OF LOOPS:
IF LOOP=GTRAD Traditional Cigars (non-blunts)
Las siguientes preguntas son acerca de los puros tradicionales o "grandes".
Los puros tradicionales o "grandes" contienen tabaco envuelto en una hoja de tabaco.
Cuando conteste estas preguntas, por favor piense únicamente en su consumo de puros tradicionales
como los que se muestran a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE
SECTION:] Más adelante habrá otra sección acerca de otras clases de puros.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGAR]
IF LOOP=GRILLO Cigarillos (non-blunts)
Las siguientes preguntas son acerca de los puritos.
Los puritos son puros de tamaño mediano y a veces vienen con boquillas de plástico o madera.
Cuando conteste estas preguntas, por favor piense únicamente en su consumo de puritos como los que
se muestran a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más
adelante habrá otra sección acerca de otras clases de puros.
[SHOW GENERIC IMAGE OF CIGARILLO].
IF LOOP=GFILTR Filtered Cigars (non-blunts)
Las siguientes preguntas son acerca de los puros con filtro.
Normalmente los puros con filtro son de color café y tienen un filtro como el de un cigarrillo. Cuando
conteste estas preguntas, por favor piense únicamente en su consumo de puros con filtro como los que
se muestran a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más
adelante habrá otra sección acerca de otras clases de puros.
[SHOW GENERIC IMAGE OF FILTERED CIGAR].
BOX ID:
R04_YGR05
New baseline youth respondents who have ever smoked cigars, go to R04_YG1006[TC/CL/FC]_NB.
Else, continuing youth respondents who initiated cigar smoking since the previous wave, go to
R04_YG1108[TC/CL/FC].
Else, continuing youth respondents who had smoked 100 or more cigars in the previous wave, go to
R04_YG9040[TC/CL/FC].
Else, go to R04_YG1005[TC/CL/FC].
PATH – Wave 4
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID: R04_YG1006_NB
¿Qué edad tenía la primera vez que fumó un [CIGARFILL], incluso si solo fueron una o dos probaditas?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YG1120[TC/CL/FC]_NB
-7
REFUSED
GO TO R04_YG1120[TC/CL/FC]_NB
ASK: New baseline youth respondents who have ever smoked cigars.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YG1006TC_NB_LC1
La computadora registró que la primera vez que usted fumó un puro fue a la edad de
[R04_YG1006TC_NB] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1006TC_NB
2
NEXT
GO TO R04_YG1108TC
ASK: IF R04_YG1006TC_NB > R04_YOUTHAGE.
PATH ID:
R04_YG1006TC_NB_LC2
La computadora registró que usted comenzó a fumar puros tradicionales o "grandes" de manera
habitual a la edad de [R04_YG1006TC_NB] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1006TC_NB
2
NEXT
GO TO R04_YG1108
ASK: IF R04_YG1006TC < 5.
PATH ID:
R04_YG1006CL_NB_LC1
La computadora registró que la primera vez que usted fumó un purito fue a la edad de
[R04_YG1006CL_NB] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1006CL_NB
2
NEXT
GO TO R04_YG1108CL
ASK: IF R04_YG1006CL_NB > R04_YOUTHAGE.
PATH – Wave 4
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1006CL_NB_LC2
La computadora registró que usted comenzó a fumar puritos de manera habitual a la edad de
[R04_YG1006CL_NB] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1006CL_NB
2
NEXT
GO TO R04_YG1108CL
ASK: IF R04_YG1006CL < 5.
PATH ID:
R04_YG1006FC_NB_LC1
La computadora registró que la primera vez que usted fumó un puro con filtro fue a la edad de
[R04_YG1006FC_NB] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1006FC_NB
2
NEXT
GO TO R04_YG1108FC
ASK: IF R04_YG1006FC_NB > R04_YOUTHAGE.
PATH ID:
R04_YG1006FC_NB_LC2
La computadora registró que usted comenzó a fumar puros con filtro de manera habitual a la edad de
[R04_YG1006FC_NB] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1006FC_NB
2
NEXT
GO TO R04_YG1108FC
ASK: IF R04_YG1006FC < 5.
PATH ID:
R04_YG1120_NB
La primera vez que probó un [CIGARFILL], incluso si fueron una o dos probaditas, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report the age when they first
smoked cigars.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1108
La primera vez que fumó [CIGARFILL], ¿tenía sabor a mentol, menta, clavo de olor, especias, dulce,
fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO BOX R04_YGR09
3
No sé
GO TO BOX R04_YGR09
-8
DON'T KNOW
GO TO BOX R04_YGR09
-7
REFUSED
GO TO BOX R04_YGR09
ASK: Continuing youth respondents who have initiated cigar smoking since the previous wave, and new
baseline youth respondents who have ever smoked cigars.
PATH ID:
R04_YG1011
¿Qué sabor tenía el primer [CIGARFILL] que fumó? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first cigar was flavored.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YGR09
Continuing youth respondents who had smoked 100 or more cigars in the previous wave, go to
R04_YG9040[TC/CL/FC].
Else, go to R04_YG1005[TC/CL/FC].
PATH – Wave 4
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1005
¿Cuántos [CIGARFILL]s ha fumado en toda su vida?
1
Una o más probaditas pero nunca uno entero
2
1
3
2 a 10
4
11 a 20
5
21 a 50
6
51 a 99
7
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever smoked cigars and had not smoked
100 or more cigars in the previous wave, and new cohort youth respondents who have ever smoked
cigars.
PATH ID:
R04_YG9040
Por favor mire esta imagen. ¿Qué grupo se parece más al [CIGARFILL] que usted fuma normalmente?
[SHOW GENERIC IMAGE OF 4 CIGAR GROUPS]
1
Grupo 1
2
Grupo 2
3
Grupo 3
4
Grupo 4
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a traditional cigar/cigarillo/filtered cigar.
BOX ID:
R04_YGR18
Continuing youth respondents who have ever smoked cigars and had never smoked fairly regularly in
the previous wave, and new baseline youth respondents who have ever smoked cigars, go to
R04_YG1100[TC/CL/FC].
Else, go to R04_YG1112[TC/CL/FC].
PATH – Wave 4
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94
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1100
Alguna vez, ¿ha fumado [CIGARFILL]s de manera habitual?
1
Sí
2
No
GO TO R04_YG1112[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1112[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1112[TC/CL/FC]
ASK: Aged-up and continuing youth respondents who have ever smoked a cigar (and had never
smoked fairly regularly in the previous wave), and new cohort youth respondents who have ever
smoked cigars.
PATH ID:
R04_YG1007
¿Qué edad tenía usted la primera vez que comenzó a fumar [CIGARFILL]s habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YG1121[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1121[TC/CL/FC]
ASK: Youth respondents who have ever smoked cigars fairly regularly and did not smoke fairly regularly
in the previous wave.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YG1007TC_LC1
La computadora registró que usted comenzó a fumar puros tradicionales de manera habitual a la edad
de [R04_YG1007TC] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007TC
2
NEXT
GO TO R04_YG1112TC
ASK: IF R04_AG1007TC <= 12 OR R04_YG1007TC < R04_YG1006TC_NB.
PATH ID:
R04_YG1007TC_LC2
La computadora registró que usted comenzó a fumar puros tradicionales de manera habitual a la edad
de [R04_YG1007TC] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007TC
2
NEXT
GO TO R04_YG1112TC
ASK: IF R04_YG1007TC > R04_YOUTHAGE.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
95
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1007CL_LC1
La computadora registró que usted comenzó a fumar puritos de manera habitual a la edad de
[R04_YG1007CL] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007CL
2
NEXT
GO TO R04_YG1112CL
ASK: IF R04_AG1007CL <= 5 OR R04_YG1007CL < R04_YG1006CL_NB.
PATH ID:
R04_YG1007CL_LC2
La computadora registró que usted comenzó a fumar puritos de manera habitual a la edad de
[R04_YG1007CL] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007CL
2
NEXT
GO TO R04_YG1112CL
ASK: IF R04_YG1007CL > R04_YOUTHAGE.
PATH ID:
R04_YG1007FC_LC1
La computadora registró que usted comenzó a fumar puros con filtro de manera habitual a la edad de
[R04_YG1007FC] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007FC
2
NEXT
GO TO R04_YG1112FC
ASK: IF R04_AG1007FC <= 10 OR R04_YG1007FC < R04_YG1006FC_NB.
PATH ID:
R04_YG1007FC_LC2
La computadora registró que usted comenzó a fumar puros con filtro de manera habitual a la edad de
[R04_YG1007FC] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007FC
2
NEXT
GO TO R04_YG1112FC
ASK: IF R04_YG1007FC > R04_YOUTHAGE.
PATH – Wave 4
Youth Questionnaire (Spanish) – New and Aged-Up Interview
96
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1121
La primera vez que comenzó a fumar [CIGARFILL]s habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age when they started smoking
cigars fairly regularly.
PATH ID:
R04_YG1112
¿Cuándo fue la última vez que fumó un [CIGARFILL], incluso si solo fueron una o dos probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YGV02
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YGV02
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YGV02
6
Hace 1 a 4 años
GO TO BOX R04_YGV02
7
Hace 5 años o más
GO TO BOX R04_YGV02
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have ever smoked cigars.
PATH ID:
R04_YG0100
¿Cuándo fue la última vez que fumó un [CIGARFILL]?
1
Hace menos de una hora
2
Hoy
3
Ayer
4
Hace dos días
5
GO TO R04_YG0103[TC/CL/FC]
Hace tres o más días
GO TO BOX R04_YGV02
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have smoked cigars in the past 7 days.
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PATH ID:
R04_YG0102
La última vez que fumó un [CIGARFILL] [FILL BASED ON R04_YG0100[TC/CL/FC]], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigar today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YG0100[TC/CL/FC]]:
IF R04_YG0100[TC/CL/FC] = 2, DISPLAY "hoy".
ELSE, IF R04_YG0100[TC/CL/FC] = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, DISPLAY "hace dos días".
PATH ID:
R04_YG0103
¿Cuántos [CIGARFILL]s [ha fumado/fumó] [FILL BASED ON R04_YG0100][TC/CG/FC]]? (Si fumó
menos de 1, anote 1).
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have smoked a cigar in the past hour, sometime today, yesterday or the
day before yesterday.
DISPLAY: IF R04_YG0100[TC/CL/FC] = 1, 2, DISPLAY "ha fumado".
ELSE, IF R04_YG0100[TC/CL/FC] = 3, 4, DISPLAY "fumó".
FOR [FILL BASED ON R04_YG0100[TC/CL/FC]]:
IF R04_YG0100[TC/CL/FC] = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YG0100[TC/CL/FC] = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YG0103TC_LC1
La computadora registró que usted fumó [R04_YG0103TC] puros tradicionales [hoy/ayer/hace dos
días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG0103TC
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103TC > 15 OR R04_YG0103TC = 11.
DISPLAY: IF R04_YG0100TC = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YG0100TC = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100TC = 4, DISPLAY "hace dos días".
PATH ID:
R04_YG0103CL_LC1
La computadora registró que usted fumó [R04_YG0103CL] puritos [hoy/ayer/hace dos días]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG0103CL
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103CL > 15 OR R04_YG0103CL = 11.
DISPLAY: IF R04_YG0100CL = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YG0100CL = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100CL = 4, DISPLAY "hace dos días".
PATH ID:
R04_YG0103FC_LC1
La computadora registró que usted fumó [R04_YG0103FC] puros con filtro [hoy/ayer/hace dos días].
¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG0103FC
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103FC > 15 OR R04_YG0103FC = 11.
DISPLAY: IF R04_YG0100FC = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YG0100FC = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100FC = 4, DISPLAY "hace dos días".
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BOX ID:
R04_YGV02
PROGRAM - CREATE THE FOLLOWING VARIABLES FOR EACH CIGAR TYPE (SEE APPENDIX):
R04_PAST30DAY_GTRAD = 1 (Past 30 day smoker) Youth respondents who have smoked a
traditional cigar in the past 30 days.
R04_PAST30DAY_GTRAD_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a traditional cigar in the past 30 days, and have smoked 10 or less traditional cigars in
their lifetime.
R04_PAST30DAY_GTRAD_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a traditional cigar in the past 30 days, and have smoked more than 10 traditional cigars in
their lifetime.
R04_PAST30DAY_GRILLO = 1 (Past 30 day smoker) Youth respondents who have smoked a cigarillo
in the past 30 days.
R04_PAST30DAY_GRILLO_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a cigarillo in the past 30 days, and have smoked 10 or less cigarillos in their lifetime.
R04_PAST30DAY_GRILLO_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a cigarillo in the past 30 days, and have smoked more than 10 cigarillos in their lifetime.
R04_PAST30DAY_GFILTR = 1 (Past 30 day smoker) Youth respondents who have smoked a filtered
cigar in the past 30 days.
R04_PAST30DAY_GFILTR_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a filtered cigar in the past 30 days, and have smoked 10 or less filtered cigars in their
lifetime.
R04_PAST30DAY_GFILTR_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a filtered cigar in the past 30 days, and have smoked more than 10 filtered cigars in their
lifetime.
BOX ID:
R04_YGR06
Past 30 day cigar smokers, go to R04_YG1022[TC/CL/FC].
Else, go to Box R04_YGR16.
PATH ID:
R04_YG1022
¿En cuántos de los últimos 30 días fumó usted un [CIGARFILL]?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
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PATH ID:
R04_YG1023
En los últimos 30 días, en los días en que fumó un [CIGARFILL], ¿cuántos [CIGARFILL]s fumó cada
día?
1
Menos de un [CIGARFILL] cada día
2
Un [CIGARFILL] cada día
3
2 a 5 [CIGARFILL]s cada día
4
6 a 10 [CIGARFILL]s cada día
5
11 a 20 [CIGARFILL]s cada día
6
Más de 20 [CIGARFILL]s cada día
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1130
En los últimos 30 días, ¿tenía alguno de los [CIGARFILL]s que fumó sabor a mentol, menta, clavo de
olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros sabores dulces?
1
Sí
2
No
GO TO R04_YG1142[TC/CL/FC]
3
No sé
GO TO R04_YG1142[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1142[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1142[TC/CL/FC]
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1131
¿Qué sabores ha fumado en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored cigar smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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PATH ID:
R04_YG1147
En los días en que fumó [CIGARFILL]s en los últimos 30 días, ¿con qué frecuencia fumó [CIGARFILL]s
con sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored cigar smokers.
DISPLAY: UNDERLINE "con sabor".
PATH ID:
R04_YG1142
En los últimos 30 días, ¿le vendió alguien [CIGARFILL]s?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1123
En los últimos 30 días, ¿le negó alguien la venta de [CIGARFILL]s debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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PATH ID:
R04_YG1118
En los últimos 30 días, ¿cómo obtuvo sus [CIGARFILL] normalmente?
1
Le di dinero a otra persona para que me los compre
2
Yo mismo los compré en una tienda (incluyendo un bar de fumadores)
3
Se lo pedí a una persona
4
Alguien me lo ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YGR07
Past 30 day cigar smokers who usually buy cigars themselves or usually give someone else money to
buy cigars for them, go to R04_YG1030[TC/CL/FC].
Else, past 30 day "not-light" cigar smokers go to R04_YG1047[TC/CL/FC].
Else, past 30 day cigar smokers, go to R04_YG1945[TC/CL/FC]
Else, all other youth respondents, go to Box R04_YGR16.
PATH ID:
R04_YG1030
¿Cómo [compra/le compran] sus [CIGARFILL]s normalmente?
1
En persona (en una tienda o bar de fumadores)
2
En Internet
GO TO BOX R04_YGR22
3
Por teléfono
GO TO BOX R04_YGR22
-8
DON'T KNOW
GO TO BOX R04_YGR22
-7
REFUSED
GO TO BOX R04_YGR22
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers (including "very light" smokers) who
buy traditional cigars/cigarillos/filtered cigars for themselves or someone else buys for them.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 1, DISPLAY "le compran".
ELSE, IF R04_YG1118[TC/CL/FC] = 2, DISPLAY "compra".
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PATH ID:
R04_YG1033
¿Dónde [compra/le compran] sus [CIGARFILL]s la mayoría del tiempo?
1
Un bar de fumadores
2
Una tienda de conveniencia o estación de gasolina
3
Un supermercado, tienda de comestibles o farmacia
4
Una tienda mayorista como Sam's o Costco
5
Una tienda especializada o un almacén de tabaco o una tabaquería
6
Una tienda libre de impuestos o un economato militar
7
Un bar, restaurante, casino o una taberna
8
Un amigo o familiar
9
Un mercadillo o mercado de pulgas
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers (including "very light" smokers) who
buy traditional cigars/cigarillos/filtered cigars for themselves or someone else buys for them in person.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 1, DISPLAY "le compran".
ELSE, IF R04_YG1118[TC/CL/FC] = 2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YGR22
Past 30 day "not-light" cigar smokers who buy cigars for themselves or someone else buys for them, go
to R04_YG1039[TC/CL/FC].
Else, past 30 day "very-light" cigar smokers who buy cigars for themselves or someone else buys for
them, go to R04_YG1945[TC/CL/FC]
PATH ID: R04_YG1039
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] [CIGARFILL]s . ¿Los
compró por caja o paquete o como [CIGARFILL]s sueltos?
1
Caja o paquete
2
[CIGARFILL]s sueltos
GO TO R04_YG1034[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1047[TC/CL/FC]
ASK: Past 30 day "not-light" cigar smokers who buy cigars for themselves or someone else buys for
them.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 2, DISPLAY "compró".
ELSE, IF R04_YG1118[TC/CL/FC] = 1, DISPLAY "le dio dinero a alguien para que le compre".
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PATH ID:
R04_YG1040
¿Cuántos [CIGARFILL]s venían en la caja o paquete que compró la última vez?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigar smokers who last bought cigars by the box or pack.
PATH ID:
R04_YG1034
¿Cuánto pagó por [una caja o paquete de [CIGARFILL]s/un [CIGARFILL] suelto]?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO R04_YG1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1047[TC/CL/FC]
ASK: Past 30 day "not-light" cigar smokers who last bought cigars by the box or pack or as single
cigars.
DISPLAY: DISPLAY AS QUANTITY/QUANTITY. DISPLAY "$" AS LEFT LABEL; "Dólares" AND
"Centavos" AS TITLES.
IF R04_YG1039[TC/CL/FC] = 1, DISPLAY "una caja o paquete de [CIGARFILL]s".
ELSE, IF R04_YG1039[TC/CL/FC] = 2, DISPLAY "un [CIGARFILL] suelto".
PATH ID:
R04_YG1034TC_LC1
La computadora registró que usted pagó $[R04_YG1034TC_D].[R04_YG1034TC_C] por [una caja o
paquete de puros tradicionales/un puro tradicional suelto]? ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1034TC
2
NEXT
GO TO R04_YG1047TC
ASK: IF ((R04_YG1034TC_D > 300 OR R04_YG1034TC_D < 10) AND R04_YG1039TC = 1) OR
((R04_YG1034TC_D > 15 OR R04_YG1034TC_D < 1) AND R04_YG1039TC = 2).
DISPLAY: IF R04_YG1039TC = 1, DISPLAY " una caja o paquete de puros tradicionales".
ELSE, IF R04_YG1039TC = 2, DISPLAY " un puro tradicional suelto".
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PATH ID:
R04_YG1034CL_LC1
La computadora registró que usted pagó $[R04_YG1034CL_D].[R04_YG1034CL_C] por [una caja o
paquete de puritos/un purito suelto]? ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1034CL
2
NEXT
GO TO R04_YG1047CL
ASK: IF ((R04_YG1034CL_D > 11 OR R04_YG1034CL_D < 1) AND R04_YG1039CL = 1) OR
((R04_YG1034CL_D > 3 OR (R04_YG1034CL_D = 0 AND R04_YG1034CL_C < 50)) AND
R04_YG1039CL = 2).
DISPLAY: IF R04_YG1039CL = 1, DISPLAY "una caja o paquete de puritos".
ELSE, IF R04_YG1039CL = 2, DISPLAY "un purito suelto".
PATH ID:
R04_YG1034FC_LC1
La computadora registró que usted pagó $[R04_YG1034FC_D].[R04_YG1034FC_C] por [una caja o
paquete de puros con filtro/un puro con filtro suelto]? ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1034FC
2
NEXT
GO TO R04_YG1047FC
ASK: IF ((R04_YG1034FC_D > 100 OR R04_YG1034FC_D < 1) AND R04_YG1039FC = 1) OR
((R04_YG1034FC_D > 3 OR (R04_YG1034FC_D = 0 AND R04_YG1034FC_C < 50)) AND
R04_YG1039FC = 2).
DISPLAY: IF R04_YG1039FC = 1, DISPLAY "una caja o paquete de puros con filtro".
ELSE, IF R04_YG1039FC = 2, DISPLAY "un puro con filtro suelto".
PATH ID:
R04_YG1047
¿Tiene una marca habitual de [CIGARFILL]s que normalmente fuma?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigar smokers.
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PATH ID:
R04_YG1945
¿Sabe el nombre de la marca de [CIGARFILL]s que [fuma normalmente/fumó la última vez]?
1
Sí
2
No
GO TO BOX R04_YGR11
-8
DON'T KNOW
GO TO BOX R04_YGR11
-7
REFUSED
GO TO BOX R04_YGR11
ASK: Past 30 day cigar smokers.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY "fuma normalmente".
ELSE, DISPLAY "fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YG1048
¿Qué marca de [CIGARFILL] [fuma/fumó] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers who know the brand name.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN.]
BOX ID:
R04_YGR10
If youth respondent selects "Something else" in R04_YG1048[TC/CL/FC]_BRAND, go to
R04_YG1049[TC/CL/FC].
Else, if youth respondent selects brand from images in R04_YG1048[TC/CL/FC]_BRAND, go to
R04_YG1070[TC/CL/FC]_PRODUCT.
Else, go to Box R04_YGR11.
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PATH ID:
R04_YG1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YGR11
-8
DON'T KNOW
GO TO BOX R04_YGR11
-7
REFUSED
GO TO BOX R04_YGR11
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers that know the name of the brand they
smoke who selected "Something else" for their brand.
PATH ID:
R04_YG1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [fuma/fumó]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [ Si no ve la opción a continuación,
toque el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice
"Otra". ]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN R04_YG1048[TC/CL/FC]_BRAND]
BOX ID:
R04_YGR21
If youth respondent selects "Something else" in R04_YG1070[TC/CL/FC]_PRODUCT, go to
R04_YG1071[TC/CL/FC].
Else, go to Box R04_YGR11.
PATH ID:
R04_YG1071
Usted dijo que el tipo de [BRANDFILL] que usted fuma no está en las opciones. ¿Qué tipo es?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers that know the name of the brand they
smoke who selected a brand image, but selected "Something else" for their subbrand image.
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BOX ID:
R04_YGR11
Youth respondents who have smoked a cigar today, yesterday or the day before yesterday who know
the name of their brand AND selected a valid brand AND valid product, go to R04_YG0104[TC/CL/FC].
Else, go to Box R04_YGD04.
PATH ID:
R04_YG0104
Usted dijo anteriormente que fumó un [CIGARFILL] [TIME OF LAST USE].
Piense en el último [CIGARFILL] que fumó.
¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigar in the past hour, sometime today, yesterday or the
day before yesterday who know the name of their brand AND selected a valid brand AND valid product.
DISPLAY: IF R04_YG0100[TC/CL/FC] = 1, FILL [TIME OF LAST USE] WITH "hace menos de una
hora".
ELSE, IF R04_YG0100[TC/CL/FC] = 2, FILL [TIME OF LAST USE] WITH "hoy".
ELSE, IF R04_YG0100[TC/CL/FC] = 3, FILL [TIME OF LAST USE] WITH "ayer".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH RESPONSE TO R04_YG1070[TC/CL/FC]_PRODUCT.
BOX ID:
R04_YGD04
Display question R04_YG1060[TC/CL/FC], R04_YG1085[TC/CL/FC], R04_YG1062[TC/CL/FC],
R04_YG1075[TC/CL/FC], R04_YG1063[TC/CL/FC], R04_YG1064[TC/CL/FC],
R04_YG1066[TC/CL/FC], on one screen. Show the intro/transition text from R04_YG1060[TC/CL/FC]
first, then show each item with a Sí/No response. As each item is answered, show the next one.
Randomize order of R04_YG1060[TC/CL/FC] through R04_YG1066[TC/CL/FC].
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PATH ID:
R04_YG1060
Las siguientes preguntas son acerca de las razones por las que la gente fuma [CIGARFILL]s.
Seleccione las razones que aplican a usted.
Fumo [CIGARFILL]s porque...
Son económicos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1085
Puedo fumar [CIGARFILL]s en ocasiones o en lugares donde no se permite fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1062
Podrían ser menos dañinos para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1075
Podrían ser menos dañinos que fumar cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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PATH ID:
R04_YG1063
Los [CIGARFILL]s vienen en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
BOX ID:
R04_YGR15
Youth respondents who have smoked cigarettes in the past year, go to R04_YG1064[TC/CL/FC].
Else, go to R04_YG1066[TC/CL/FC].
PATH ID:
R04_YG1064
Fumar [CIGARFILL]s le ayuda a la gente a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers who have also smoked cigarettes in the past year.
PATH ID:
R04_YG1066
Fumar [CIGARFILL] se siente como si estuviese fumando un cigarrillo tradicional.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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PATH ID:
R04_YG1139
Por favor, califique su nivel de acuerdo con cada una de las siguientes afirmaciones usando la siguiente
escala: 1 = no es cierto en absoluto y 4= es muy cierto.
Es más fácil hablar y llevarse bien con otras personas cuando fumo un [CIGARFILL].
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
PATH ID:
R04_YG1140
Al fumar un [CIGARFILL], me siento más seguro con otras personas.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
PATH ID:
R04_YG1141
Fumo [CIGARFILL]s mucho más cuando estoy con otras personas.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
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BOX ID:
R04_YGR16
If youth respondent has remaining loops to complete for non-blunt cigar types, return to R04_YGT04
and repeat section.
Else, if youth respondent has no more remaining loops to complete for cigars, go to Box R04_YPT01.
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PIPE
BOX ID:
R04_YPT01
Las siguientes preguntas son acerca de fumar tabaco en pipa.
Las pipas vienen en distintos tamaños y formas. Todas tienen una cánula y una cazoleta donde se
pone el tabaco. El tabaco para pipas normalmente se vende suelto en paquetes o latas. En la siguiente
sección, solo le vamos a preguntar sobre el consumo de pipas con tabaco. La imagen a continuación
muestra una pipa tradicional y tabaco para pipa.
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
BOX ID:
R04_YPR02
New baseline youth respondents, go to R04_YP1001_NB.
Continuing youth respondents, go to R04_YP1002_12M.
PATH ID:
R04_YP1001_NB
¿Alguna vez había visto u oído hablar de una pipa antes de este estudio?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Sí
2
No
GO TO BOX R04_YPV01
-8
DON'T KNOW
GO TO BOX R04_YPV01
-7
REFUSED
GO TO BOX R04_YPV01
ASK: New baseline youth respondents.
PATH ID:
R04_YP1002_NB
¿Alguna vez ha fumado una pipa con tabaco, incluso si solo fueron una o dos probaditas?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Sí
GO TO BOX R04_YPV01
2
No
GO TO BOX R04_YPV01
-8
DON'T KNOW
GO TO BOX R04_YPV01
-7
REFUSED
GO TO BOX R04_YPV01
ASK: New baseline youth respondents who have heard of a pipe.
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BOX ID:
R04_YPV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_PIPE_YOUTH = 1 (Ever user) Youth respondents who have ever smoked pipe
tobacco.
R04_EVER_NEVER_PIPE_YOUTH = 2 (Never user) = Youth respondents who have not ever smoked
pipe tobacco.
R04_INIT_PIPE_YOUTH = 1 (Initiator) Youth respondents who initiated pipe use between Waves or
new baseline youth respondents who have ever smoked a pipe.
BOX ID:
R04_YPR01
Youth respondents who have ever smoked a pipe, go to R04_YP1112.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1112
¿Cuándo fue la última vez que fumó una pipa con tabaco, incluso si solo fueron una o dos probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YPV02
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YPV02
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YPV02
6
Hace 1 a 4 años
GO TO BOX R04_YPV02
7
Hace 5 años o más
GO TO BOX R04_YPV02
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who have ever smoked a pipe.
PATH ID:
R04_YP0100
¿Cuándo fue la última vez que fumó pipa con tabaco?
1
Hace menos de una hora
GO TO R04_YP0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YPV02
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who smoked a pipe earlier today or in the past 7 days.
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PATH ID:
R04_YP0102
La última vez que fumó una pipa con tabaco [FILL BASED ON R04_YP0100], ¿fue...?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a pipe today, yesterday or the day before yesterday, but not
in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YP0100]:
IF R04_YP0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YP0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YP0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YP0103
¿Cuántas cazoletas con tabaco para pipas [ha fumado/fumó] [FILL BASED ON R04_YP0100]? (Si fumó
menos de una, anote una).
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who have smoked a pipe in the past hour, today, yesterday or the day before
yesterday.
DISPLAY: IF R04_YP0100 = 1, 2, DISPLAY "ha fumado".
ELSE, IF R04_YP0100 = 3, 4, DISPLAY "fumó".
FOR [FILL BASED ON R04_YP0100]:
IF R04_YP0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YP0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YP0100 = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YP0103_LC1
La computadora registró que usted fumó [R04_YP0103] cazoletas con tabaco para pipas
[hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YP0103
2
NEXT
GO TO BOX R04_YPV02
ASK: IF R04_YP0103 > 10.
DISPLAY: IF R04_YP0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YP0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YP0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YPV02
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_PIPE = 1 (Past 30 day pipe smokers) Youth respondents who have smoked a pipe
in the past 30 days.
BOX ID:
R04_YPR04
Past 30 day pipe smokers, go to R04_YP1022.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1022
¿En cuántos de los últimos 30 días fumó usted pipa con tabaco?
1
I__I__I DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
DISPLAY: DISPLAY "DÍAS" AS TITLE.
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PATH ID:
R04_YP1023
En los últimos 30 días, en los días en que fumó pipa, ¿cuántas cazoletas con tabaco fumó
normalmente cada día?
1
Menos de una cazoleta cada día
2
Una cazoleta cada día
3
2 a 5 cazoletas cada día
4
6 a 10 cazoletas cada día
5
11 a 20 cazoletas cada día
6
Más de 20 cazoletas cada día
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
PATH ID:
R04_YP1142
En los últimos 30 días, ¿le vendió alguien tabaco para pipas?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
PATH ID:
R04_YP1123
En los últimos 30 días, ¿le negó alguien la venta de tabaco para pipa debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
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PATH ID:
R04_YP1118
En los últimos 30 días, ¿cómo obtuvo su tabaco para pipa normalmente?
1
Le di dinero a otra persona para que me lo compre
2
Yo mismo los compré en una tienda
3
Se los pedí a una persona
4
Alguien me los ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YPR03
Past 30 day pipe smokers who usually buy pipe tobacco themselves or give someone else money to
buy pipe tobacco for them, go to R04_YP1030.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente su
tabaco para pipas?
1
En persona
2
En Internet
GO TO R04_YP1034
3
Por teléfono
GO TO R04_YP1034
-8
DON'T KNOW
GO TO R04_YP1034
-7
REFUSED
GO TO R04_YP1034
ASK: Past 30 day pipe smokers who buy pipe tobacco for themselves or someone else buys it for them.
DISPLAY: IF R04_YP1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona";
ELSE, IF R04_YP1118 = 2, DISPLAY "¿Cómo compra usted".
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PATH ID:
R04_YP1033
¿Dónde [compra/le compran] su tabaco para pipa la mayoría del tiempo?
1
Una tienda de conveniencia o estación de gasolina
2
Un supermercado, tienda de comestibles o farmacia
3
Una tienda mayorista como Sam's o Costco
4
Una tienda especializada o un almacén de tabaco o una tabaquería
5
Una tienda libre de impuestos o un economato militar
6
Un bar, restaurante, casino o una taberna
7
Un amigo o familiar
8
Un mercadillo o mercado de pulgas
9
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 pipe smokers who buy pipe tobacco themselves or someone else buys for them in
person.
DISPLAY: IF R04_YP1118=1, DISPLAY "le compran";
ELSE, IF R04_YP1118=2, DISPLAY "compra"
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
PATH ID:
R04_YP1034
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] tabaco para pipa.
¿Cuánto pagó?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO R04_YHT01
-7
REFUSED
GO TO R04_YHT01
ASK: Past 30 day pipe smokers who buy pipe tobacco themselves or someone else buys for them.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YP1118 = 1, DISPLAY "le dio dinero a alguien para que le compre".
ELSE, IF R04_YP1118 = 2, DISPLAY "compró".
PATH ID:
R04_YP1034_LC1
La computadora registró que usted pagaba $[R04_YP1034_D].[R04_YP1034_C] por una bolsa de
tabaco para pipas. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YP1034
2
NEXT
GO TO BOX R04_YHT01
ASK: IF R04_YP1034_D > 50.
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Wave 4 (version 4.0)
HOOKAH
BOX ID:
R04_YHT01
Las siguientes preguntas son acerca de fumar tabaco en una hookah, que es un tipo de pipa de agua.
También se conoce como "narguile". De ahora en adelante usaremos la palabra "hookah" para
referirnos a la pipa de agua o narguile. Hay muchos tipos de hookahs. La gente normalmente fuma
hookahs en grupo en bares o cafés de hookahs.
La gente fuma shishas o el tabaco para hookahs en una hookah. La shisha viene en distintos
sabores. Algunos tipos de shisha contienen tabaco y otros no.
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
BOX ID:
R04_YHR01
New baseline youth respondents, go to R04_YH1001_NB.
Continuing youth respondents, go to R04_YH1002_12M.
PATH ID:
R04_YH1001_NB
¿Alguna vez había visto u oído hablar de una hookah antes de este estudio?
[SHOW GENERIC IMAGE OF HOOKAH]
1
Sí
2
No
GO TO BOX R04_YHV01
-8
DON'T KNOW
GO TO BOX R04_YHV01
-7
REFUSED
GO TO BOX R04_YHV01
ASK: New baseline youth respondents.
PATH ID:
R04_YH1002_NB
¿Alguna vez ha fumado tabaco en una hookah, incluso si solo fueron una o dos probaditas?
[SHOW GENERIC IMAGE OF HOOKAH]
1
Sí
GO TO BOX R04_YHV01
2
No
GO TO BOX R04_YHV01
-8
DON'T KNOW
GO TO BOX R04_YHV01
-7
REFUSED
GO TO BOX R04_YHV01
ASK: New baseline youth respondents who have heard of a hookah.
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BOX ID:
R04_YHV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_HOOK_YOUTH = 1 (Ever user) Youth respondents who have ever smoked
hookah.
R04_EVER_NEVER_HOOK_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
hookah.
R04_INIT_HOOK_YOUTH = 1 (Initiator) Youth respondents who initiated hookah use between Waves
or new baseline youth respondents who have ever smoked a hookah.
BOX ID:
R04_YHR02
New baseline youth who have never heard of a hookah, go to Box R04_YUT01.
Else, continuing youth who have never smoked hookah, and new baseline youth respondents who have
heard of but never smoked hookah, go to R04_YH1103.
Else, new baseline youth respondents who have ever smoked hookah, go to R04_YH1006_NB.
Else, continuing youth respondents who initiated hookah smoking since the previous wave, go to
R04_YH1108.
Else, continuing youth respondents who have ever smoked hookah and had not smoked 100 or more
times in the previous wave, go to R04_YH1005
Else, continuing youth respondents who have ever smoked hookah and had never smoked fairly
regularly in the previous wave, go to Box R04_YH1100.
Else, go to Box R04_YHV02.
PATH ID:
R04_YH1103
Alguna vez, ¿ha sentido curiosidad por fumar tabaco en una hookah?
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of hookah but have never smoked hookah.
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PATH ID:
R04_YH1206
¿Cree que fumará tabaco en una hookah el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but have never smoked hookah.
PATH ID:
R04_YH1104
¿Cree que probará fumar tabaco en una hookah pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but have never smoked hookah.
PATH ID:
R04_YH1105
¿Si uno de sus mejores amigos le ofreciera fumar en hookah, la probaría?
1
Definitivamente sí
GO TO R04_YH9041
2
Probablemente sí
GO TO R04_YH9041
3
Probablemente no
GO TO R04_YH9041
4
Definitivamente no
GO TO R04_YH9041
-8
DON'T KNOW
GO TO R04_YH9041
-7
REFUSED
GO TO R04_YH9041
ASK: Youth respondents who have heard of but have never smoked hookah.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YH1006_NB
¿Qué edad tenía la primera vez que probó fumar tabaco en hookah, incluso si solo fueron una o dos
probaditas?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YH1120_NB
-7
REFUSED
GO TO R04_YH1120_NB
ASK: New baseline youth respondents who have ever smoked hookah.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YH1006_NB_LC1
La computadora registró que la primera vez que usted probó fumar tabaco en hookah fue a la edad de
[R04_YH1006_NB] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH1006_NB
2
NEXT
GO TO R04_YH1108
ASK: IF R04_YH1006_NB <=12.
PATH ID:
R04_YH1006_NB_LC2
La computadora registró que la primera vez que usted probó fumar tabaco en hookah fue a la edad de
[R04_YH1006_NB] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH1006_NB
2
NEXT
GO TO R04_YH1108
ASK: IF R04_YH1006_NB > R04_YOUTHAGE.
PATH ID:
R04_YH1120_NB
La primera vez que probó fumar tabaco en hookah, incluso si solo fueron una o dos probaditas,
¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report the age when they first
smoked hookah.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YH1108
La primera shisha o tabaco para hookah que fumó, ¿tenía sabor a mentol, menta, clavo de olor,
especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO BOX R04_YHR13
3
No sé
GO TO BOX R04_YHR13
-8
DON'T KNOW
GO TO BOX R04_YHR13
-7
REFUSED
GO TO BOX R04_YHR13
ASK: Continuing youth respondents who have initiated hookah smoking since the previous wave, and
new baseline youth respondents who have ever smoked hookah.
PATH ID:
R04_YH1011
¿Qué sabor tenía la primera shisha o tabaco para hookah que fumó? Escoja todas las opciones que
correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who initiated smoking with flavored shisha.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YHR13
Aged-up and continuing youth respondents who have ever smoked hookah (and had not smoked 100 or
more times in the previous wave), and new cohort youth respondents who have ever smoked hookah,
go to R04_YH1005.
Else, go to Box R04_YHR10.
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PATH ID:
R04_YH1005
¿Cuántas veces ha fumado tabaco en una hookah en toda su vida? Cuente cada sesión o vez en la
que fumó tabaco en una hookah, ya sea solo o acompañado.
1
Una
2
2 a 10
3
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever smoked hookah and had not smoked
100 or more times in the previous wave, and new cohort youth respondents who have ever smoked
hookah.
BOX ID:
R04_YHR10
Youth respondents who have ever smoked hookah and had never smoked hookah fairly regularly in the
previous wave, go to R04_YH1100.
Else, go to R04_YH1112.
PATH ID:
R04_YH1100
¿Alguna vez ha fumado tabaco en una hookah habitualmente?
1
Sí
2
No
GO TO R04_YH1112
-8
DON'T KNOW
GO TO R04_YH1112
-7
REFUSED
GO TO R04_YH1112
ASK: Youth respondents who have ever smoked hookah (and had never smoked fairly regularly in the
previous wave).
PATH ID:
R04_YH1007
¿Qué edad tenía la primera vez que comenzó a fumar tabaco en una hookah habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YH1121
-7
REFUSED
GO TO R04_YH1121
ASK: Youth respondents who have ever smoked hookah fairly regularly and did not smoke fairly
regularly in the previous wave.
DISPLAY: Display "Años" as a title.
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PATH ID:
R04_YH1007_LC1
La computadora registró que usted comenzó a fumar tabaco en una hookah de manera habitual a la
edad de [R04_YH1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH1007
2
NEXT
GO TO R04_YH1112
ASK: IF R04_YH1007< =5 OR If R04_YH1007 < R04_YH1006_NB.
PATH ID:
R04_YH1007_LC2
La computadora registró que usted comenzó a fumar tabaco en hookah de manera habitual a la edad
de [R04_YH1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH1007
2
NEXT
GO TO R04_YH1112
ASK: IF R04_YH1007 > R04_YOUTHAGE.
PATH ID:
R04_YH1121
La primera vez que comenzó a fumar tabaco en una hookah habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age they first started smoking
hookah fairly regularly.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YH1112
¿Cuándo fue la última vez que fumó tabaco en una hookah, incluso si solo fueron una o dos
probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
4
No en los últimos 30 días, pero sí en los últimos 6 meses
5
No en los últimos 6 meses, pero sí el año pasado
6
Hace 1 a 4 años
7
Hace 5 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
BOX ID:
R04_YHV02
PROGRAM - CREATE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_HOOK = 1 (Past 30 day hookah smokers) Youth respondents who have smoked
hookah in the past 30 days.
BOX ID:
R04_YHR12
Youth respondents who have smoked hookah in the past 7 days, go to R04_YH0100.
Else, youth respondents who have smoked hookah in the past 12 months, go to R04_YH9003.
Else, youth respondents who have ever smoked hookah, go to R04_YH1090.
Else, go to R04_YH9041.
PATH ID:
R04_YH0100
¿Cuándo fue la última vez que fumó tabaco en una hookah?
1
Hace menos de una hora
2
Hoy
GO TO R04_YH0103
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO R04_YH9003
-8
DON'T KNOW
GO TO R04_YH9003
-7
REFUSED
GO TO R04_YH9003
ASK: Youth respondents who have smoked hookah in the past 7 days.
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Wave 4 (version 4.0)
PATH ID:
R04_YH0102
La última vez que fumó tabaco en una hookah [FILL BASED ON R04_YH0100], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked hookah today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YH0100]:
IF R04_YH0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YH0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YH0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YH0103
¿Cuántas probaditas [ha tomado/tomó] de una hookah [FILL BASED ON R04_YH0100]?
1
I__I__I
-8
DON'T KNOW
GO TO R04_YH9003
-7
REFUSED
GO TO R04_YH9003
ASK: Youth respondents who have smoked hookah in the past hour, sometime today, yesterday or the
day before yesterday.
DISPLAY: IF R04_YH0100 = 1, 2, DISPLAY "ha tomado".
ELSE, IF R04_YH0100 = 3, 4, DISPLAY "tomó".
FOR [FILL BASED ON R04_YH0100]:
IF R04_YH0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YH0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YH0100 = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YH0103_LC1
La computadora registró que usted le dio [R04_YH0103] probaditas a una hookah [hoy/ayer/hace dos
días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH0103
2
NEXT
GO TO R04_YH9003
ASK: IF R04_YH0103 > 50 OR R04_YH0103 = 11, 22, 33, 44.
DISPLAY: IF R04_YH0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YH0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YH0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YH9003
¿Cuál de las siguientes opciones describe mejor su hábito de fumar en hookah? Normalmente, fumo
tabaco en una hookah...
1
Todos los días
2
Semanalmente
GO TO R04_YH9005
3
Mensualmente
GO TO R04_YH9004
4
Una vez cada dos meses
GO TO R04_YH1090
5
Una vez al año
GO TO R04_YH1090
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who have smoked hookah in the past 12 months.
PATH ID:
R04_YH9006
En promedio, aproximadamente, ¿cuántas veces fuma tabaco en una hookah cada día? Cuente cada
sesión o vez en la que fumó tabaco en una hookah, ya sea solo o acompañado.
1
I___I___I___I
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah every day.
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PATH ID:
R04_YH9006_LC1
La computadora registró que, en promedio, usted fuma tabaco en hookah [R04_YH9006] veces al día.
¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH9006
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9006 > 2.
PATH ID:
R04_YH9005
En promedio, aproximadamente, ¿cuántas veces fuma tabaco en una hookah en una semana? Cuente
cada sesión o vez en la que fumó tabaco en una hookah, ya sea solo o acompañado.
1
I___I___I
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah weekly.
PATH ID:
R04_YH9005_LC1
La computadora registró que, en promedio, usted fuma tabaco en hookah [R04_YH9005] veces a la
semana. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH9005
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9005 > 15.
PATH ID:
R04_YH9004
En promedio, aproximadamente, ¿cuántas veces fuma tabaco en una hookah en un mes? Cuente cada
sesión o vez en la que fumó tabaco en una hookah, ya sea solo o acompañado.
1
I___I___I
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah monthly.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YH9004_LC1
La computadora registró que, en promedio, usted fuma tabaco en hookah [R04_YH9004] veces al mes.
¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH9004
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9004 > 50.
PATH ID:
R04_YH1090
¿Tiene su propia hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
PATH ID:
R04_YH9041
¿Alguna [otra ]persona que viva en su casa tiene una hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah, and continuing youth respondents.
DISPLAY: IF R04_EVER_NEVER_HOOK_YOUTH = 1, DISPLAY " otra".
ELSE, DO NOT DISPLAY THIS TEXT.
BOX ID:
R04_YHR03
Past 30 day hookah smokers, go to R04_YH9012.
Else, youth respondents who have ever smoked hookah, go to R04_YH9042.
Else, go to R04_YH9031.
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PATH ID:
R04_YH9012
Normalmente, ¿comparte una hookah con otros cuando la fuma?
1
Sí
2
No
GO TO R04_YH9014
-8
DON'T KNOW
GO TO R04_YH9014
-7
REFUSED
GO TO R04_YH9014
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9013
Normalmente, ¿con cuántas personas comparte una hookah?
1
Una persona
2
2 personas
3
3 personas
4
4 personas o más
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who report sharing with others.
PATH ID:
R04_YH9014
En promedio, ¿cuánto tiempo dura una sesión de hookah para usted [y para las personas que la
comparten con usted]?
1
Menos de 30 minutos
2
Más de 30 minutos a una hora
3
Una a 2 horas
4
Más de 2 horas
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH9012=1, DISPLAY " y para las personas que la comparten con usted" ELSE, DO
NOT DISPLAY THIS TEXT.
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PATH ID:
R04_YH9015
En promedio, cuando [fuma/comparte] una hookah, ¿cuántas veces se vuelve a llenar la hookah con
tabaco durante una sesión?
1
0 veces
2
1 vez
3
2 a 3 veces
4
4 veces o más
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH9012 = 1, DISPLAY "comparte". ELSE, DISPLAY "fuma".
PATH ID:
R04_YH9016
¿Con qué frecuencia prepara usted mismo la hookah?
1
Siempre
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca, otra persona siempre me la prepara
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9011
¿Dónde fuma normalmente en hookah? Escoja todas las opciones que correspondan.
1
En su casa
2
En casa de otra persona
3
En un café o bar de hookah
4
En una discoteca o un bar cafetería
5
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YH1130
En los últimos 30 días, ¿tenía alguna de la shisha o tabaco para hookah que fumó sabor a mentol,
menta, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros sabores dulces?
1
Sí
2
No
GO TO R04_YH1142
3
No sé
GO TO R04_YH1142
-8
DON'T KNOW
GO TO R04_YH1142
-7
REFUSED
GO TO R04_YH1142
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1131
¿Qué sabores ha fumado en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored hookah smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YH1147
En los días en que fumó shisha o tabaco para hookah en los últimos 30 días, ¿con qué frecuencia fumó
shisha o tabaco para hookah con sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored hookah smokers.
DISPLAY: UNDERLINE "con sabor".
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YH1142
En los últimos 30 días, ¿le vendió alguien shisha o tabaco para hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1123
En los últimos 30 días, ¿le negó alguien la venta de shisha o tabaco para hookah debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1118
En los últimos 30 días, ¿cómo obtuvo su shisha o tabaco para hookah normalmente?
1
Le dí dinero a otra persona para que me lo compre
2
Yo mismo lo compré en una tienda (incluyendo un bar o café de hookah)
3
Se lo pedí a una persona
4
Alguien me los ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran
cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YHR04
Past 30 day hookah smokers who usually buy shisha or hookah tobacco themselves or usually give
someone else money to buy for them, go to R04_YH1030.
Else, go to R04_YH1047.
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Wave 4 (version 4.0)
PATH ID:
R04_YH1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente su
shisha o tabaco para hookah?
1
En persona (en una tienda o bar de hookah)
2
En Internet
GO TO R04_YH1047
3
Por teléfono
GO TO R04_YH1047
-8
DON'T KNOW
GO TO R04_YH1047
-7
REFUSED
GO TO R04_YH1047
ASK: Past 30 day hookah smokers who buy shisha or hookah tobacco for themselves or someone else
buys for them.
DISPLAY: IF R04_YH1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona".
ELSE, DISPLAY "¿Cómo compra usted".
PATH ID:
R04_YH1033
¿Dónde [compra/le compran] su tabaco para hookah o shisha la mayoría del tiempo?
1
Un bar o café de hookah
2
Una tienda de conveniencia o estación de gasolina
3
Un supermercado, tienda de comestibles o farmacia
4
Una tienda mayorista como Sam's o Costco
5
Una tienda especializada o un almacén de tabaco o una tabaquería
6
Una tienda libre de impuestos o un economato militar
7
Un bar, restaurante, casino o una taberna
8
Un amigo o familiar
9
Un mercadillo o mercado de pulgas
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who buy shisha or hookah tobacco for themselves or someone else
buys for them in person.
DISPLAY: IF R04_YH1118 = 2, DISPLAY "compra". ELSE, IF R04_YH1118 = 1, DISPLAY "le
compran".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
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PATH
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PATH ID:
R04_YH1047
¿Tiene una marca habitual de shisha o tabaco para hookah que normalmente fuma?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1945
¿Sabe el nombre de la marca de shisha o tabaco para hookah que usted [fuma normalmente/fumó la
última vez]?
1
Sí
2
No
GO TO BOX R04_YHD01
-8
DON'T KNOW
GO TO BOX R04_YHD01
-7
REFUSED
GO TO BOX R04_YHD01
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH1047 = 1, DISPLAY "fuma normalmente". IF R04_YH1047 = 2, -8, -7, DISPLAY
"fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YH1048
¿Qué marca de shisha o tabaco para hookah [fuma/fumó] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who know the brand name.
DISPLAY: IF R04_YH1047 = 1, DISPLAY "fuma" AND "normalmente". IF R04_YH1047 = 2, -8, -7,
DISPLAY fumó" AND "la última vez" .
IF MULTIPLE SCREENS, DISPLAY: "Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS DISPLAY: "Si no ve la opción a
continuación, toque la casilla que dice "Otra"."
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BOX ID:
R04_YHR05
If youth respondent selects brand in R04_YH1048_BRAND, go to R04_YH1070_PRODUCT.
Else, if youth respondent selects "Something else" in R04_YH1048_BRAND, go to R04_YH1049.
Else, go to Box R04_YHD01.
PATH ID:
R04_YH1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO R04_YH9108
-8
DON'T KNOW
GO TO BOX R04_YHD01
-7
REFUSED
GO TO BOX R04_YHD01
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH ID:
R04_YH1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [fuma/fumó]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YH1047=1, DISPLAY "fuma" AND "normalmente". IF R04_YH1047 = 2, -8, -7,
DISPLAY "fumó" AND "la última vez".
IF MULTIPLE SCREENS, DISPLAY: "Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS DISPLAY: "Si no ve la opción a
continuación, toque la casilla que dice "Otra"."
BOX ID:
R04_YHR06
If youth respondent selects "Something else" in R04_YH1070_PRODUCT, go to R04_YH1071.
Else, go to R04_YH9108.
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PATH ID:
R04_YH1071
Usted dijo que el tipo de [BRANDFILL] que usted fuma no está en las opciones. ¿Qué tipo es?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected a brand
image, but selected "Something else" for their subbrand image.
PATH ID:
R04_YH9108
¿Contiene tabaco esta marca de shisha?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who selected a brand in R04_YH1048_BRAND or entered their
brand in R04_YH1049.
BOX ID:
R04_YHR08
Youth respondents who smoked hookah today, yesterday or the day before yesterday who know the
name of their brand AND selected a valid brand in R04_YH1048_BRAND AND valid product in
R04_YH1070_PRODUCT, go to R04_YH0104.
Else, go to Box R04_YHD01.
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PATH ID:
R04_YH0104
Anteriormente usted dijo que la última vez que fumó en una hookah fue [TIME OF LAST USE].
Piense en la última probadita que tomó. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who smoked hookah in the past hour, sometime today, yesterday or the day
before yesterday who know the name of their brand AND selected a valid brand in
R04_YH1048_BRAND AND valid product in R04_YH1070_PRODUCT.
DISPLAY: IF R04_YH0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una ".
IF R04_YH0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
IF R04_YH0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
IF R04_YH0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH RESPONSE TO R04_YH1070_PRODUCT.
BOX ID:
R04_YHD01
Display question R04_YH1060, R04_YH1085, R04_YH1062, R04_YH1075, R04_YH1063,
R04_YH1064, R04_YH1069, and R04_YH1073 on one screen. Show the intro/transition text from
R04_YH1060 first, then show each item with a Sí/No response. As each item is answered, show the
next one.
PROGRAM: Randomize order of R04_YH1060 through R04_YH1073.
PATH ID:
R04_YH1060
Las siguientes preguntas son acerca de las razones por las que la gente fuma en una hookah.
Seleccione las razones que aplican a usted.
Fumo en hookah porque...
Es económico.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
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PATH ID:
R04_YH1085
Puedo fumar en hookah en ocasiones o en lugares donde no se permite fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1062
Podría ser menos dañino para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1075
Podría ser menos dañino que fumar cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1063
La shisha o el tabaco para hookah viene en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
BOX ID:
R04_YHR07
Youth respondents who have smoked cigarettes in the past year, go to R04_YH1064.
Else, go to R04_YH1069.
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PATH ID:
R04_YH1064
Fumar en una hookah le ayuda a la gente a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who have also smoked cigarettes in the past year.
PATH ID:
R04_YH1069
Me gusta hacer vida social cuando fumo en hookah.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1073
Fumar en hookah es parte de mi tradición cultural.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9042
Alguna vez, ¿ha usado otro líquido aparte de agua en la base de la hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
BOX ID:
R04_YHR09
New baseline youth respondents who have heard of hookah, and continuing youth respondents, go to
R04_YH9031.
Else, go to Box R04_YUT01.
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PATH ID:
R04_YH9031
Alguna vez, ¿ha fumado marihuana de una hookah? (Recuerde que toda la información que usted le dé
al Estudio PATH se mantendrá en privado.)
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah and continuing youth respondents.
PATH ID:
R04_YH9040
Alguna vez, ¿ha fumado shisha aromática o sin tabaco en una hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah, and continuing youth respondents.
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SNUS
BOX ID:
R04_YUT01
El tabaco que no se fuma es tabaco que se pone en la boca. El tabaco que no se fuma puede venir
suelto o empacado en bolsitas que se ponen bajo el labio. Cuando se consume tabaco que no se fuma,
la persona con frecuencia lo mastica, lo chupa o lo escupe, aunque con algunas clases de tabaco que
no se fuma no es necesario hacer eso.
Hay muchas clases diferentes de tabaco que no se fuma que se conocen por distintos nombres, así
que por favor use las descripciones y las fotos para entender qué tipo de producto es.
[SHOW GENERIC IMAGE OF SNUS AND OTHER SMOKELESS TOBACCO]
BOX ID:
R04_YUT03
El snus es una clase de tabaco que no se fuma. Por lo general, el snus viene en bolsitas pero también
hay snus que se vende suelto. Normalmente, al consumir la mayoría de clases de tabaco que no se
fuma, la persona lo escupe, pero con el snus no es necesario hacerlo. Algunas marcas comunes de
snus son Camel Snus, Marlboro Snus y General Snus.
Piense en el snus cuando conteste estas preguntas. Más adelante habrá otra sección acerca de las
otras clases de productos de tabaco que no se fuma (como el dip, el tabaco de mascar y las bolsitas de
tabaco que no se fuma.)
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
BOX ID:
R04_YUR14
New baseline youth respondents, go to R04_YU1001_NB.
Continuing youth respondents, go to R04_YU1002_12M.
PATH ID:
R04_YU1001_NB
¿Alguna vez había visto u oído hablar del snus antes de este estudio?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Sí
2
No
GO TO R04_YUV03
-8
DON'T KNOW
GO TO R04_YUV03
-7
REFUSED
GO TO R04_YUV03
ASK: New baseline youth respondents.
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PATH ID:
R04_YU1002_NB
Alguna vez, ¿ha consumido snus, incluso si solo fue una o dos veces?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Sí
GO TO BOX R04_YUV03
2
No
GO TO BOX R04_YUV03
-8
DON'T KNOW
GO TO BOX R04_YUV03
-7
REFUSED
GO TO BOX R04_YUV03
ASK: New baseline youth respondents who have heard of snus.
BOX ID:
R04_YUV03
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_SNUS_YOUTH = 1 (Ever user) Youth respondents who have ever used snus.
R04_EVER_NEVER_SNUS_YOUTH = 2 (Never user) Youth respondents who have not ever used
snus.
R04_INIT_SNUS_YOUTH = 1 (Initiator) Youth respondents who initiated snus use between Waves or
new baseline youth respondents who have ever used snus.
BOX ID:
R04_YUR02
New baseline youth respondents who have never heard of snus, go to Box R04_YST01.
Else, continuing youth respondents who have never used snus and new baseline youth respondents
who have heard of snus but have never used it, go to R04_YU1103.
Else, new baseline youth respondents who have ever used snus, go to R04_YU1006_NB.
Else, continuing youth respondents who initiated snus use since the previous wave, go to R04_YU1108.
Else, go to Box R04_YUR16.
PATH ID:
R04_YU1103
Alguna vez, ¿ha sentido curiosidad por consumir snus?
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
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PATH ID:
R04_YU1206
¿Cree que probará snus el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1104
¿Cree que probará snus pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1105
¿Si uno de sus mejores amigos le ofreciera snus, lo probaría?
1
Definitivamente sí
GO TO BOX R04_YST01
2
Probablemente sí
GO TO BOX R04_YST01
3
Probablemente no
GO TO BOX R04_YST01
4
Definitivamente no
GO TO BOX R04_YST01
-8
DON'T KNOW
GO TO BOX R04_YST01
-7
REFUSED
GO TO BOX R04_YST01
ASK: Youth respondents who have heard of but never used snus.
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PATH ID:
R04_YU1006_NB
¿Qué edad tenía la primera vez que probó snus, incluso si solo fueron una o dos veces?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YU1120_NB
-7
REFUSED
GO TO R04_YU1120_NB
ASK: New baseline youth respondents who have ever used snus.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YU1006_NB_LC1
La computadora registró que la primera vez que usted consumió snus fue a la edad de
[R04_YU1006_NB]. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1006_NB
2
NEXT
GO TO R04_YU1108
ASK: IF R04_YU1006_NB > R04_YOUTHAGE.
PATH ID:
R04_YU1006_NB_LC2
La computadora registró que la primera vez que usted probó snus fue a la edad de [R04_YU1006_NB].
¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1006_NB
2
NEXT
GO TO R04_YU1108
ASK: IF R04_YU1006_NB < 8.
PATH ID:
R04_YU1120_NB
La primera vez que probó snus, incluso si fueron una o dos veces, ¿tenía…
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report the age they first tried
snus.
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PATH ID:
R04_YU1108
La primera vez que consumió snus, ¿tenía sabor a mentol, menta, wintergreen, hierbabuena o frost,
clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO BOX R04_YUR16
3
No sé
GO TO BOX R04_YUR16
-8
DON'T KNOW
GO TO BOX R04_YUR16
-7
REFUSED
GO TO BOX R04_YUR16
ASK: Continuing youth respondents who have initiated snus use since the previous wave, and new
baseline youth respondents who have ever used snus.
PATH ID:
R04_YU1011
¿De qué sabor era el primer snus que consumió? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Wintergreen, hierbabuena o frost
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Caramelos u otros sabores dulces
8
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first snus was flavored.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YUR16
Aged-up and continuing youth respondents who have ever used snus (and had not used 100 or more
times in the previous wave) and new cohort youth respondents who have ever used snus, go to
R04_YU1005.
Else, go to Box R04_YUR06.
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PATH ID:
R04_YU1005
¿Cuántas veces ha consumido snus en toda su vida?
1
Una
2
2 a 10
3
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever used snus and had not used 100 or
more times in the previous wave, and new cohort youth respondents who have ever used snus.
BOX ID:
R04_YUR06
Youth respondents who have ever used snus and had never used snus fairly regularly in the previous
wave, go to R04_YU1100.
Else, go to R04_YU1112.
PATH ID:
R04_YU1100
¿Alguna vez ha consumido snus habitualmente?
1
Sí
2
No
GO TO R04_YU1112
-8
DON'T KNOW
GO TO R04_YU1112
-7
REFUSED
GO TO R04_YU1112
ASK: Youth respondents who have ever used snus (and had never used fairly regularly in the previous
wave).
PATH ID:
R04_YU1007
¿Qué edad tenía la primera vez que comenzó a consumir snus habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YU1121
-7
REFUSED
GO TO R04_YU1121
ASK: Youth respondents who have ever used snus fairly regularly and did not use fairly regularly in the
previous wave.
DISPLAY: DISPLAY "Años" AS A TITLE.
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PATH ID:
R04_YU1007_LC1
La computadora registró que usted comenzó a consumir snus de manera habitual a la edad de
[R04_YU1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1007
2
NEXT
GO TO R04_YU1112
ASK: IF R04_YU1007< =8 OR R04_YU1007 < R04_YU1006_NB.
PATH ID:
R04_YU1007_LC2
La computadora registró que usted comenzó a consumir snus de manera habitual a la edad de
[R04_YU1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1007
2
NEXT
GO TO R04_YU1112
ASK: IF R04_YU1007 > R04_YOUTHAGE.
PATH ID:
R04_YU1121
La primera vez que comenzó a consumir snus habitualmente, ¿tenía ...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age when they started using snus
fairly regularly.
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PATH ID:
R04_YU1112
¿Cuándo fue la última vez que consumió snus, incluso si fueron una o dos veces?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YUV04
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YST01
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YST01
6
Hace 1 a 4 años
GO TO BOX R04_YST01
7
Hace 5 años o más
GO TO BOX R04_YST01
-8
DON'T KNOW
GO TO BOX R04_YST01
-7
REFUSED
GO TO BOX R04_YST01
ASK: Youth respondents who have ever used snus.
PATH ID:
R04_YU0100
¿Cuándo fue la última vez que consumió snus?
1
Hace menos de una hora
GO TO R04_YU0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YUV04
-8
DON'T KNOW
GO TO BOX R04_YUV04
-7
REFUSED
GO TO BOX R04_YUV04
ASK: Youth respondents who have used snus in the past 7 days.
PATH ID:
R04_YU0102
La última vez que consumió snus [FILL BASED ON R04_YU0100], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used snus today, yesterday, or the day before yesterday, but not in
the past hour.
DISPLAY: FOR [FILL BASED ON R04_YU0100]: IF R04_YU0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YU0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YU0100 = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YU0103
¿Cuántas veces [ha consumido/consumió] snus [FILL BASED ON R04_YU0100]?
1
I___I___I___I
-8
DON'T KNOW
GO TO BOX R04_YUV04
-7
REFUSED
GO TO BOX R04_YUV04
ASK: Youth respondents who have used snus in the past hour, sometime today, yesterday or the day
before yesterday.
DISPLAY: IF R04_YU0100 = 1, 2, DISPLAY "ha consumido".
ELSE, IF R04_YU0100 = 3, 4, DISPLAY "consumió".
FOR [FILL BASED ON R04_YU0100]:
IF R04_YU0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YU0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YU0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YU0103_LC1
La computadora registró que usted consumió snus [R04_YU0103] veces [hoy /ayer/hace dos días]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU0103
2
NEXT
GO TO BOX R04_YUV04
ASK: IF R04_YU0103 > 20 OR R04_YU0103 = 11.
DISPLAY: IF R04_YU0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YU0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YU0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YUV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_SNUS = (Past 30 day snus users) Youth respondents who have used snus in the
past 30 days.
R04_PAST30DAY_SNUS_LEVEL = 1 (Past 30 day "Very Light" users) Youth respondents who have
used snus in the past 30 days, and have used snus 10 or fewer times in their lifetime.
R04_PAST30DAY_SNUS_LEVEL = 2 (Past 30 day "Not Light" users) Youth respondents who have
used snus in the past 30 days, and have used snus more than 10 times in their lifetime.
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PATH ID:
R04_YU1022
¿En cuántos de los últimos 30 días consumió snus?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
PATH ID:
R04_YU1023
En los últimos 30 días, en los días en que consumió snus, ¿cuántas veces consumió snus cada día?
1
|___|___|
-8
DON'T KNOW
GO TO R04_YU1130
-7
REFUSED
GO TO R04_YU1130
ASK: Past 30 day snus users.
PATH ID:
R04_YU1023_LC1
La computadora registró que en sus días de consumo en los últimos 30 días, usted consumió snus
(R04_YU1023) veces al día, en promedio.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1023
2
NEXT
GO TO R04_YU1130
ASK: IF R04_YU1023 > 20.
PATH ID:
R04_YU1130
En los últimos 30 días, ¿tenía el snus que consumió sabor a mentol, menta, wintergreen, hierbabuena o
frost, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros sabores dulces?
1
Sí
2
No
GO TO R04_YU1142
3
No sé
GO TO R04_YU1142
-8
DON'T KNOW
GO TO R04_YU1142
-7
REFUSED
GO TO R04_YU1142
ASK: Past 30 day snus users.
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PATH ID:
R04_YU1131
¿Qué sabores ha consumido en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Wintergreen, hierbabuena o frost
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Caramelos u otros sabores dulces
8
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored snus users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YU1147
En los días en que consumió snus en los últimos 30 días, ¿con qué frecuencia consumió snus con
sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored snus users.
DISPLAY: UNDERLINE "con sabor".
PATH ID:
R04_YU1142
En los últimos 30 días, ¿le vendió alguien snus?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
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PATH ID:
R04_YU1123
En los últimos 30 días, ¿le negó alguien la venta de snus debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU9041
En los últimos 30 días, ¿qué tipo de snus ha consumido?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Bolsitas o saquitos de snus
GO TO R04_YU1118
2
Snus suelto
GO TO R04_YU1118
3
Bolsitas o saquitos de snus y snus suelto
-8
DON'T KNOW
GO TO R04_YU1118
-7
REFUSED
GO TO R04_YU1118
ASK: Past 30 day snus users.
PATH ID:
R04_YU9042
Usted mencionó que ha consumido bolsitas o saquitos de snus y snus suelto. ¿Qué tipo de snus
consume con más frecuencia?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Bolsitas o saquitos de snus
2
Snus suelto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used both loose snus and snus pouches.
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PATH ID:
R04_YU1118
[Piense en el tipo de snus que consume con más frecuencia cuando conteste estas preguntas.
]En los últimos 30 días, ¿cómo obtuvo su snus normalmente?
1
Le dí dinero a otra persona para que me lo compre
2
Yo mismo lo compré en una tienda
3
Se lo pedí a una persona
4
Alguien me lo ofreció
5
Lo compré de otra persona
6
Me lo llevé de una tienda o se lo quité a alguien sin que se dieran cuenta
7
Lo obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
DISPLAY: IF R04_YU9041 = 3, DISPLAY "Piense en el tipo de snus que consume con más frecuencia
cuando conteste estas preguntas."
ELSE, DO NOT DISPLAY THIS TEXT.
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YUR04
Past 30 day snus users who usually buy themselves or who give someone else money to buy for them,
go to R04_YU1030.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente su
snus?
1
En persona
2
En Internet
GO TO BOX R04_YUR20
3
Por teléfono
GO TO BOX R04_YUR20
-8
DON'T KNOW
GO TO BOX R04_YUR20
-7
REFUSED
GO TO BOX R04_YUR20
ASK: Past 30 day snus users (including "very light" users) who usually buy snus pouches for
themselves or who gives someone else money to buy for them.
DISPLAY: IF R04_YU1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona".
ELSE, DISPLAY “¿Cómo compra usted”.
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PATH ID:
R04_YU1033
¿Dónde [compra/le compran] su snus la mayoría del tiempo?
1
Una tienda de conveniencia o estación de gasolina
2
Un supermercado, tienda de comestibles o farmacia
3
Una tienda mayorista como Sam's o Costco
4
Una tienda especializada o un almacén de tabaco o una tabaquería
5
Una tienda libre de impuestos o un economato militar
6
Un bar, restaurante, casino o una taberna
7
Un amigo o familiar
8
Un mercadillo o mercado de pulgas
9
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users (including "very light" users) who buy snus for themselves or someone
else buys for them in person.
DISPLAY: IF R04_YU1118=1, DISPLAY "le compran".
ELSE, IF R04_YU1118=2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YUR20
Past 30 day "not-light" snus users who buy snus for themselves or someone else buys for them, go to
R04_YU1034.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU1034
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] snus. ¿Cuánto pagó
normalmente por un envase de snus?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YUR18
-7
REFUSED
GO TO BOX R04_YUR18
ASK: Past 30 day "not-light" snus users who buy snus for themselves or someone else buys for them.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YU1118 = 1, DISPLAY "le dio dinero a alguien para que le compre".
ELSE, IF YU1118 = 2, DISPLAY "compró".
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PATH ID:
R04_YU1034_LC1
La computadora registró que usted pagó $[R04_YU1034_D].[R04_YU1034_C] por un envase de snus.
¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1034
2
NEXT
GO TO BOX R04_YUR18
ASK: IF R04_YU1034_D > 6 OR R04_YU1034_D < 1.
BOX ID:
R04_YUR18
Past 30 day "not-light" users of pouched snus who buy for themselves or someone else buys for them,
go to R04_YU9001.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU9001
¿Cuántas bolsitas o saquitos hay en el envase de snus que usted compra normalmente?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" snus pouch users who buy snus pouches for themselves or someone else
buys for them.
BOX ID:
R04_YUR17
Past 30 day "not light" users, go to R04_YU1047.
Else, past 30 day users, go to R04_YU1945.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1047
¿Tiene una marca habitual de snus que normalmente consume?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" snus users.
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PATH ID:
R04_YU1945
¿Sabe el nombre de la marca de snus que [consume normalmente/consumió la última vez]?
1
Sí
2
No
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users.
DISPLAY: IF R04_YU1047 = 1, DISPLAY "consume normalmente".
ELSE, DISPLAY "consumió la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YU1048
¿Qué marca de snus [consume/consumió] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who know the brand name.
DISPLAY: IF R04_YU1047 = 1, DISPLAY "consume" AND "normalmente".
ELSE, DISPLAY "consumió" AND "la última vez".
[If multiple screens] DISPLAY: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] DISPLAY: Si no ve la opción a continuación, toque
la casilla que dice "Otra".
BOX ID:
R04_YUR09
If youth respondent selects brand in R04_YU1048_BRAND, go to R04_YU1070_PRODUCT.
Else, if youth respondent selects "Something else" in R04_YU1048_BRAND, go to R04_YU1049.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users that know the name of the brand they use who selected "Something else"
for their brand.
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PATH ID:
R04_YU1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [consume/consumió]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users that know the name of the brand they use who selected a brand image.
DISPLAY: IF R04_YU1047 = 1, DISPLAY "consume" AND "normalmente".
ELSE, DISPLAY "consumió" AND "la última vez".
[If multiple screens] DISPLAY: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] DISPLAY: Si no ve la opción a continuación, toque
la casilla que dice "Otra".
BOX ID:
R04_YUR10
If youth respondent selects "Something else" in R04_YU1070_PRODUCT, go to R04_YU1071.
Else, youth respondents who have used snus today, yesterday, or the day before yesterday who know
the name of their brand AND selected a valid brand AND valid product, go to R04_YU0104.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1071
Usted dijo que el tipo de [BRANDFILL] que consume no está en las opciones. ¿Qué tipo es?
1
__________________________
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users that know the name of the brand they use who selected a brand image,
but selected "Something else" for their subbrand image.
BOX ID:
R04_YUR19
Youth respondents who used snus today, yesterday or the day before yesterday who know the name of
their brand AND selected a valid brand in R04_YU1048_BRAND AND valid product in
R04_YU1070_PRODUCT, go to R04_YU0104.
Else, go to Box R04_YUD02.
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PATH ID:
R04_YU0104
Anteriormente usted dijo que la última vez que consumió snus fue [TIME OF LAST USE].
Piense en la última vez que lo consumió. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used snus in the past hour, sometime today, yesterday, or the day
before yesterday who know the name of their brand AND selected a valid brand AND valid product.
DISPLAY: IF R04_YU0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una hora".
ELSE, IF R04_YU0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
ELSE, IF R04_YU0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
ELSE, IF R04_YU0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH RESPONSE TO R04_YU1070_PRODUCT.
BOX ID:
R04_YUD02
Display question R04_YU1060, R04_YU1085, R04_YU1062, R04_YU1075, R04_YU1063,
R04_YU1064, R04_YU1065, R04_YU1067, R04_YU1076, on one screen. Show the intro/transition text
from R04_YU1060 first, then show each item with a Sí/No response. As each item is answered, show
the next one.
PROGRAM: Randomize order of R04_YU1060 through R04_YU1076.
PATH ID:
R04_YU1060
Las siguientes preguntas son acerca de las razones por las que la gente consume snus. Seleccione las
razones que aplican a usted.
Consumo snus porque...
Es económico.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
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PATH ID:
R04_YU1085
Puedo consumir snus en ocasiones o en lugares donde no se permite fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1062
Podría ser menos dañino para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1075
Podría ser menos dañino que los cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1063
El snus viene en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
BOX ID:
R04_YUR11
Past 30 day snus users who have also smoked cigarettes in the past year, go to R04_YU1064.
Else, go to R04_YU1065.
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PATH ID:
R04_YU1064
Consumir snus le ayuda a la gente a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who have also smoked cigarettes in the past year.
PATH ID:
R04_YU1065
El snus no huele.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1067
El snus no molesta a las personas que no consumen tabaco.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1076
Nadie se da cuenta cuando consumo snus.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
BOX ID:
R04_YUR12
Past 30 day snus users who have also smoked cigarettes in the past 30 days, go to R04_YU1086.
Else, go to Box R04_YST01.
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PATH ID:
R04_YU1086
En los últimos 30 días, ¿ha consumido snus en ocasiones o en lugares donde no se podía fumar
cigarrillos?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who have also smoked cigarettes in the past 30 days.
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SMOKELESS TOBACCO
BOX ID:
R04_YST01
Las siguientes preguntas son acerca del tabaco que no se fuma, sin incluir el snus.
El tabaco que no se fuma es una clase de tabaco que se pone en la boca y se mastica, se chupa o se
escupe. Puede venir suelto o en bolsitas que se ponen en la boca. Hay muchas clases de tabaco que
no se fuma, como por ejemplo el dip, el rapé o tabaco de inhalar, bolsitas y el tabaco de mascar.
Algunas marcas conocidas son Skoal, Copenhagen, Grizzly, Redman y Levi Garrett.
En las preguntas se usará la frase "tabaco que no se fuma" para referirse a estos productos. Piense
en su consumo de tabaco que no se fuma, sin incluir el snus, cuando conteste estas preguntas.
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS]
BOX ID:
R04_YSR01
New baseline youth respondents, go to R04_YS1001_NB.
Continuing youth respondents, go to R04_YS1002_12M.
PATH ID:
R04_YS1001_NB
¿Alguna vez había visto u oído hablar del tabaco que no se fuma, como el dip, el rapé o tabaco de
inhalar, bolsitas o el tabaco de mascar antes de este estudio?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Sí
2
No
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: New baseline youth respondents.
PATH ID:
R04_YS1002_NB
Alguna vez, ¿ha consumido tabaco que no se fuma, como el dip, el rapé o tabaco de inhalar, bolsitas y
el tabaco de mascar, incluso si solo fueron una o dos veces?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Sí
GO TO BOX R04_YSV03
2
No
GO TO BOX R04_YSV03
-8
DON'T KNOW
GO TO BOX R04_YSV03
-7
REFUSED
GO TO BOX R04_YSV03
ASK: New baseline youth respondents who have heard of smokeless tobacco.
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BOX ID:
R04_YSV03
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_SMKLS_YOUTH = 1 (Ever user) Youth respondents who have ever used
smokeless tobacco.
R04_EVER_NEVER_SMKLS_YOUTH = 2 (Never user) Youth respondents who have not ever used
smokeless tobacco.
R04_INIT_SMKLS_YOUTH = 1 (Initiator) Youth respondents who initiated smokeless tobacco use
between Waves or new baseline youth respondents who have ever used smokeless tobacco.
BOX ID:
R04_YSR02
New baseline youth respondents who have never heard of smokeless tobacco, go to Box R04_YDT01.
Else, continuing youth respondents who have never used smokeless tobacco and new baseline youth
respondents who have heard of smokeless tobacco but have never used it, go to R04_YS1103.
Else, new baseline youth respondents who have ever used smokeless tobacco, go to R04_YS1006_NB.
Else, continuing youth respondents who initiated smokeless tobacco use since the previous wave, go to
R04_YS1108.
Else, go to Box R04_YSR13.
PATH ID:
R04_YS1103
Alguna vez, ¿ha sentido curiosidad por consumir tabaco que no se fuma?
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1206
¿Cree que probará consumir tabaco que no se fuma el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used smokeless tobacco.
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PATH ID:
R04_YS1104
¿Cree que probará consumir tabaco que no se fuma pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1105
¿Si uno de sus mejores amigos le ofreciera tabaco que no se fuma, lo probaría?
1
Definitivamente sí
GO TO BOX R04_YDT01
2
Probablemente sí
GO TO BOX R04_YDT01
3
Probablemente no
GO TO BOX R04_YDT01
4
Definitivamente no
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1006_NB
¿Qué edad tenía la primera vez que probó tabaco que no se fuma, incluso si solo fueron una o dos
veces?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YS1120_NB
-7
REFUSED
GO TO R04_YS1120_NB
ASK: New baseline youth respondents who have ever used smokeless tobacco.
DISPLAY: DISPLAY "Años" AS A TITLE.
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PATH ID:
R04_YS1006_NB_LC1
La computadora registró que la primera vez que usted probó tabaco que no se fuma fue a la edad de
[R04_YS1006_NB] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1006_NB
2
NEXT
GO TO R04_YS1108
ASK: IF R04_YS1006_NB > R04_YOUTHAGE.
PATH ID:
R04_YS1006_NB_LC2
La computadora registró que la primera vez que usted probó tabaco que no se fuma fue a la edad de
[R04_YS1006_NB] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1006_NB
2
NEXT
GO TO R04_YS1108
ASK: IF R04_YS1006_NB < 8.
PATH ID:
R04_YS1120_NB
La primera vez que probó tabaco que no se fuma, incluso si solo fueron una o dos veces, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report the age they first tried
smokeless tobacco.
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PATH
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PATH ID:
R04_YS1108
La primera vez que consumió tabaco que no se fuma, ¿tenía sabor a mentol, menta, wintergreen,
hierbabuena o frost, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor
dulce?
1
Sí
2
No
GO TO BOX R04_YSR13
3
No sé
GO TO BOX R04_YSR13
-8
DON'T KNOW
GO TO BOX R04_YSR13
-7
REFUSED
GO TO BOX R04_YSR13
ASK: Continuing youth respondents who have initiated use since the previous wave and new baseline
youth respondents who have ever used smokeless tobacco.
PATH ID:
R04_YS1011
¿Qué sabor tenía el primer producto de tabaco que no se fuma que consumió? Escoja todas las
opciones que correspondan.
1
Mentol o menta
2
Wintergreen, hierbabuena o frost
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Caramelos u otros sabores dulces
8
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first smokeless tobacco was flavored.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YSR13
Aged-up and continuing youth respondents who have ever used smokeless tobacco (and had not used
100 or more times in the previous wave) and new cohort youth respondents who have ever used
smokeless tobacco, go to R04_YS1005.
Else, go to Box R04_YSR06.
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PATH ID:
R04_YS1005
¿Cuántas veces ha consumido en toda su vida tabaco que no se fuma?
1
Una
2
2 a 10
3
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever used smokeless tobacco and had not
used 100 or more times in the previous wave, and new cohort youth respondents who have ever used
smokeless tobacco.
BOX ID:
R04_YSR06
Youth respondents who have ever used smokeless tobacco and had never used smokeless tobacco
fairly regularly in the previous wave, go to R04_YS1100.
Else, go to R04_YS1112.
PATH ID:
R04_YS1100
Alguna vez, ¿ha consumido tabaco que no se fuma habitualmente?
1
Sí
2
No
GO TO R04_YS1112
-8
DON'T KNOW
GO TO R04_YS1112
-7
REFUSED
GO TO R04_YS1112
ASK: Youth respondents who have ever used smokeless tobacco (and had never used fairly regularly in
the previous wave).
PATH ID:
R04_YS1007
¿Qué edad tenía la primera vez que comenzó a consumir tabaco que no se fuma habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YS1121
-7
REFUSED
GO TO R04_YS1121
ASK: Youth respondents who have ever used smokeless tobacco fairly regularly and did not use fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Años" AS A TITLE.
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PATH ID:
R04_YS1007_LC1
La computadora registró que usted comenzó a consumir tabaco que no se fuma de manera habitual a
la edad de [R04_YS1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1007
2
NEXT
GO TO R04_YS1112
ASK: IF R04_YS1007 < =8 OR R04_YS1007 < R04_YS1006_NB.
PATH ID:
R04_YS1007_LC2
La computadora registró que usted comenzó a consumir tabaco que no se fuma de manera habitual a
la edad de [R04_YS1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1007
2
NEXT
GO TO R04_YS1112
ASK: IF R04_YS1007 > R04_YOUTHAGE.
PATH ID:
R04_YS1121
La primera vez que comenzó a consumir tabaco que no se fuma habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age when they started using
smokeless tobacco fairly regularly.
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PATH ID:
R04_YS1112
¿Cuándo fue la última vez que consumió tabaco que no se fuma, incluso si solo fueron una o dos
veces?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YSV04
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YDT01
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YDT01
6
Hace 1 a 4 años
GO TO BOX R04_YDT01
7
Hace 5 años o más
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: Youth respondents who have ever used smokeless tobacco.
PATH ID:
R04_YS0100
¿Cuándo fue la última vez que consumió tabaco que no se fuma (sin incluir snus)?
1
Hace menos de una hora
GO TO R04_YS0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YSV04
-8
DON'T KNOW
GO TO BOX R04_YSV04
-7
REFUSED
GO TO BOX R04_YSV04
ASK: Youth respondents who have used smokeless tobacco in the past 7 days.
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PATH ID:
R04_YS0102
La última vez que consumió tabaco que no se fuma [FILL BASED ON R04_YS0100] (sin incluir snus),
¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used smokeless tobacco today, yesterday, or the day before
yesterday, but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YS0100]:
IF R04_YS0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YS0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YS0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YS0103
¿Cuántas veces [ha consumido/consumió] tabaco que no se fuma [FILL BASED ON R04_YS0100] (sin
incluir snus)?
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YSV04
-7
REFUSED
GO TO BOX R04_YSV04
ASK: Youth respondents who have used smokeless tobacco in the past hour, sometime today,
yesterday or the day before yesterday.
DISPLAY: IF R04_YS0100 = 1, 2, DISPLAY "ha" AND "consumido".
ELSE, IF R04_YS0100 = 3, 4, DISPLAY "consumió".
FOR [FILL BASED ON R04_YS0100]:
IF R04_YS0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YS0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YS0100 = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YS0103_LC1
La computadora registró que usted consumió tabaco que no se fuma [R04_YS0103] veces
[hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS0103
2
NEXT
GO TO BOX R04_YSV04
ASK: IF R04_YS0103 > 20 OR R04_YS0103 = 11.
DISPLAY: IF R04_YS0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YS0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YS0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YSV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_SMKLS = ("Past 30 day users") Youth respondents who have used smokeless
tobacco in the past 30 days.
R04_PAST30DAY_SMKLS_LEVEL = 1 (Past 30 day "Very Light" users) Youth respondents who
have used smokeless tobacco in the past 30 days, and have used 10 times or less in their lifetime.
R04_PAST30DAY_SMKLS_LEVEL = 2 (Past 30 day "Not Light" users) Youth respondents who have
used smokeless tobacco in the past 30 days, and have used more than 10 times in their lifetime.
PATH ID:
R04_YS1022
¿En cuántos de los últimos 30 días consumió usted tabaco que no se fuma?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
PATH ID:
R04_YS1023
En los últimos 30 días, en los días en que consumió tabaco que no se fuma, ¿cuántas veces consumió
tabaco que no se fuma cada día?
1
|___|___|
-8
DON'T KNOW
GO TO R04_YS1130
-7
REFUSED
GO TO R04_YS1130
ASK: Past 30 day smokeless tobacco users.
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PATH ID:
R04_YS1023_LC1
La computadora registró que en los días en que usted consumió tabaco que no se fuma en los últimos
30 días, usted consumió tabaco que no se fuma (R04_YS1023) veces al día, en promedio.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1023
2
NEXT
GO TO R04_YS1130
ASK: IF R04_YS1023 > 10.
PATH ID:
R04_YS1130
En los últimos 30 días, ¿tenía el tabaco que no se fuma que consumió sabor a mentol, menta,
wintergreen, hierbabuena o frost, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u
otros sabores dulces?
1
Sí
2
No
GO TO R04_YS1142
3
No sé
GO TO R04_YS1142
-8
DON'T KNOW
GO TO R04_YS1142
-7
REFUSED
GO TO R04_YS1142
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1131
¿Qué sabores ha consumido en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Wintergreen, hierbabuena o frost
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Caramelos u otros sabores dulces
8
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored smokeless tobacco users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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PATH ID:
R04_YS1147
En los días en que consumió tabaco que no se fuma en los últimos 30 días, ¿con qué frecuencia
consumió tabaco que no se fuma con sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored smokeless tobacco users.
DISPLAY: UNDERLINE "con sabor".
PATH ID:
R04_YS1142
En los últimos 30 días, ¿le vendió alguien tabaco que no se fuma?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1123
En los últimos 30 días, ¿le negó alguien la venta de tabaco que no se fuma debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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PATH ID:
R04_YS9041
En los últimos 30 días, ¿qué tipo de tabaco que no se fuma ha consumido?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Tabaco que no se fuma suelto (como dip o tabaco de mascar)
GO TO R04_YS1118
2
Bolsitas o saquitos de tabaco que no se fuma (sin incluir snus)
GO TO R04_YS1118
3
Tabaco que no se fuma suelto y bolsitas de tabaco que no se fuma
-8
DON'T KNOW
GO TO R04_YS1118
-7
REFUSED
GO TO R04_YS1118
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS9042
Usted mencionó que ha consumido tanto tabaco que no se fuma suelto como bolsitas de tabaco que no
se fuma. ¿Qué tipo de tabaco que no se fuma consume con más frecuencia?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO - BOTH LOOSE AND POUCHES]
1
Tabaco que no se fuma suelto (como dip o tabaco de mascar)
2
Bolsitas o saquitos de tabaco que no se fuma (sin incluir snus)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used both loose and pouched smokeless tobacco.
PATH ID:
R04_YS1118
En los últimos 30 días, ¿cómo obtuvo su tabaco que no se fuma normalmente?
1
Le dí dinero a otra persona para que me lo compre
2
Yo mismo lo compré en una tienda
3
Se lo pedí a una persona
4
Alguien me lo ofreció
5
Los compré de otra persona
6
Me lo llevé de una tienda o se lo quité a alguien sin que se dieran cuenta
7
Lo obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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BOX ID:
R04_YSR04
Past 30 day users who usually buy smokeless tobacco themselves or give someone else money to buy
for them, go to R04_YS1030.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente su
tabaco que no se fuma?
1
En persona
2
En Internet
GO TO BOX R04_YSR20
3
Por teléfono
GO TO BOX R04_YSR20
-8
DON'T KNOW
GO TO BOX R04_YSR20
-7
REFUSED
GO TO BOX R04_YSR20
ASK: Past 30 day smokeless tobacco users (including "very light" users) who buy smokeless tobacco
for themselves or someone else buys for them.
DISPLAY: IF R04_YS1118=1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona".
ELSE, IF R04_YS1118=2, DISPLAY "¿Cómo compra usted".
PATH ID:
R04_YS1033
¿Dónde [compra/le compran] su tabaco que no se fuma la mayoría del tiempo?
1
Una tienda de conveniencia o estación de gasolina
2
Un supermercado, tienda de comestibles o farmacia
3
Una tienda mayorista como Sam's o Costco
4
Una tienda especializada o un almacén de tabaco o una tabaquería
5
Una tienda libre de impuestos o un economato militar
6
Un bar, restaurante, casino o una taberna
7
Un amigo o familiar
8
Un mercadillo o mercado de pulgas
9
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users (including "very light" users) who buy smokeless tobacco
for themselves or someone else buys for them in person.
DISPLAY: IF R04_YS1118=1, DISPLAY "lo compran".
ELSE, IF R04_YS1118=2, DISPLAY "compra"
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
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BOX ID:
R04_YSR20
Past 30 day "not-light" smokeless tobacco users who buy smokeless tobacco for themselves or
someone else buys for them, go to R04_YS1034.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS1034
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] tabaco que no se fuma.
¿Cuánto pagó por un envase de tabaco que no se fuma?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YSR18
-7
REFUSED
GO TO BOX R04_YSR18
ASK: Past 30 day "not-light" smokeless tobacco users who buy smokeless tobacco for themselves or
someone else buys for them.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YS1118=1, DISPLAY "le dio dinero a alguien para que le compre".
ELSE, IF YS1118=2, DISPLAY "compró".
PATH ID:
R04_YS1034_LC1
La computadora registró que usted pagó $[R04_YS1034_D].[R04_YS1034_C] por un envase de tabaco
que no se fuma. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1034
2
NEXT
GO TO BOX R04_YSR18
ASK: IF R04_YS1034_D > 6 OR R04_YS1034_D < 1.
BOX ID:
R04_YSR18
Past 30 day "not-light" users of pouched smokeless tobacco who buy for themselves or someone else
buys for them, go to R04_YS9001.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS9001
¿Cuántas bolsitas o saquitos hay en el envase de tabaco que no se fuma que usted compra
normalmente?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" users of pouched smokeless tobacco who buy for themselves or someone
else buys for them.
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BOX ID:
R04_YSR16
Past 30 day "not light" users, go to R04_YS1047.
Else, past 30 day users, go to R04_YS1945.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1047
¿Tiene una marca habitual de tabaco que no se fuma que normalmente consume?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" smokeless tobacco users.
PATH ID:
R04_YS1945
¿Sabe el nombre de la marca de tabaco que no se fuma que [consume normalmente/consumió la
última vez]?
1
Sí
2
No
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users.
DISPLAY: IF R04_YS1047 = 1, DISPLAY "consume normalmente".
ELSE, DISPLAY "consumió la última vez".
UNDERLINE "nombre de la marca".
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PATH ID:
R04_YS1048
¿Qué marca de tabaco que no se fuma [consume/consumió] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who know the brand name.
DISPLAY: IF R04_YS1047 = 1, DISPLAY "consume" AND "normalmente".
ELSE, DISPLAY "consumió" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
BOX ID:
R04_YSR09
If respondent selects brand in R04_YS1048_BRAND, go to R04_YS1070_PRODUCT.
Else, if respondent selects "Something else" in R04_YS1048_BRAND, go to R04_YS1049.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected
"Something else" for their brand.
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PATH ID:
R04_YS1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [consume/consumió]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected a
brand image.
DISPLAY: IF R04_YS1047 = 1, DISPLAY "consume" AND "normalmente".
ELSE, DISPLAY "consumió" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
BOX ID:
R04_YSR10
If youth respondent selects "Something else" in R04_YS1070_PRODUCT, go to R04_YS1071.
Else, youth respondents who have used smokeless tobacco today, yesterday, or the day before
yesterday who know the name of their brand AND selected a valid brand AND valid product, go to
R04_YS0104.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1071
Usted dijo que el tipo de [BRANDFILL] que consume no está en las opciones. ¿Qué tipo es?
1
__________________________
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected a
brand image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YSR19
Youth respondents who used smokeless tobacco today, yesterday or the day before yesterday who
know the name of their brand AND selected a valid brand in R04_YS1048_BRAND AND valid product in
R04_YS1070_PRODUCT, go to R04_YS0104.
Else, go to Box R04_YSD02.
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PATH ID:
R04_YS0104
Anteriormente usted dijo que consumió tabaco que no se fuma [TIME OF LAST USE].
Piense en la última vez que lo consumió. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used smokeless tobacco in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a product AND
valid sub brand.
DISPLAY: IF R04_YP0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una hora".
ELSE, IF R04_YS0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
ELSE, IF R04_YS0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
ELSE, IF R04_YS0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH RESPONSE TO R04_YS1070_PRODUCT.
BOX ID:
R04_YSD02
Display question R04_YS1060, R04_YS1085, R04_YS1062, R04_YS1075, R04_YS1063,
R04_YS1064, R04_YS1065, R04_YS1067 on one screen. Show the intro/transition text from
R04_YS1060 first, then show each item with a Sí/No response. As each item is answered, show the
next one.
PROGRAM: Randomize order of R04_YS1060 through R04_YS1067.
PATH ID:
R04_YS1060
Las siguientes preguntas son acerca de las razones por las que la gente consume tabaco que no se
fuma. Seleccione las razones que aplican a usted.
Consumo tabaco que no se fuma porque...
Es económico.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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PATH ID:
R04_YS1085
Puedo consumir tabaco que no se fuma en ocasiones o en lugares donde no se permite fumar
cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1062
Podría ser menos dañino para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1075
Podría ser menos dañino que los cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1063
El tabaco que no se fuma viene en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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BOX ID:
R04_YSR11
Past 30 day smokeless tobacco users who have also smoked cigarettes in the past year, go to
R04_YS1064.
Else, go to R04_YS1065.
PATH ID:
R04_YS1064
Consumir tabaco que no se fuma le ayuda a la gente a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who have also smoked cigarettes in the past year.
PATH ID:
R04_YS1065
El tabaco que no se fuma no huele.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1067
El tabaco que no se fuma no molesta a las personas que no consumen tabaco.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
BOX ID:
R04_YSR12
Past 30 day smokeless tobacco users who have also smoked cigarettes in the past 30 days, go to
R04_YS1086.
Else, go to Box R04_YDT01.
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PATH ID:
R04_YS1086
En los últimos 30 días, ¿ha consumido tabaco que no se fuma en ocasiones o en lugares donde no se
podía fumar cigarrillos?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who have also smoked cigarettes in the past 30 days.
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DISSOLVABLE TOBACCO
BOX ID:
R04_YDT01
Las siguientes preguntas son acerca de otro producto de tabaco llamado tabaco que se disuelve. Los
productos de tabaco que se disuelve no se fuman - están hechos de tabaco finamente molido y con
sabor añadido que se disuelve en la boca.
Los productos de tabaco que se disuelve vienen en gran variedad de formas incluyendo pastillitas,
palillos y tiritas. Algunas marcas conocidas son Ariva, Stonewall y Orbs, Sticks o Strips de Camel.
[SHOW GENERIC IMAGE OF DISSOLVABLES]
BOX ID:
R04_YDR01
New baseline youth respondents, go to R04_YD1001_NB.
Continuing youth respondents, go to R04_YD1002_12M.
PATH ID:
R04_YD1001_NB
¿Alguna vez había visto u oído hablar de tabaco que se disuelve antes de este estudio?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Sí
2
No
GO TO BOX R04_YDV01
-8
DON'T KNOW
GO TO BOX R04_YDV01
-7
REFUSED
GO TO BOX R04_YDV01
ASK: New baseline youth respondents.
PATH ID:
R04_YD1002_NB
Alguna vez, ¿ha consumido productos de tabaco que se disuelve, como por ejemplo Ariva, Stonewall, u
Orbs, Sticks o Strips de Camel, incluso si solo fueron una o dos veces?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Sí
2
No
GO TO BOX R04_YDV01
-8
DON'T KNOW
GO TO BOX R04_YDV01
-7
REFUSED
GO TO BOX R04_YDV01
ASK: New baseline youth respondents who have heard of dissolvable tobacco.
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PATH ID:
R04_YD1002_12M
En los últimos 12 meses, ¿ha consumido productos de tabaco que se disuelve, como por ejemplo
Ariva, Stonewall u Orbs, Sticks o Strips de Camel, incluso si solo fueron una o dos veces?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Sí
2
No
GO TO BOX R04_YDV01
-8
DON'T KNOW
GO TO BOX R04_YDV01
-7
REFUSED
GO TO BOX R04_YDV01
ASK: Continuing youth respondents and new baseline youth respondents who have ever used
dissolvable tobacco.
PATH ID:
R04_YD1002_30D
En los últimos 30 días, ¿ha consumido productos de tabaco que se disuelve, como por ejemplo Ariva,
Stonewall u Orbs, Sticks o Strips de Camel, incluso si solo fueron una o dos veces?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used dissolvable tobacco in the past 12 months.
BOX ID:
R04_YDV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_DISSBL_YOUTH = 1 (Ever user) Youth respondents who have ever used
dissolvable tobacco.
R04_EVER_NEVER_DISSBL_YOUTH = 2 (Never user) Youth respondents who have not ever used
dissolvable tobacco.
R04_INIT_DISSBL_YOUTH = 1 (Initiator) Youth respondents who initiated dissolvable tobacco use
between Waves new baseline youth respondents who have ever used dissolvable tobacco.
R04_PAST30DAY_DISS = 1 (Past 30 day dissolvable users) Youth respondents who used
dissolvable tobacco in the past 30 days.
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BIDIS AND KRETEKS
BOX ID:
R04_YBT01
Las siguientes preguntas son acerca de fumar bidis o kreteks. Los bidis son cigarrillitos de color café
envueltos en una hoja y normalmente uno o ambos extremos están amarrados con un hilo. Los kreteks
son cigarrillos con sabor añadido de clavo de olor.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
BOX ID:
R04_YBR01
New baseline youth respondents, go to R04_YB9101_NB.
Continuing youth respondents, go to Box R04_YBR03.
PATH ID:
R04_YB9101_NB
¿Cuál de los siguientes productos de tabaco había visto u oído hablar antes de este estudio? Escoja
todas las opciones que correspondan.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
Nunca había visto ni oído hablar de ninguno de estos productos
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
BOX ID:
R04_YBR02
New baseline youth respondents who have heard of bidis and/or kreteks, go to R04_YB9102_NB.
Else, go to Box R04_YBV01.
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PATH ID:
R04_YB9102_NB
Alguna vez, ¿ha probado alguno de los siguientes productos de tabaco, incluso si solo fueron una o dos
veces? Escoja todas las opciones que correspondan.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
Nunca he probado ninguno de estos productos
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of bidis and/or kreteks.
BOX ID:
R04_YBR03
Continuing youth respondents and new baseline youth respondents who have ever smoked bidis or
kreteks, go to R04_YB9102_12M.
Else, go to Box R04_YBV01.
PATH ID:
R04_YB9102_12M
En los últimos 12 meses, ¿cuál de los siguientes productos de tabaco ha probado, incluso si solo
fueron una o dos veces? Escoja todas las opciones que correspondan.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
No he probado ninguno de estos productos
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents and new baseline youth respondents who have ever smoked bidis
and/or kreteks
BOX ID:
R04_YBR04
Youth respondents who have smoked bidis and/or kreteks in the past 12 months, go to
R04_YB9102_30D.
Else, go to Box R04_YBV01.
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PATH ID:
R04_YB9102_30D
En los últimos 30 días, ¿cuál de los siguientes productos de tabaco ha probado, incluso si solo fueron
una o dos veces? Escoja todas las opciones que correspondan.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
No he probado ninguno de estos productos
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked bidis and/or kreteks in the past 12 months.
BOX ID:
R04_YBV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_BIDI_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a bidi.
R04_EVER_NEVER_BIDI_YOUTH = 2 (Never user) Youth respondents who have not ever smoked a
bidi.
R04_INIT_BIDI_YOUTH = 1 (Initiator) Youth respondents who initiated bidi use between Waves or new
baseline youth respondents who have ever smoked a bidi.
R04_PAST30DAY_BIDI = 1 Youth respondents who used bidis in the past 30 days.
R04_EVER_NEVER_KRETEK_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
kretek.
R04_EVER_NEVER_KRETEK_YOUTH = 2 (Never user) Youth respondents who have not ever
smoked a kretek.
R04_INIT_KRETEK_YOUTH = 1 (Initiator) Youth respondents who initiated kretek use between Waves
or new baseline youth respondents who have ever smoked a kretek.
R04_PAST30DAY_KRETEK = 1 Youth respondents who used kreteks in the past 30 days.
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OTHER TOBACCO
PATH ID:
R04_YZ1002
Usted acaba de contestar preguntas acerca de cigarrillos, productos electrónicos con nicotina, puros
tradicionales, puritos, puros con filtro, pipas, hookahs, snus, tabaco que no se fuma, tabaco que se
disuelve, bidis y kreteks.
Aparte de estos productos, ¿alguna vez ha consumido algún otro producto de tabaco? No incluya
productos con nicotina tales como parches con nicotina, chicles de nicotina, inhaladores de nicotina,
espráis nasales con nicotina y pastillas de chupar o píldoras con nicotina.
1
Sí (ESPECIFIQUE)
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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NEW PRODUCT - PLACEHOLDER
BOX ID:
R04_YZV01
CREATE THE FOLLOWING VARIABLE AND SET = 2: R04_NEW_PRODUCT_SECTION.
BOX ID:
R04_YZR01
If R04_NEW_PRODUCT_SECTION = 1, continue with R04_YZ1005.
Else, go to Box R04_YYV01.
PATH ID:
R04_YZ1005
¿Cuántos [units of tobacco product] ha [fumado/consumido] en toda su vida?
1
Una o más [units] pero nunca uno entero
2
1 a 10
2
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
7
Nunca he [fumado/consumido] [tobacco product]
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YYV01
ASK: All youth respondents.
PATH ID:
R04_YZ1008
La primera vez que comenzó a [fumar/consumir] [tobacco product], ¿tenían sabor a mentol, menta,
clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO R04_YZ9029
3
No sé
GO TO R04_YZ9029
-8
DON'T KNOW
GO TO R04_YZ9029
-7
REFUSED
GO TO R04_YZ9029
ASK: Youth respondents who have ever used [tobacco product].
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PATH ID:
R04_YZ1011
¿Cuál fue el primer sabor que comenzó a consumir? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used flavored [tobacco product].
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YZ9029
Aproximadamente, ¿cuánto tiempo hace desde la última vez que [fumó/consumió] [tobacco product]?
1
I___I___I DÍAS
2
I___I___I MESES
3
I___I___I AÑOS
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used [tobacco product].
PATH ID:
R04_YZ1100
Alguna vez, ¿ha [fumado/consumido] [tobacco product] de manera habitual?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used a [tobacco product].
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FIRST TOBACCO PRODUCT
BOX ID:
R04_YYV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_USE_TOB = Youth respondents who have ever used any type of tobacco product(s) in
lifetime.
R04_EVER_USE_CIGSONLY = Youth respondents who have ever used only cigarettes, and no other
products, in lifetime.
R04_EVER_USE_DUAL = Youth respondents who have ever used cigarettes and at least one other
tobacco product in lifetime.
R04_EVER_USE_TOBXCIGS = Youth respondents who have ever used any tobacco products,
excluding cigarettes, in lifetime.
R04_PAST30DAY_TOB = Youth respondents who have used any tobacco product(s) in the past 30
days.
R04_PASTYEAR_TOB_USE = Youth respondents who have used any tobacco product(s) in the past
12 months.
BOX ID:
R04_YYR01
New baseline youth respondents who started using 2 or more products at the same age, go to
R04_YY0601.
Else, continuing youth respondents who had not used any tobacco products at previous wave and
initiated use of 2 or more products at the same age, go to R04_YY0601.
Else, go to the next section.
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PATH ID:
R04_YY0601
Usted mencionó que empezó a consumir [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST
AGE] [en los últimos 12 meses/a los {EARLIEST AGE} años]. ¿Qué tipo de tabaco probó por primera
vez?
1
Cigarrillos
2
Cigarrillos electrónicos u otros productos electrónicos con nicotina
3
Puros tradicionales
4
Puritos
5
Puros con filtro
7
Shisha o tabaco para hookah
9
Snus
8
Tabaco que no se fuma (aparte de snus)
14
Otro (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who used 2 or more products at the age they first started using
any tobacco and continuing youth respondents who initiated two or more products since the previous
wave (not including pipe, dissolvable tobacco, bidis, and kreteks).
DISPLAY: LIST OF ALL PRODUCTS MAY ONLY INCLUDE CIGARETTES, E-PRODUCTS,
TRADITIONAL CIGARS, CIGARILLOS, FILTERED CIGARS, HOOKAH, SNUS, SMOKELESS
TOBACCO.
If R04_YOUTHTYPE = 1, DISPLAY "en los últimos 12 meses"; AND [LIST OF ALL PRODUCTS
INITIATED], FOR ALL PRODUCTS FOR WHICH R04_INIT_[PRODUCT]_YOUTH = 1.
(R04_INIT_CIGS_YOUTH, R04_INIT_EPRODS_YOUTH, R04_INIT_GTRAD_YOUTH,
R04_INIT_GRILLO_YOUTH, R04_INIT_GFILTR_YOUTH, R04_INIT_HOOK_YOUTH,
R04_INIT_SNUS_YOUTH, R04_INIT_SMKLS_YOUTH)
If R04_YOUTHTYPE = 2, 3, DISPLAY "a los {EARLIEST AGE} años" AND FILL {EARLIEST AGE}
WITH THE AGE THE RESPONDENT FIRST STARTED USING TOBACCO; FOR [LIST OF ALL
PRODUCTS USED AT EARLIEST AGE], LIST ALL THE PRODUCTS FOR WHICH R04_Y*1006_NB =
EARLIEST AGE OF TOBACCO USE. (R04_YC1006_NB, R04_YV1006_NB, R04_YG1006TC_NB,
R04_YG1006CL_NB, R04_YG1006FC_NB, R04_YH1006_NB, R04_YU1006_NB, R04_YS1006_NB)
IF [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST AGE] HAS TWO PRODUCTS,
CONNECT THE PRODUCTS WITH "y".
IF [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST AGE] HAS THREE OR MORE
PRODUCTS, CONNECT THE PRODUCTS WITH COMMAS AND INCLUDE "y" BEFORE THE FINAL
PRODUCT.
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
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NICOTINE DEPENDENCE AND CESSATION / QUITTER
BOX ID:
R04_YNR04E
Youth respondents who have used any e-products in the past 12 months, go to Box R04_YNT03.
Else, youth respondents who have used any other tobacco product(s) in the past 12 months, go to Box
R04_YNT02.
Else, go to Box R04_YRT01.
BOX ID:
R04_YNT03
IF R04_PASTYEAR_TOB_USE = 2, DISPLAY THE FOLLOWING TEXT:
Las siguientes preguntas son acerca de su experiencia con productos electrónicos con nicotina.
IF R04_PASTYEAR_TOB_USE = 3, DISPLAY THE FOLLOWING TEXT:
Las siguientes preguntas son acerca de su experiencia con productos electrónicos con nicotina. Piense
únicamente acerca de productos electrónicos con nicotina cuando conteste estas preguntas. Más
adelante le haremos preguntas sobre otros productos.
PATH ID:
R04_YN0703E
¿Qué tan pronto después de que se despierta siente el deseo de fumar productos electrónicos con
nicotina?
1
En menos de 5 minutos
2
Entre 6 y 30 minutos
3
Entre más de 30 minutos y una hora
4
Después de más de una hora pero menos de 24 horas
5
Rara vez deseo consumir productos electrónicos con nicotina
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0704E
¿Alguna vez siente un fuerte deseo de fumar productos electrónicos con nicotina?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0705E
¿Alguna vez ha sentido que necesitaba fumar productos electrónicos con nicotina mucho?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0055E
Por favor, califique su nivel de acuerdo con cada una de las siguientes afirmaciones usando la siguiente
escala: 1 = no es cierto en absoluto y 5= es muy cierto
Me doy cuenta que estoy tratando de agarrar productos electrónicos con nicotina sin pensármelo.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
BOX ID:
R04_YND02E
PROGRAM: Randomize order of items R04_YN0025E - R04_YN0080E.
PATH ID:
R04_YN0025E
Con frecuencia tengo un fuerte deseo de fumar productos electrónicos con nicotina.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0045E
Mi consumo de productos electrónicos con nicotina está fuera de control.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0070E
Fumar productos electrónicos con nicotina me ayuda mucho a sentirme mejor cuando estoy triste.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0075E
Fumar productos electrónicos con nicotina me ayuda a pensar mejor.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0080E
Me sentiría solo sin mis productos electrónicos con nicotina.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
BOX ID:
R04_YNR03E
Youth respondents who reported that they rarely want to use e-products after waking up, go to Box
R04_YNR06.
Else, youth respondents who have used any e-products in the past 12 months, go to R04_YN0060E.
PATH ID:
R04_YN0060E
Normalmente quiero fumar productos electrónicos con nicotina justo después de despertarme.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months and did not report that
they rarely want to use e-products after waking up.
BOX ID:
R04_YNR06
Youth respondents who are past 30 day “not light” users of any e-products, go to R04_YN0126E.
Else, youth respondents who have used any e-product and at least one other tobacco product in the
past 12 months, go to Box R04_YNT02.
Else, go to R04_YN0330_12M.
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PATH ID:
R04_YN0126E
En los últimos 12 meses, ¿ha tratado de dejar de fumar productos electrónicos con nicotina por
completo?
1
Sí
2
No
GO TO R04_YN0127E
-8
DON'T KNOW
GO TO R04_YN0127E
-7
REFUSED
GO TO R04_YN0127E
ASK: Past 30 day "not-light" users of any e-products.
PATH ID:
R04_YN0120E
En los últimos 12 meses, ¿ha dejado de fumar productos electrónicos con nicotina por un día o más
debido a que estaba tratando de dejarlos para siempre?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" users of any e-products who have tried to quit using e-products in the past
12 months.
PATH ID:
R04_YN0127E
¿Está pensando seriamente en dejar de fumar productos electrónicos con nicotina?
1
Sí, dentro de los próximos 30 días
2
Sí, dentro de los próximos 6 meses
3
Sí, dentro de un año
4
Sí, pero no en menos de un año
5
No, no lo estoy pensando seriamente
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" users of any e-products.
BOX ID:
R04_YNR02E
Youth respondents who have used any e-product and at least one other tobacco product in the past 12
months, go to Box R04_YNT02.
Else, go to R04_YN0330_12M.
BOX ID:
R04_YNT02
Usted mencionó que consume [TOBACCO PRODUCT LIST]. Piense acerca de [todos estos
productos/ambos productos/este producto] cuando conteste estas preguntas.
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PATH ID:
R04_YN0703
¿Qué tan pronto después de que se despierta siente el deseo de consumir tabaco?
1
En menos de 5 minutos
2
Entre 6 y 30 minutos
3
Entre más de 30 minutos y una hora
4
Después de más de una hora pero menos de 24 horas
5
Rara vez deseo consumir tabaco
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0704
¿Alguna vez siente un fuerte deseo de consumir tabaco?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0705
¿Alguna vez ha sentido que necesitaba consumir tabaco mucho?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH ID:
R04_YN0055
Por favor, califique su nivel de acuerdo con cada una de las siguientes afirmaciones usando la siguiente
escala: 1 = no es cierto en absoluto y 5= es muy cierto
Me doy cuenta que estoy tratando de agarrar un producto de tabaco sin pensármelo.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
BOX ID:
R04_YND04
PROGRAM: Randomize order of items R04_YN0025 - R04_YN0080.
PATH ID:
R04_YN0025
Con frecuencia tengo un fuerte deseo de consumir tabaco.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH ID:
R04_YN0045
Mi consumo de tabaco está fuera de control.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0070
Consumir tabaco me ayuda mucho a sentirme mejor cuando estoy triste.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0075
Consumir tabaco me ayuda a pensar mejor.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH ID:
R04_YN0080
Me sentiría solo sin mi tabaco.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
BOX ID:
R04_YNR03
Youth respondents who reported that they rarely want to use tobacco after waking up, go to Box
R04_YNR05.
Else, youth respondents who have used tobacco in the past 12 months, go to R04_YN0060.
PATH ID:
R04_YN0060
Normalmente quiero consumir tabaco justo después de despertarme.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product, and did not report that they
rarely want to use tobacco after waking up.
BOX ID:
R04_YNR05
Youth respondents who have used any tobacco products in the past 30 days, excluding cigarette only
users and e-product only users, go to R04_YN0126.
Else, youth respondents who are past 30 day “not light” users of cigarettes, go to R04_YN0127.
Else, go to R04_YN0330_12M.
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PATH ID:
R04_YN0126
En los últimos 12 meses, ¿ha tratado de dejar de consumir productos de tabaco por completo?
1
Sí
2
No
GO TO R04_YN0127
-8
DON'T KNOW
GO TO R04_YN0127
-7
REFUSED
GO TO R04_YN0127
ASK: Youth respondents who have used any tobacco products in the past 30 days, excluding cigarette
only users and e-product only users.
PATH ID:
R04_YN0120
En los últimos 12 meses, ¿ha dejado de consumir productos de tabaco por un día o más debido a que
estaba tratando de dejarlos para siempre?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have tried to quit using all tobacco in the past 12 months, excluding
cigarette only users and e-product only users.
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PATH ID:
R04_YN0127
¿Está pensando seriamente en dejar de [fumar cigarrillos/consumir todos los productos de
tabaco/fumar cigarrillos y consumir productos de tabaco]?
1
Sí, dentro de los próximos 30 días
2
Sí, dentro de los próximos 6 meses
3
Sí, dentro de un año
4
Sí, pero no en menos de un año
5
No, no lo estoy pensando seriamente
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco (excluding e-products) in the past 30 days.
DISPLAY: IF CIGARETTE SMOKER ONLY (R04_PAST30DAY_CIGS_LEVEL = 2 AND
(R04_PAST30DAY_GTRAD = 2 AND R04_PAST30DAY_GRILLO = 2 AND R04_PAST30DAY_GFILTR
= 2 AND R04_PAST30DAY_PIPE = 2 AND R04_PAST30DAY_HOOK = 2 AND
R04_PAST30DAY_SNUS = 2 AND R04_PAST30DAY_SMKLS = 2 AND R04_PAST30DAY_DISS = 2
AND R04_PAST30DAY_BIDI = 2 AND R04_PAST30DAY_KRETEK = 2)), DISPLAY "fumar cigarrillos".
IF NON-CIGARETTE TOBACCO USER (R04_PAST30DAY_CIGS = 2 OR
R04_PAST30DAY_CIGS_LEVEL = 1) AND R04_PAST30DAY_TOB = 1, DISPLAY "consumir todos los
productos de tabaco".
IF CIGARETTE AND OTHER TOBACCO PRODUCT USER (R04_PAST30DAY_CIGS_LEVEL = 2 AND
(R04_PAST30DAY_GTRAD_LEVEL = 2 OR R04_PAST30DAY_GRILLO_LEVEL = 2 OR
R04_PAST30DAY_GFILTR_LEVEL = 2 OR R04_PAST30DAY_PIPE = 1 OR
R04_PAST30DAY_HOOK = 1 OR R04_PAST30DAY_SNUS_LEVEL = 2 OR
R04_PAST30DAY_SMKLS_LEVEL = 2 OR R04_PAST30DAY_DISS = 1 OR R04_PAST30DAY_BIDI =
1 OR R04_PAST30DAY_KRETEK = 1)) DISPLAY "fumar cigarrillos y productos de tabaco".
BOX ID:
R04_YNR02
Youth respondents who are past 30 day "not-light" cigarette smokers who have used any other tobacco
products (excluding e-products) in the past 30 days, go to Box R04_YNT05.
Else, youth respondents who are past 30 day “not-light” cigarette smokers and have not used any other
products, go to R04_YC1210.
Else, go to R04_YN0330_12M.
BOX ID:
R04_YNT05
Las siguientes preguntas son acerca de su experiencia con cigarrillos. Piense únicamente acerca de los
cigarrillos cuando conteste estas preguntas.
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PATH ID:
R04_YC1210
¿Quiere dejar de fumar cigarrillos por completo?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
BOX ID:
R04_YNR01
Past 30 day "not-light" cigarette smokers who have not tried to quit using all tobacco in the past 12
months, go to R04_YC1215.
Else, past 30 day “not-light” cigarette smokers who tried to quit using all tobacco in the past 12 months,
go to R04_YC1220.
PATH ID:
R04_YC1215
En los últimos 12 meses, ¿ha tratado de dejar de fumar cigarrillos por completo?
1
Sí
2
No
GO TO R04_YC1230
-8
DON'T KNOW
GO TO R04_YC1230
-7
REFUSED
GO TO R04_YC1230
ASK: Past 30 day "not-light" cigarette smokers who have not tried to quit using all tobacco in the past 12
months.
PATH ID:
R04_YC1220
En los últimos 12 meses, ¿cuántas veces ha dejado de fumar cigarrillos por un día o más debido a que
estaba tratando de dejar de fumar cigarrillos para siempre?
1
I__I__I__I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have tried to quit smoking in the past 12 months.
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PATH ID:
R04_YC1220_LC1
La computadora registró que usted dejó de fumar por un día o más [R04_YC1220] veces en los últimos
12 meses porque estaba tratando de dejar de fumar cigarrillos para siempre. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1220
2
NEXT
GO TO R04_YC1225
ASK: IF R04_YC1220 > 100.
PATH ID:
R04_YC1225
La última vez que trató de dejar de fumar para siempre, ¿por cuánto tiempo dejó de fumar? Elija la
respuesta adecuada.
1
Menos de un día
2
1 a 7 días
3
Más de 7 días pero menos de 30 días
4
Más de 30 días pero menos de 6 meses
5
Más de 6 meses pero menos de un año
6
Un año o más
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have tried to quit smoking in the past 12 months.
PATH ID:
R04_YC1230
Si decide dejar de fumar para siempre, ¿qué tan probable cree que sea su éxito?
1
Muy probable
2
Algo probable
3
Es muy poco probable
4
No es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
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PATH ID:
R04_YN0330_12M
En los últimos 12 meses, ¿ha usado un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina, pastillas de chupar o píldoras con
nicotina?
1
Sí
2
No
GO TO R04_YN0331_12M
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months.
PATH ID:
R04_YN0307
¿Cuándo fue la última vez que usó o tomó un producto con nicotina tal como parches con nicotina,
chicles de nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o
píldoras con nicotina?
1
Hace menos de una hora
GO TO R04_YN0309
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO R04_YN0331_12M
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who has used NRT in the past 12 months.
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PATH ID:
R04_YN0308
La última vez que usó o tomó un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o píldoras con
nicotina [FILL BASED ON R04_YN0307], ¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
used NRT today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307]:
IF R04_YN0307 = 2, DISPLAY "hoy".
ELSE, IF R04_YN0307 = 3, DISPLAY "ayer".
ELSE, IF R04_YN0307 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0309
La última vez que usó o tomó un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o píldoras con
nicotina [FILL BASED ON R04_YN0307], ¿cuántos usó o tomó?
1
I___I___I
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
used NRT in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307]:
IF R04_YN0307 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YN0307 = 3, DISPLAY "ayer".
ELSE, IF R04_YN0307 = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YN0309_LC1
La computadora registró que [hoy/ayer/hace dos días], usted usó o tomó un producto con nicotina, tal
como parches con nicotina, chicles de nicotina, inhaladores de nicotina, espráis nasales con nicotina y
pastillas de chupar o píldoras con nicotina [R04_YN0309] veces.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YN0309
2
NEXT
GO TO R04_YN0331_12M
ASK: IF R04_YN0309 = 0 OR R04_YN0309 > 5.
DISPLAY: IF R04_YN0307 = 1, 2, DISPLAY "hoy".
IF R04_YN0307 = 3, DISPLAY "ayer".
IF R04_YN0307 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0331_12M
En los últimos 12 meses, ¿ha tomado alguno de los siguientes medicamentos de venta con receta
médica? Chantix, vareniclina, Wellbutrin, Zyban o bupropión?
1
Sí
2
No
GO TO BOX R04_YRT01
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months.
PATH ID:
R04_YN0327
¿Cuándo fue la última vez que tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión?
1
Hace menos de una hora
2
Hoy
3
Ayer
4
Hace dos días
5
GO TO R04_YN0329
Hace tres o más días
GO TO BOX R04_YRT01
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug in the past 12 months.
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PATH ID:
R04_YN0328
La última vez que tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión [FILL BASED ON
R04_YN0327], ¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327]:
IF R04_YN0327 = 2, DISPLAY "hoy".
ELSE, IF R04_YN0327 = 3, DISPLAY "ayer".
ELSE, IF R04_YN0327 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0329
Cuando tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión [FILL BASED ON R04_YN0327],
¿cuántas píldoras tomó?
1
I___I___I
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327]:
IF R04_YN0327 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YN0327 = 3, DISPLAY "ayer"
ELSE, IF R04_YN0327 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0329_LC1
La computadora registró que [hoy/ayer/hace dos días] usted tomó Chantix, vareniclina, Wellbutrin,
Zyban o bupropión [R04_YN0329] veces.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YN0329
2
NEXT
GO TO BOX R04_YRT01
ASK: IF R04_YN0329 = 0 OR IF R04_YN0329 > 5.
DISPLAY: IF R04_YN0327 = 1, 2, DISPLAY "hoy".
IF R04_YN0327 = 3, DISPLAY "ayer".
IF R04_YN0327 = 4, DISPLAY "hace dos días".
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PACKAGING AND HEALTH WARNINGS
BOX ID:
R04_YRT01
Las siguientes preguntas son acerca de cosas que posiblemente haya visto o leído acerca de los
productos de tabaco.
PATH ID:
R04_YR0142
En los últimos 12 meses, ¿con qué frecuencia ha pensado en las sustancias químicas que contienen
los productos de tabaco?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YR0005
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en las cajetillas de cigarrillos?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR01
If youth respondent has ever smoked cigarettes and has noticed health warnings in the past 30 days, go
to R04_YR0202.
Else, if youth respondent has never smoked cigarettes and has noticed health warnings in the past 30
days, go to R04_YR0055.
Else, go to R04_YR0110.
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PATH ID:
R04_YR0202
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en las cajetillas de cigarrillos?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0010
En los últimos 30 días, cuando iba a fumar un cigarrillo ¿con qué frecuencia ha dejado de fumar al ver
las advertencias de riesgo para la salud?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0015
En los últimos 30 días, ¿ha tratado de evitar ver o pensar sobre las advertencias de riesgo para la salud
en las cajetillas de cigarrillos? Por ejemplo, ¿las ha tapado o escondido, ha usado un estuche para sus
cajetillas, ha evitado algunas advertencias o hizo otra cosa?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
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PATH ID:
R04_YR0025
¿Qué tan creíbles cree que son las advertencias de riesgo para la salud en las cajetillas de cigarrillos?
1
No son creíbles en absoluto
2
Son muy poco creíbles
3
Son algo creíbles
4
Son muy creíbles
5
Son extremadamente creíbles
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0035
Las advertencias en las cajetillas de cigarrillos, ¿le hacen pensar acerca de los riesgos para la salud
que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0203
Las advertencias de riesgo para la salud en las cajetillas de cigarrillos, ¿hacen que nunca quiera volver
a fumar un cigarrillo?
1
Para nada
GO TO R04_YR0110
2
Muy poco
GO TO R04_YR0110
3
Algo
GO TO R04_YR0110
4
Mucho
GO TO R04_YR0110
-8
DON'T KNOW
GO TO R04_YR0110
-7
REFUSED
GO TO R04_YR0110
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
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PATH ID:
R04_YR0055
Las advertencias de riesgo para la salud en los paquetes de cigarrillos, ¿disminuyen su probabilidad de
empezar a fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0110
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de cigarrillos electrónicos u otros productos electrónicos con nicotina?
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR16
If youth respondent has ever used e-products and has noticed health warnings in the past 30 days, go
to R04_YR0222.
Else, go to R04_YR0115.
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PATH ID:
R04_YR0222
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de cigarrillos electrónicos, líquido electrónico u otros productos
electrónicos con nicotina?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0226
Las advertencias de riesgo para la salud en los paquetes de cigarrillos electrónicos, líquido electrónico
u otros productos electrónicos con nicotina, ¿le hacen pensar acerca de los riesgos para la salud que
implica fumar estos productos?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0115
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de puros tradicionales?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
BOX ID:
R04_YRR17
If youth respondent has ever smoked traditional cigars and has noticed health warnings in the past 30
days, go to R04_YR0229.
Else, go to R04_YR0120.
PATH ID:
R04_YR0229
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de puros tradicionales?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked traditional cigars and have noticed health warnings in
the past 30 days.
PATH ID:
R04_YR0233
Las advertencias de riesgo para la salud en los paquetes de puros tradicionales, ¿le hacen pensar
acerca de los riesgos para la salud que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked traditional cigars and have noticed health warnings in
the past 30 days.
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PATH ID:
R04_YR0120
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de puritos?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR18
If youth respondent has ever smoked cigarillos and has noticed health warnings in the past 30 days, go
to R04_YR0236.
Else, go to R04_YR0125.
PATH ID:
R04_YR0236
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de puritos?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked cigarillos and have noticed health warnings in the past
30 days.
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PATH ID:
R04_YR0240
Las advertencias de riesgo para la salud en los paquetes de puritos, ¿le hacen pensar acerca de los
riesgos para la salud que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked cigarillos and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0125
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de puros con filtro?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR19
If youth respondent has ever smoked filtered cigars and has noticed health warnings in the past 30
days, go to R04_YR0243.
Else, go to R04_YR0130.
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PATH ID:
R04_YR0243
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de puros con filtro?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked filtered cigars and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0247
Las advertencias de riesgo para la salud en los paquetes de puros con filtro, ¿le hacen pensar acerca
de los riesgos para la salud que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked filtered cigars and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0130
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de tabaco para pipa?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
PATH ID:
R04_YR0135
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de shisha o tabaco para hookah?
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR20
If youth respondent has ever smoked hookah and has noticed health warnings in the past 30 days, go to
R04_YR0250.
Else, go to R04_YR0206.
PATH ID:
R04_YR0250
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de shisha o tabaco para hookah?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah and have noticed health warnings in the past
30 days.
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PATH ID:
R04_YR0254
Las advertencias de riesgo para la salud en los paquetes de shisha o tabaco para hookah, ¿le hacen
pensar acerca de los riesgos para la salud que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0206
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los envases de snus?
[SHOW GENERIC IMAGE OF SNUS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR15
If youth respondent has ever used snus and has noticed health warnings in the past 30 days, go to
R04_YR0207.
Else, go to R04_YR0060.
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PATH ID:
R04_YR0207
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los envases de snus?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used snus and have noticed health warnings in the past 30
days.
PATH ID:
R04_YR0211
Las advertencias de riesgo para la salud en los envases de snus, ¿le hacen pensar acerca de los
riesgos para la salud que implica el consumo de snus?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used snus and have noticed health warnings in the past 30
days.
PATH ID:
R04_YR0060
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de otros productos de tabaco que no se fuma, tales como el dip, el tabaco de
mascar o el tabaco de inhalar o rapé?
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS (EXCLUDING SNUS)]
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
BOX ID:
R04_YRR04
If youth respondent has ever used smokeless tobacco and noticed health warnings in the past 30 days,
go to R04_YR0205.
Else, go to Box R04_YXT30.
PATH ID:
R04_YR0205
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de tabaco que no se fuma?
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used smokeless tobacco and have noticed health warnings in
the past 30 days.
PATH ID:
R04_YR0085
Las advertencias de riesgo para la salud, ¿le hacen pensar en los riesgos que implica para la salud el
consumir productos de tabaco que no se fuma?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used smokeless tobacco and have noticed health warnings in
the past 30 days.
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Wave 4 (version 4.0)
RISK PERCEPTIONS AND ATTITUDES
BOX ID:
R04_YXT30
En las siguientes preguntas le pedimos su opinión sobre el consumo de tabaco, incluyendo cigarrillos
electrónicos y otros productos electrónicos con nicotina.
PATH ID:
R04_YN0250
¿Cree usted que la nicotina es la sustancia principal en el tabaco que hace que la gente desee
consumir productos de tabaco?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0667
¿En qué medida está de acuerdo o en desacuerdo con la siguiente afirmación?
Algunos productos de tabaco son más seguros que otros.
1
Completamente de acuerdo
2
De acuerdo
3
Ni de acuerdo ni en desacuerdo
4
En desacuerdo
5
Completamente en desacuerdo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0723
¿Cree que un producto de tabaco que se describe como sin aditivos es menos dañino, igual de dañino
o más dañino que un producto normal de tabaco?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "sin aditivos".
PATH ID:
R04_YX0724
¿Cree que un producto de tabaco que se describe como orgánico es menos dañino, igual de dañino o
más dañino que un producto normal de tabaco?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "orgánico".
PATH ID:
R04_YC9050
¿Qué tan dañinos cree que son los cigarrillos para la salud?
1
No son dañinos en absoluto
2
Muy poco dañinos
3
Algo dañinos
4
Muy dañinos
5
Son extremadamente dañinos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
PATH ID:
R04_YC1149
¿Qué tan dañina cree que es la nicotina en los cigarrillos para la salud?
1
No es dañina en absoluto
2
Muy poco dañina
3
Algo dañina
4
Muy dañina
5
Es extremadamente dañina
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotina".
PATH ID:
R04_YC1125
¿Cuánto daño cree que se hacen las personas cuando fuman cigarrillos?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC1170
¿Cuánto daño cree usted que se hacen las personas cuando fuman cigarrillos algunos días pero no
todos los días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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230
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1180
¿Por cuánto tiempo cree que las personas tienen que fumar para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9047
Según su opinión, ¿cree usted que los cigarrillos con niveles más bajos de nicotina son menos dañinos,
igual de dañinos o más dañinos para la salud de una persona que los cigarrillos normales?
1
Menos dañinos
2
Igual de dañinos
3
Más dañinos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9040
¿Cree usted que los cigarrillos con sabor a mentol o menta, son menos dañinos, igual de dañinos o
más dañinos que los cigarrillos normales?
1
Menos dañinos
2
Igual de dañinos
3
Más dañinos
4
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9118
¿Cree usted que los los cigarrillos con sabor a mentol o menta se pueden fumar con más facilidad, con
igual facilidad o con menos facilidad que los cigarrillos normales?
1
Más facilidad
2
Igual facilidad
3
Menos facilidad
4
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC1124
¿Cuál es la probabilidad de que alguien se vuelva adicto a los cigarrillos?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9043
¿Cuál es la probabilidad de que usted se vuelva adicto a los cigarrillos?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "usted".
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9120
¿Cree usted que la nicotina es la sustancia química que causa la mayoría del cáncer causado por el
consumo de cigarrillos?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1125
¿Cuánto daño cree que se hacen las personas cuando fuman cigarrillos electrónicos u otros productos
electrónicos con nicotina?
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1149
¿Qué tan dañina cree que es la nicotina en los cigarrillos electrónicos u otros productos electrónicos
con nicotina para la salud?
1
No es dañina en absoluto
2
Muy poco dañina
3
Algo dañina
4
Muy dañina
5
Es extremadamente dañina
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotina".
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1180
¿Por cuánto tiempo cree que las personas tienen que fumar cigarrillos electrónicos u otros productos
electrónicos con nicotina para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1099
¿Cree que fumar cigarrillos electrónicos u otros productos electrónicos con nicotina es menos dañino,
es igual de dañino o es más dañino que fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "cigarrillos electrónicos u otros productos electrónicos con nicotina" AND
"cigarrillos".
PATH ID:
R04_YV1153
¿Cree que se pueden fumar los cigarrillos electrónicos con sabor añadido (aparte de mentol o menta)
con menos facilidad, con igual facilidad o con más facilidad que fumar cigarrillos electrónicos con sabor
a tabaco o sin sabor?
1
Más facilidad
2
Igual facilidad
3
Menos facilidad
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE “con sabor añadido”, "aparte de mentol o menta", "sabor a tabaco" AND "sin
sabor".
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234
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1148
¿Cree que fumar cigarrillos electrónicos con sabor a mentol o menta es menos dañino, igual de dañino
o más dañino que fumar cigarrillos electrónicos con sabor a tabaco o sin sabor?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "mentol", "menta", "sabor a tabaco" AND "sin sabor".
PATH ID:
R04_YV1152
¿Cree que fumar cigarrillos electrónicos con otro sabor (aparte de mentol o menta) es menos dañino,
igual de dañino o más dañino que fumar cigarrillos electrónicos con sabor a tabaco o sin sabor?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "con otro sabor", "aparte de mentol o menta", "sabor a tabaco" AND "sin
sabor".
PATH ID:
R04_YV1124
¿Cuál es la probabilidad de que alguien se vuelva adicto a los cigarrillos electrónicos u otros productos
electrónicos con nicotina?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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235
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9025
¿Cuánto daño cree que se hacen las personas cuando fuman puros tradicionales?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG1180
¿Por cuánto tiempo cree que las personas tienen que fumar puros tradicionales para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9097
¿Fumar puros tradicionales es menos dañino, es igual de dañino o es más dañino que fumar
cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "puros tradicionales" AND "cigarrillos".
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236
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9026
¿Cuánto daño cree que se hacen las personas cuando fuman puritos?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9047
¿Cuánto daño cree usted que se hacen las personas cuando fuman puritos algunos días pero no todos
los días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9048
¿Por cuánto tiempo cree que las personas tienen que fumar puritos para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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237
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9098
¿Fumar puritos es menos dañino, es igual de dañino o es más dañino que fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "puritos" AND "cigarrillos".
PATH ID:
R04_YG9125
¿Cuál es la probabilidad de que alguien se vuelva adicto a los puritos?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9027
¿Cuánto daño cree que se hacen las personas cuando fuman puros con filtro?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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238
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9054
¿Cuánto daño cree usted que se hacen las personas cuando fuman puros con filtro algunos días pero
no todos los días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9055
¿Por cuánto tiempo cree que las personas tienen que fumar puros con filtro para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9099
¿Fumar puros con filtro es menos dañino, es igual de dañino o es más dañino que fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "puros con filtro" AND "cigarrillos".
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239
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9126
¿Cuál es la probabilidad de que alguien se vuelva adicto a los puros con filtro?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1125
¿Cuánto daño cree que se hacen las personas cuando fuman shisha o tabaco para hookah?
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH9044
¿Qué tan dañino cree que es es estar cerca de personas que están fumando shisha o tabaco para
hookah?
1
No es dañino en absoluto
2
Muy poco dañino
3
Algo dañino
4
Muy dañino
5
Es extremadamente dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
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240
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YH9110
¿La shisha que no contiene tabaco es menos dañina, igual de dañina o más dañina que la shisha que
contiene tabaco?
1
Menos dañina
2
Igual de dañina
3
Más dañina
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "que no contiene tabaco" AND "que contiene tabaco".
PATH ID:
R04_YH1180
¿Por cuánto tiempo cree que las personas tienen que fumar shisha o tabaco para hookah para dañar
su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1099
¿Cree que fumar en hookah es menos dañino, es igual de dañino o es más dañino que fumar
cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "hookah" AND "cigarrillos".
PATH – Wave 4
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241
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YH1124
¿Cuál es la probabilidad de que alguien se vuelva adicto a la shisha o tabaco para hookah?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1125
¿Cuánto daño cree que se hacen las personas cuando consumen snus?
[SHOW GENERIC IMAGE OF SNUS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1170
¿Cuánto daño cree que se hacen las personas cuando consumen snus algunos días, pero no todos los
días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
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242
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YU1180
¿Por cuánto tiempo cree que las personas tienen que consumir snus para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1099
¿Cree que consumir snus es menos dañino, igual de dañino o más dañino que fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "snus" AND "cigarrillos".
PATH ID:
R04_YU1124
¿Cuál es la probabilidad de que alguien se vuelva adicto al snus?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
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243
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YS1125
¿Cuánto daño cree que se hacen las personas cuando consumen tabaco que no se fuma? (El tabaco
que no se fuma incluye tabaco de mascar, tabaco de inhalar o rapé o dip.)
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YS1170
¿Cuánto daño cree usted que se hacen las personas cuando consumen tabaco que no se fuma
algunos días pero no todos los días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YS1180
¿Por cuánto tiempo cree que las personas tienen que consumir tabaco que no se fuma para dañar su
salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
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244
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YS1099
¿Cree que consumir tabaco que no se fuma es menos dañino, es igual de dañino o es más dañino que
fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "tabaco que no se fuma" AND "cigarrillos".
PATH ID:
R04_YS1124
¿Cuál es la probabilidad de que alguien se vuelva adicto al tabaco que no se fuma?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0759
Algunas veces las personas que están tratando de dejar de consumir tabaco usan productos que
reemplazan la nicotina tales como parches con nicotina, chicles de nicotina, inhaladores de nicotina,
espráis nasales con nicotina y pastillas de chupar o píldoras con nicotina.
¿Qué tan dañina cree que es la nicotina en estos productos para la salud?
1
No es dañina en absoluto
2
Muy poco dañina
3
Algo dañina
4
Muy dañina
5
Es extremadamente dañina
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotina".
PATH – Wave 4
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245
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YXV01
CREATE AN ARRAY USEPROD WITH 12 ELEMENTS - ONE FOR EACH TOBACCO TYPE THAT
IDENTIFIES WHETHER THE RESPONDENT IS A PAST 30 DAY USER OF THE SPECIFIC
TOBACCO TYPE.
USEPROD(1-12): Past 30 day users of: (1) cigarrillos; (2) productos electrónicos con nicotina; (3) puros
tradicionales; (4) puritos; (5) puros con filtro; (6) tabaco para pipa (7) shisha o tabaco para hookah; (8)
snus; (9) tabaco que no se fuma; (10) tabaco que se disuelve; (11) bids; (12) kreteks.
DISPLAY: If [USEPROD(1-12)] is a list and contains two products, connect the products with "y". If it
has three or more products, connect the products with commas and include "y" before the final product
in the list. Display all products bold with lowercase letters.
BOX ID:
R04_YYR02
Youth respondents who have ever smoked cigarettes and are past 30 day users of any other product,
go to R04_YX0300.
Else, youth respondents who have ever used e-products and are past 30 day users of any other
product, go to R04_YX0301.
Else, youth respondents who are past 30 day users of any product, go to R04_YX0307.
Else, go to Box R04_YXT05.
PATH ID:
R04_YX0300
¿En qué medida está de acuerdo o en desacuerdo con la siguiente afirmación?
He pensado acerca de cambiar totalmente de [USEPROD(2-12)] a cigarrillos.
1
Completamente de acuerdo
2
De acuerdo
3
Ni de acuerdo ni en desacuerdo
4
En desacuerdo
5
Completamente en desacuerdo
-8
DON'T KNOW
-7
REFUSED
ASK: Ever cigarette smokers who are past 30 days users of at least one non-cigarette tobacco product
[USEPROD(2-12) = 1]. (This question is asked one time about the product(s) the respondent has used
in the past 30 days (USEPROD list), excluding cigarettes, and asks about switching completely from
those product(s) to cigarettes.)
DISPLAY: UNDERLINE "totalmente". BOLD "USEPROD(2-12)".
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246
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YXR11
Youth respondents who have ever used e-products and are past 30 day users of any other product, go
to R04_YX0301.
Else, go to Box R04_YXR10.
PATH ID:
R04_YX0301
¿En qué medida está de acuerdo o en desacuerdo con la siguiente afirmación?
He pensado acerca de cambiar totalmente de [USEPROD(1, 3-12)] a cigarrillos electrónicos u otros
productos electrónicos con nicotina.
1
Completamente de acuerdo
2
De acuerdo
3
Ni de acuerdo ni en desacuerdo
4
En desacuerdo
5
Completamente en desacuerdo
-8
DON'T KNOW
-7
REFUSED
ASK: Ever e-product users who are past 30 days users of at least one tobacco product [USEPROD(1,
3-12) = 1]. (This question is asked one time about the product(s) the respondent has used in the past
30 days, excluding e-products, and asks about switching completely from those product(s) to eproducts.)
DISPLAY: UNDERLINE "totalmente". BOLD "USEPROD(1, 3-12)".
BOX ID:
R04_YXR10
Youth respondents who are past 30 day users of any product, go to R04_YX0307.
Else, go to Box R04_YXT05.
PATH – Wave 4
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PATH ID:
R04_YX0307
¿Ha pensado acerca de cambiar de [USEPROD(1-12)] a cualquiera de los siguientes productos?
Escoja todas las opciones que correspondan.
1
No he pensado acerca de cambiar a otro producto
2
Cigarrillos
3
Cigarrillos electrónicos u otros productos electrónicos con nicotina
4
Puros tradicionales
5
Puritos
6
Puros con filtro
10
Pipas
7
Hookahs
8
Snus
9
[Otro tabaco/Tabaco] que no se fuma como tabaco de inhalar o rapé, dip, spit o tabaco de
mascar
13
Tabaco que se disuelve
11
Bidis
12
Kreteks
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day users of [USEPROD(1-12)]. (This question is repeated for each product the
respondent has used in the past 30 days. The response options are the products the respondent has
not used in the past 30 days. If the respondent has used every product in the past 30 days, resulting in
no options presented, this question is not asked.)
DISPLAY: UNDERLINE "cambiar". BOLD [USEPROD(1-12)].
IF R04_PAST30DAY_SNUS = 1 AND R04_PAST30DAY_SMKLS != 1, DISPLAY option 9 as "Otro
tabaco que no se fuma como tabaco de inhalar o rapé, dip, spit o tabaco de mascar".
ELSE, IF R04_PAST30DAY_SMKLS != 1, DISPLAY "Tabaco que no se fuma como tabaco de inhalar o
rapé, dip, spit o tabaco de mascar".
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MEDIA USE
BOX ID:
R04_YXT05
Las siguientes preguntas son acerca de su uso de televisión, radio, Internet y teléfonos celulares.
PATH ID:
R04_YX0494
En un día normal entre semana, ¿aproximadamente cuánto tiempo pasa mirando televisión y videos en
Internet que incluyen comerciales?
1
Ninguno
2
Media hora o menos
3
Aproximadamente una hora
4
Aproximadamente 2 horas
5
Aproximadamente 3 horas
6
Aproximadamente 4 horas
7
Aproximadamente 5 horas
8
Aproximadamente 6 horas
9
7 horas o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "entre semana".
PATH ID:
R04_YX0495
En un día normal de fin de semana, ¿aproximadamente cuánto tiempo pasa mirando televisión y videos
en Internet que incluyen comerciales?
1
Ninguno
2
Menos de una hora
3
Una a 2 horas
4
3 a 4 horas
5
5 a 6 horas
6
7 a 8 horas
7
9 a 10 horas
8
11 horas o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "fin de semana".
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PATH ID:
R04_YX0060
En un día normal entre semana, ¿cuánto tiempo pasa oyendo la radio u oyendo emisoras de radio en
Internet que incluyen comerciales?
1
Ninguno
2
Media hora o menos
3
Aproximadamente una hora
4
Aproximadamente 2 horas
5
Aproximadamente 3 horas
6
Aproximadamente 4 horas
7
Aproximadamente 5 horas
8
Aproximadamente 6 horas
9
7 horas o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "entre semana".
PATH ID:
R04_YX0061
En un día normal de fin de semana, ¿cuánto tiempo pasa oyendo la radio u oyendo emisoras de radio
en Internet que incluyen comerciales?
1
Ninguno
2
Menos de una hora
3
Una a 2 horas
4
3 a 4 horas
5
5 a 6 horas
6
7 a 8 horas
7
9 a 10 horas
8
11 horas o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "fin de semana".
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PATH ID:
R04_YX0062
Algunas veces la gente usa el Internet para comunicarse con otras personas en línea mediante redes
sociales como Facebook, Google Plus, YouTube, LinkedIn, Twitter, Tumblr, Instagram, Pinterest o
Snapchat. A esto se le suele llamar "redes sociales".
¿Tiene una cuenta en una red social?
1
Sí
2
No
GO TO BOX R04_YXR12
-8
DON'T KNOW
GO TO BOX R04_YXR12
-7
REFUSED
GO TO BOX R04_YXR12
ASK: All youth respondents.
PATH ID:
R04_YX0317
¿Con que frecuencia visita sus cuentas en redes sociales?
1
Más de una vez al día
2
Una vez al día
3
3 a 5 días a la semana
4
1 a 2 días a la semana
5
Cada pocas semanas
6
Con menos frecuencia
7
Nunca
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YXR12
ASK: Youth respondents who have a social media account.
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PATH ID:
R04_YX0686
En los últimos 12 meses, ¿ha hecho clic en "Me gusta" o en "Seguir" a alguna de las siguientes marcas
de un producto de tabaco, cigarrillo electrónico u otro producto electrónico con nicotina en Facebook,
Twitter u otros sitios de redes sociales? Escoja todas las opciones que correspondan.
0
No he hecho clic en "Me gusta" ni en "Seguir" a ninguna marca en redes sociales
1
Camel
2
Marlboro
3
Newport
4
American Spirit
5
Vuse
6
Blu
7
Logic
8
MarkTen
9
NJOY
10
eGo
11
iTaste
12
Black & Mild
13
Swisher Sweets
14
Dutch Masters
15
Phillies Blunts
16
Zig Zag
17
Skoal
18
Redman
19
Grizzly
20
Copenhagen
21
Otra marca (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have a social media account (excluding those who never visit their social
media account).
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YXR12
New baseline youth respondents, go to R04_YX0496_NB.
Else, go to Box R04_YXT02.
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PATH ID:
R04_YX0496_NB
Un código de respuesta rápida es un cuadro blanco con puntos negros, a veces se conoce como
código QR.
[INSERT GENERIC IMAGE OF QR CODE FOR PATH WEBSITE]
Alguna vez, ¿ha usado una tableta o un teléfono inteligente o smartphone para escanear un código QR
de un producto de tabaco o para inscribirse en sorteos o concursos de una compañía de tabaco?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
DISPLAY: UNDERLINE "código QR".
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SECONDHAND SMOKE EXPOSURE
BOX ID:
R04_YXT02
Las siguientes preguntas son acerca de las normas o reglas de consumo de tabaco dentro de su casa.
PATH ID:
R04_YX0671
Sin incluirse a usted, ¿ha hecho alguna de las siguientes actividades alguna de las personas que viven
con usted actualmente? Escoja todas las opciones que correspondan.
1
Fumar cigarrillos
2
Fumar cigarrillos electrónicos u otro tipo de producto electrónico con nicotina
3
Consumir snus
4
Consumir otro tipo de tabaco que no se fuma, tal como tabaco de mascar, tabaco de inhalar o
rapé o dip
5
Fumar puros tradicionales, puritos o puros con filtro
6
Fumar en hookah
7
Consumir otro tipo de tabaco
8
Nadie que viva conmigo actualmente consume ningún formato de tabaco
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "actualmente".
PATH ID:
R04_YX0068
En los últimos 7 días, aproximadamente ¿cuántas horas estuvo alrededor de personas que estaban
fumando[, ya sea o no que usted mismo también estuviera fumando]? Incluya el tiempo en su casa, en
un carro, en el trabajo o en la calle.
1
I__I__I__I Cantidad de horas
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "de personas".
IF R04_PAST30DAY_CIGS = 1 OR R04_PAST30DAY_GTRAD= 1 OR R04_PAST30DAY_GRILLO = 1
OR R04_PAST30DAY_GFILTR= 1 OR R04_PAST30DAY_PIPE = 1 OR R04_PAST30DAY_HOOK = 1
OR R04_PAST30DAY_BIDI = 1 OR R04_PAST30DAY_KRETEK = 1, DISPLAY, ", ya sea o no que
usted mismo también estuviera fumando".
DISPLAY "Cantidad de horas" AS A TITLE.
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PATH ID:
R04_YX0068_LC1
La computadora registró que durante los últimos siete días, usted estuvo por [R04_YX0068] horas muy
cerca de otras personas mientras fumaban. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0068
2
NEXT
GO TO BOX R04_YXT01
ASK: IF R04_YX0068 > 120 OR R04_YX0068 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
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HEALTH
BOX ID:
R04_YXT01
Las siguientes preguntas son acerca de alguna información médica básica que es importante para el
estudio.
BOX ID:
R04_YMD06
Display questions R04_YX0090 through R04_YX0088 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0090 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YX0090
En general, ¿cómo calificaría su...
salud física?
1
Excelente
2
Muy buena
3
Buena
4
Regular
5
Mala
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0091
salud mental, la cual incluye el estrés, la depresión y los problemas emocionales?
1
Excelente
2
Muy buena
3
Buena
4
Regular
5
Mala
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0088
salud en general?
1
Excelente
2
Muy buena
3
Buena
4
Regular
5
Mala
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YMD05
Display questions R04_YX0090_12M through R04_YX0088_12M using the expanded WVB stem-leaf
screen. The introduction text from R04_YX0090_12M is the stem. Show all leaves on the screen at
once.
PATH ID:
R04_YX0090_12M
En comparación con hace 12 meses, ¿diría que...
actualmente su salud física es?
1
Mejor
2
Peor
3
Igual
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0091_12M
actualmente su salud mental es?
1
Mejor
2
Peor
3
Igual
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0088_12M
actualmente su salud en general es?
1
Mejor
2
Peor
3
Igual
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0726
En general, ¿cómo calificaría la salud de sus dientes y encías?
1
Excelente
2
Muy buena
3
Buena
4
Regular
5
Mala
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0310
Las siguientes preguntas son acerca de su estatura y peso. ¿Prefiere contestar estas preguntas en...
1
pies y libras o en
2
metros y kilogramos?
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YX0311
ASK: All youth respondents.
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PATH ID:
R04_YT0007
¿Aproximadamente cuánto mide usted sin zapatos?
1
I___I Pies
2
I__I__I Pulgadas
-8
DON'T KNOW
GO TO R04_YT0008
-7
REFUSED
GO TO R04_YT0008
ASK: Youth respondents who prefer to answer height in feet and inches or did not choose a system of
measurement.
DISPLAY: DISPLAY "Pies" AND "Pulgadas" AS TITLES.
PATH ID:
R04_YT0007_LC1
La computadora registró que usted mide [R04_YT0007_FT] pies [y R04_YT0007_IN pulgadas]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YT0007
2
NEXT
GO TO R04_YT0008
ASK: IF R04_YT0007_FT < 5 OR (R04_YT0007_FT = 6 AND R04_YT0007_IN > 0) OR
R04_YT0007_FT > 6.
PATH ID:
R04_YX0311
¿Aproximadamente cuánto mide usted sin zapatos?
1
I__I__I.I__I__I Metros
-8
DON'T KNOW
GO TO R04_YX0312
-7
REFUSED
GO TO R04_YX0312
ASK: Youth respondents who prefer to answer height in meters.
DISPLAY: DISPLAY "Metros" AS A TITLE.
PATH ID:
R04_YX0311_LC1
La computadora registró que usted mide [R04_YX0311] metros. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0311
2
NEXT
GO TO R04_YX0312
ASK: IF R04_YX0311 < 1.5 OR R04_YX0311 > 1.8.
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PATH ID:
R04_YT0008
Aproximadamente, ¿cuánto pesa usted sin ropa ni zapatos?
1
I___I___I___I Libras
-8
DON'T KNOW
GO TO R04_YX0241
-7
REFUSED
GO TO R04_YX0241
ASK: Youth respondents who prefer to answer weight in pounds or did not choose a system of
measurement.
DISPLAY: DISPLAY "Libras" AS A TITLE.
PATH ID:
R04_YT0008_LC1
La computadora registró que usted pesa [R04_YT0008] libras. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YT0008
2
NEXT
GO TO R04_YX0241
ASK: IF (R04_YOUTHAGE < 15 AND (R04_YT0008 < 85 OR R04_YT0008 > 170)) OR
(R04_YOUTHAGE >= 15 AND (R04_YT0008 < 105 OR R04_YT0008 > 200)).
PATH ID:
R04_YX0312
Aproximadamente, ¿cuánto pesa usted sin ropa ni zapatos?
1
I___I___I___I Kilos
-8
DON'T KNOW
GO TO R04_YX0241
-7
REFUSED
GO TO R04_YX0241
ASK: Youth respondents who prefer to answer weight in kilograms.
DISPLAY: DISPLAY "Kilos" AS A TITLE.
PATH ID:
R04_YX0312_LC1
La computadora registró que usted pesa [R04_YX0312] kilos. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0312
2
NEXT
GO TO R04_YX0241
ASK: IF (R04_YOUTHAGE < 15 AND (R04_YX0312 < 38.6 OR R04_YX0312 > 77.1)) OR
(R04_YOUTHAGE >= 15 AND (R04_YX0312 < 47.6 OR R04_YX0312 > 90.7)).
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PATH ID:
R04_YX0241
En los últimos 7 días, ¿cuántos días se mantuvo físicamente activo al día por lo menos por 60
minutos al día? (Incluya todo el tiempo que pasó en cualquier tipo de actividad física que aumentó su
ritmo cardíaco y respiración parte del tiempo).
1
Cero días
2
Un día
3
2 días
4
3 días
5
4 días
6
5 días
7
6 días
8
7 días
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "'últimos 7 días"; BOLD "por lo menos 60 minutos al día".
PATH ID:
R04_YX0242
¿En cuántos de los últimos 7 días hizo ejercicio o participó en una actividad física por lo menos por 20
minutos que lo hizo sudar y aumentó su respiración, tal como baloncesto, fútbol, correr, nadar,
bicicleta rápida, baile movido o ejercicios aeróbicos similares?
1
Cero días
2
Un día
3
2 días
4
3 días
5
4 días
6
5 días
7
6 días
8
7 días
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: Bold "por lo menos por 20 minutos que lo hizo sudar y aumentó su respiración".
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PATH ID:
R04_YX0243
¿En cuántos de los últimos 7 días hizo ejercicio para fortalecer o tonificar sus músculos, tal como
lagartijas o planchas, abdominales o levantar pesas?
1
Cero días
2
Un día
3
2 días
4
3 días
5
4 días
6
5 días
7
6 días
8
7 días
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR43
New baseline youth respondents, go to R04_YX0046_NB.
Else,continuing youth respondents, go to R04_YX0047_12M.
PATH ID:
R04_YX0046_NB
Anteriormente, ¿ha tenido alguna vez silbidos o sibilancias en el pecho?
1
Sí
2
No
GO TO R04_YX0052
-8
DON'T KNOW
GO TO R04_YX0052
-7
REFUSED
GO TO R04_YX0052
ASK: New baseline youth respondents.
DISPLAY: UNDERLINE "Alguna vez".
PATH ID:
R04_YX0047_12M
¿Ha tenido silbidos o sibilancias en el pecho en los últimos 12 meses?
1
Sí
2
No
GO TO R04_YX0052
-8
DON'T KNOW
GO TO R04_YX0052
-7
REFUSED
GO TO R04_YX0052
ASK: New baseline youth respondents who had wheezing or whistling in the chest at any time in the
past and continuing youth respondents.
DISPLAY: UNDERLINE "últimos 12 meses".
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PATH ID:
R04_YX0048
¿Cuántos ataques de silbidos o sibilancias ha tenido en los últimos 12 meses?
1
Ninguno
2
1a3
3
4 a 12
4
Más de 12
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0049
En los últimos 12 meses, ¿con qué frecuencia en promedio no ha podido dormir bien debido a los
silbidos o sibilancias?
1
Nunca se ha despertado con silbidos o sibilancias
2
Menos de una noche a la semana
3
Una o más noches a la semana
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0050
En los últimos 12 meses, ¿alguna vez han sido los silbidos o sibilancias tan intensos que le limitaron al
hablar y solo podía decir una o dos palabras entre respiros?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0052
En los últimos 12 meses, ¿le han sonado silbidos o sibilancias en el pecho durante o después de hacer
ejercicio?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0053
Una tos seca es una tos sin flema ni mucosidad. En los últimos 12 meses, ¿ha tenido una tos seca en
la noche?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR18
Continuing youth respondents, go to R04_YT0031_12M.
Else, go to R04_YT0031_NB.
PATH ID:
R04_YT0031_NB
¿Le ha dicho alguna vez un médico, una enfermera u otro profesional de la salud que tiene asma?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
BOX ID:
R04_YXV03
PROGRAM: CREATE DERIVED VARIABLE (SEE APPENDIX)
R04_YOUTH_ASTHMA = All youth respondents who have ever had asthma.
BOX ID:
R04_YXR09
New baseline youth respondents that have asthma, go to R04_YT0038_NB.
Else, continuing youth respondents that have asthma, go to R04_YX0227.
Else, go to Box R04_YXD06.
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PATH ID:
R04_YT0038_NB
¿Qué edad tenía la primera vez que le dijeron que tenía asma?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YT0260_NB
-7
REFUSED
GO TO R04_YT0260_NB
ASK: New baseline youth respondents who have asthma.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YT0038_NB_LC1
La computadora registró que usted tenía [R04_YT0038_NB] años la primera vez que le dijeron que
tenía asma. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YT0038_NB
2
NEXT
GO TO R04_YX0227
ASK: IF R04_YT0038_NB > R04_YOUTHAGE.
PATH ID:
R04_YT0260_NB
La primera vez que le dijeron que tenía asma, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report age when they were first
told they had asthma.
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PATH ID:
R04_YX0227
En los últimos 30 días, ¿cuánto tiempo el asma le impidió hacer gran parte de sus actividades en el
trabajo, la escuela o en casa?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Un poco
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "'últimos 30 días".
PATH ID:
R04_YX0228
En los últimos 30 días, ¿con qué frecuencia ha tenido dificultad para respirar o ha sentido que le falta el
aire?
1
Más de una vez al día
2
Una vez al día
3
3 a 6 veces a la semana
4
Una o dos veces a la semana
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
PATH ID:
R04_YX0229
En los últimos 30 días, ¿con qué frecuencia sus síntomas de asma (como silbidos en el pecho, tos,
dificultad para respirar, sentir el pecho apretado o dolor) lo despiertan en la noche o antes de lo usual
en la mañana?
1
4 o más noches a la semana
2
2 o 3 noches
3
Una vez a la semana
4
Una o dos veces
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
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PATH ID:
R04_YT0022
En los últimos 12 meses, ¿ha tomado medicamentos para el asma de manera habitual?
(De manera habitual quiere decir de acuerdo con las instrucciones de un profesional del cuidado de la
salud.)
1
Sí
2
No
GO TO R04_YT0127
-8
DON'T KNOW
GO TO R04_YT0127
-7
REFUSED
GO TO R04_YT0127
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "últimos 12 meses".
BOX ID:
R04_YMD01
DISPLAY INSTRUCTION:
For R04_YT0036, display as a stem and leaf question. For each leaf, display a sí/no response.
PATH ID:
R04_YT0036
En los últimos 12 meses, ¿cuál de los siguientes medicamentos tomó de manera habitual para el
asma?
1
Inhalador de alivio inmediato - por ejemplo: albuterol (ProAir, Ventolin, Xopenex), ipratropio
(Atrovent) o un inhalador de combinación (Combivent)
2
Controlador o inhalador de acción a largo plazo, incluyendo inhaladores de esteroides - por
ejemplo: beclometasona (Qvar), fluticasona (Flovent), salmeterol (Serevent), tiotropio (Spiriva)
o un inhalador de combinación (Advair)
3
Otro medicamento para controlar el asma - por ejemplo: Montelukast (Singulair), zafirlukast
(Accolate), teofilina, roflumilast (Daliresp)
4
Otro medicamento para el asma
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma that have taken medications regularly in the past 12 months.
PATH ID:
R04_YT0125
En los últimos 12 meses, ¿ha tenido un ataque de asma en el que se necesitó usar un medicamento
esteroide por vía oral o en inyección en el momento del ataque? Ejemplos de medicamentos esteroides
por vía oral o en inyección incluyen a prednisona, prednisolona (Orapred) y dexametasona (Decadrón).
1
Sí
2
No
GO TO R04_YT0127
-8
DON'T KNOW
GO TO R04_YT0127
-7
REFUSED
GO TO R04_YT0127
ASK: Youth respondents who have asthma that have taken medications regularly in the past 12 months.
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PATH ID:
R04_YT0039
En los últimos 12 meses, ¿cuántos ataques de asma ha tenido en los que se necesitaba usar un
medicamento esteroide oral o en inyección en el momento del ataque?
1
|___|___|___|
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had an asthma attack in the past 12 months that needed oral or injected
steroid medication.
PATH ID:
R04_YT0127
En los últimos 12 meses, ¿ha tenido que visitar una sala de emergencias o un centro de atención de
urgencias debido al asma?
1
Sí
2
No
GO TO R04_YX0230
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who have asthma.
PATH ID:
R04_YT0282
En los últimos 12 meses, ¿cuántas veces ha ido a la sala de emergencias o centro de atención de
urgencias debido al asma?
1
|___|___|___|
-8
DON'T KNOW
GO TO BOX R04_YXR42
-7
REFUSED
GO TO BOX R04_YXR42
ASK: Youth respondents who had to go to the emergency room for asthma in the past 12 months.
PATH ID:
R04_YT0282_LC1
La computadora registró que usted fue a la sala de emergencias o centro de atención de urgencias
[R04_YT0282] veces en los últimos 12 meses debido al asma. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YT0282
2
NEXT
GO TO BOX R04_YXR42
ASK: IF R04_YT0282 > 20.
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BOX ID:
R04_YXR42
Youth respondents who had to go to the emergency room for asthma once in the past 12 months, go to
R04_YX0695.
Else, youth respondents who had to go to the emergency room for asthma multiple times in the past 12
months, go to R04_YX0720.
Else, youth respondents who have asthma, go to R04_YX0230.
PATH ID:
R04_YX0695
¿Fue esa visita debido a un ataque de asma?
1
Sí
GO TO R04_YX0230
2
No
GO TO R04_YX0230
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who had to go to the emergency room for asthma once in the past 12 months.
PATH ID:
R04_YX0720
¿Cuántas de esas visitas fueron debido a un ataque de asma?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who had to go to the emergency room for asthma multiple times in the past 12
months.
PATH ID:
R04_YX0720_LC1
La computadora registró que usted fue a la sala de emergencias o centro de atención de urgencias
[R04_YX0720] veces en los últimos 12 meses debido a un ataque de asma. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0720
2
NEXT
GO TO R04_YX0230
ASK: IF R04_YX0720 > R04_YT0282.
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PATH ID:
R04_YX0230
En los últimos 30 días, ¿con qué frecuencia ha usado un inhalador de rescate, un tratamiento con
nebulizador u otro medicamento de control (como albuterol)?
1
3 o más veces al día
2
Una o 2 veces al día
3
2 o 3 veces a la semana
4
Una vez a la semana o menos
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "últimos 30 días".
PATH ID:
R04_YX0231
¿Cómo calificaría el control de su asma durante los últimos 30 días?
1
Sin ningún control
2
Mal controlada
3
Un poco controlada
4
Bien controlada
5
Totalmente controlada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
BOX ID:
R04_YXD06
DISPLAY INSTRUCTION:
For R04_YX0158, display a ‘Sí' and ‘No' column with options for each response category.
PATH ID:
R04_YX0158
En los últimos 12 meses, ¿tomó alguno de los siguientes medicamentes, incluso si solo fue una vez?
1
Ibuprofeno (Motrin, Advil, Naprosyn o Aleve)
2
Acetaminofén o paracetamol (Tylenol)
3
Aspirina
4
Inhibidores Cox-2 (Celebrex)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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BOX ID:
R04_YXR50
If youth respondent has not used any tobacco or e-product in the past 12 months, go to
R04_YN0330_12MH.
Else, go to Box R04_YXR19.
PATH ID:
R04_YN0330_12MH
En los últimos 12 meses, ¿ha usado un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o píldoras con
nicotina?
1
Sí
2
No
GO TO R04_YN0331_12MH
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth respondents who have not used any tobacco or e-product in the past 12 months.
PATH ID:
R04_YN0307H
¿Cuándo fue la última vez que usó o tomó un producto con nicotina tal como parches con nicotina,
chicles de nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o
píldoras con nicotina?
1
Hace menos de una hora
GO TO R04_YN0309H
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO R04_YN0331_12MH
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth respondents who have used NRT in the past 12 months.
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PATH ID:
R04_YN0308H
La última vez que usó o tomó un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o píldoras con
nicotina [FILL BASED ON R04_YN0307H], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used NRT today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307H]:
IF R04_YN0307H = 2, DISPLAY "hoy".
ELSE, IF R04_YN0307H = 3, DISPLAY "ayer".
ELSE, IF R04_YN0307H = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0309H
La última vez que usó o tomó parches con nicotina, chicles de nicotina, inhaladores de nicotina, espráis
nasales con nicotina y pastillas de chupar o píldoras con nicotina [FILL BASED ON R04_YN0307H],
¿cuántos usó o tomó?
1
I___I___I
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth who have used NRT in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307H]:
IF R04_YN0307H = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YN0307H = 3, DISPLAY "ayer".
ELSE, IF R04_YN0307H = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YN0309H_LC1
La computadora registró que [hoy/ayer/hace dos días] usted usó o tomó el producto con nicotina como
parches con nicotina, chicles de nicotina, inhaladores de nicotina, espráis nasales con nicotina y
pastillas de chupar o píldoras con nicotina [R04_YN0309H] veces.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YN0309H
2
NEXT
GO TO R04_YN0331_12MH
ASK: IF R04_YN0309H = 0 OR R04_YN0309H > 5.
DISPLAY: IF R04_YN0307H = 1, 2, DISPLAY "hoy".
IF R04_YN0307H = 3, DISPLAY "ayer".
IF R04_YN0307H = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0331_12MH
En los últimos 12 meses, ¿ha tomado alguno de los siguientes medicamentos de venta con receta
médica? Chantix, vareniclina, Wellbutrin, Zyban o bupropión?
1
Sí
2
No
GO TO BOX R04_YXR19
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have not used any tobacco or e-product in the past 12 months.
PATH ID:
R04_YN0327H
¿Cuándo fue la última vez que tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión?
1
Hace menos de una hora
2
Hoy
3
Ayer
4
Hace dos días
5
GO TO R04_YN0329H
Hace tres o más días
GO TO BOX R04_YXR19
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have used a prescription drug in the past 12 months.
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PATH ID:
R04_YN0328H
La última vez que tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión [FILL BASED ON
R04_YN0327H], ¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth who have used a prescription drug today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327H]:
IF R04_YN0327H = 2, DISPLAY "hoy".
ELSE, IF R04_YN0327H = 3, DISPLAY "ayer".
ELSE, IF R04_YN0327H = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0329H
Cuando tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión [FILL BASED ON R04_YN0327H],
¿cuántas píldoras tomó?
1
I___I___I
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have used a prescription drug in the past hour, today, yesterday or the
day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327H]:
IF R04_YN0327H = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YN0327H = 3, DISPLAY "ayer"
ELSE, IF R04_YN0327H = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YN0329H_LC1
La computadora registró que [hoy/ayer/hace dos días] usted tomó Chantix, vareniclina, Wellbutrin,
Zyban o bupropión [R04_YN0329H] veces.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
2
NEXT
GO TO R04_YN0329H
ASK: IF R04_YN0329H = 0 OR R04_YN0329H > 5.
DISPLAY: IF R04_YN0327H = 1, 2, DISPLAY "hoy".
IF R04_YN0327H = 3, DISPLAY "ayer".
IF R04_YN0327H = 4, DISPLAY "hace dos días".
BOX ID:
R04_YXR19
Female youth respondents aged 15 or older, go to R04_YX0136.
Else, go to Box R04_YXT03.
PATH ID:
R04_YX0136
¿Está embarazada ahora?
1
Sí
2
No
GO TO BOX R04_YXT03
-8
DON'T KNOW
GO TO BOX R04_YXT03
-7
REFUSED
GO TO BOX R04_YXT03
ASK: Female youth respondents aged 15 years or older.
PATH ID:
R04_YX0137
¿Cuántos meses o semanas de embarazo tiene? Anote el número de meses o semanas.
1
I___I___I Meses
2
I___I___I Semanas
-8
DON'T KNOW
-7
REFUSED
ASK: Female youth respondents aged 15 years or older who are currently pregnant.
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Wave 4 (version 4.0)
PATH ID:
R04_YX0137_LC1
La computadora registró que usted tiene [R04_YX0137_NN] [meses/semanas] de embarazo. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0137
2
NEXT
GO TO BOX R04_YXT03
ASK: IF (R04_YX0134_NN > 10 AND R04_YX0137_UN = 1) OR (R04_YX0134_NN > 42 AND
R04_YX0137_UN = 2).
DISPLAY: IF R04_YX0137_UN = 1, DISPLAY "meses".
ELSE, IF R04_YX0137_UN = 2, DISPLAY "semanas".
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Wave 4 (version 4.0)
MARKETING, ADVERTISING AND PROMOTION
BOX ID:
R04_YXT03
Las siguientes preguntas son acerca de los anuncios de tabaco que puede haber visto o recibido.
PATH ID:
R04_YX0708
En los últimos 12 meses, ¿ha recibido descuentos o cupones por alguno de los siguientes productos?
Escoja todas las opciones que correspondan.
1
Cigarrillos
2
Cigarrillos electrónicos u otros productos electrónicos con nicotina (incluyendo líquido
electrónico)
3
Puros
4
Shisha o tabaco para hookah
5
Snus
6
Otros tipos de tabaco que no se fuma (como dip, spit o tabaco de mascar)
7
Algún otro tipo de productos de tabaco
8
Ninguno de los anteriores
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0678
En los últimos 30 días, ¿ha recibido una muestra gratuita de un cigarrillo electrónico u otro producto
electrónico con nicotina (incluyendo líquido electrónico)?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE " cigarrillo electrónico u otro producto electrónico con nicotina".
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PATH ID:
R04_YX0182
En los últimos 30 días, ¿con qué frecuencia fue a una tienda de conveniencia, un supermercado
pequeño o una tienda de licores?
1
Nunca
2
Una vez en los últimos 30 días
3
2 a 3 veces en los últimos 30 días
4
Una vez a la semana
5
2 a 3 veces a la semana
6
Casi todos los días
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YX0203
ASK: All youth respondents.
PATH ID:
R04_YX0183
En los últimos 30 días, cuando fue a una tienda de conveniencia, un supermercado pequeño o una
tienda de licores, ¿con qué frecuencia vio anuncios de cigarrillos electrónicos u otros productos
electrónicos con nicotina?
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have visited a store or market in the past 30 days.
DISPLAY: BOLD AND UNDERLINE "cigarrillos electrónicos u otros productos electrónicos con
nicotina".
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PATH ID:
R04_YX0203
En los últimos 30 días, ¿se ha dado cuenta de anuncios de cigarrillos electrónicos u otros
productos electrónicos con nicotina en alguno de los siguientes lugares? Escoja todas las opciones
que correspondan.
1
No he visto ningún anuncio en los últimos 30 días
2
En estaciones de gasolina, tiendas de conveniencia o almacenes
3
En vallas publicitarias
4
En periódicos o revistas
5
En la radio
6
En la televisión
7
En eventos como ferias, festivales o eventos deportivos
8
En discotecas, bares o conciertos
9
En páginas Web o redes sociales
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "cigarrillos electrónicos u otros productos electrónicos con
nicotina".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
PATH ID:
R04_YX0709
¿Tiene un anuncio preferido de cigarrillos electrónicos o de productos electrónicos con nicotina?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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279
PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0481
En los últimos 30 días, ¿ha recibido una muestra gratuita de un producto de tabaco (sin incluir
cigarrillos electrónicos u otros productos electrónicos con nicotina)?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "producto de tabaco (sin incluir cigarrillos electrónicos u otros
productos electrónicos con nicotina)"
BOX ID:
R04_YXR24
Youth respondents who have visited a store or market in the past 30 days, go to R04_YX0178.
Else, go to R04_YX0677.
PATH ID:
R04_YX0178
En los últimos 30 días, cuando fue a una tienda de conveniencia, un supermercado pequeño o una
tienda de licores, ¿con qué frecuencia vio anuncios de cigarrillos u otros productos de tabaco (sin
incluir cigarrillos electrónicos ni productos electrónicos con nicotina)?
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have visited a store or market in the past 30 days.
DISPLAY: BOLD AND UNDERLINE "cigarrillos u otros productos de tabaco".
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PATH ID:
R04_YX0677
En los últimos 30 días, ¿se ha dado cuenta de anuncios de cigarrillos u otros productos de tabaco
(sin incluir cigarrillos electrónicos u otros productos electrónicos con nicotina) en alguno de los
siguientes lugares? Escoja todas las opciones que correspondan.
1
No he visto ningún anuncio en los últimos 30 días
2
En estaciones de gasolina, tiendas de conveniencia o almacenes
3
En vallas publicitarias
4
En periódicos o revistas
5
En la radio
6
En la televisión
7
En eventos como ferias, festivales o eventos deportivos
8
En discotecas, bares o conciertos
9
En páginas Web o redes sociales
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "cigarrillos u otros productos de tabaco".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
PATH ID:
R04_YX0710
¿Tiene un anuncio preferido de tabaco?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0777
En los últimos 12 meses, ¿con qué frecuencia vio campañas publicitarias en contra del tabaco?
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
SOCIAL NORMS, PEER AND FAMILY INFLUENCES
PATH ID:
R04_YX0008
En general, ¿cree que la mayoría de la gente está en contra del consumo de cigarrillos?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "cigarrillos".
PATH ID:
R04_YX0012
En general, ¿cree que la mayoría de la gente está en contra del consumo de cigarrillos electrónicos
u otros productos electrónicos con nicotina?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "cigarrillos electrónicos u otros productos electrónicos con nicotina".
PATH ID:
R04_YX0071
Al pensar en las personas que son importantes para usted, ¿cómo describiría la opinión de ellos sobre
el consumo de tabaco en general?
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "personas que son importantes para usted"; BOLD "tabaco en general".
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
BOX ID:
R04_YXD89
Display questions R04_YC1143 through R04_YS1143 using the expanded WVB stem-leaf screen. The
introduction text from R04_YC1143 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YC1143
Al pensar en las personas que son importantes para usted, ¿cómo describiría la opinión de ellos
sobre lo siguiente?
El consumo de cigarrillos
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "personas que son importantes para usted"; BOLD "opinión de ellos".
PATH ID:
R04_YV1143
El consumo de cigarrillos electrónicos u otros productos electrónicos con nicotina
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1143
El consumo de puros tradicionales, puritos o puros con filtro
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1143
El consumo de shisha o tabaco para hookah
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1143
El consumo de snus
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YS1143
El consumo de otros tipos de tabaco que no se fuma (como dip, spit o tabaco de mascar)
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0741
Piense en las personas que son importantes para usted. ¿Alguna de ellas consume alguno de los
siguientes productos? Escoja todas las opciones que correspondan.
1
Cigarrillos
2
Cigarrillos electrónicos u otros productos electrónicos con nicotina
3
Puros tradicionales o "grandes"
4
Puritos
5
Puros con filtro
6
Tabaco para pipa
7
Shisha o tabaco para hookah
8
Snus
9
Otros tipos de tabaco que no se fuma (como dip, spit o tabaco de mascar)
10
Ninguno de los anteriores
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "personas que son importantes para usted".
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0680
¿Cuántos de sus mejores amigos fuman cigarrillos?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0681
¿Cuántos de sus mejores amigos fuman cigarrillos electrónicos u otros productos electrónicos con
nicotina?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0683
¿Cuántos de sus mejores amigos fuman puritos?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0693
¿Cuántos de sus mejores amigos consumen snus?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0685
¿Cuántos de sus mejores amigos consumen otros tipos de tabaco que no se fuma (como dip, spit o
tabaco de mascar)?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PASTYEAR_TOB_USE_LEVEL = 2 (Past year "not light" tobacco users) Youth respondents
who are "not light" users of any tobacco product and have used in the past year.
R04_PASTYEAR_TOB_USE_LEVEL = 1 (Past year "very light" tobacco users) Youth respondents
who have used any tobacco product in the last year, and are not "not light" users of any product.
BOX ID:
R04_YXR40
Past year "not light" tobacco users, go to R04_YX0742.
Else, past year "very light" tobacco users, go to R04_YX0743.
Else, go to R04_YX0714.
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Wave 4 (version 4.0)
PATH ID:
R04_YX0742
En los últimos 12 meses, ¿hasta qué punto la desaprobación de sus amigos cercanos y sus familiares
le hizo pensar en dejar de fumar?
1
No he pensado en eso
GO TO R04_YX0714
2
Algo
GO TO R04_YX0714
3
Mucho
GO TO R04_YX0714
-8
DON'T KNOW
GO TO R04_YX0714
-7
REFUSED
GO TO R04_YX0714
ASK: Past year "not light" tobacco users.
DISPLAY: UNDERLINE "amigos cercanos y sus familiares".
PATH ID:
R04_YX0743
En los últimos 12 meses, ¿hasta qué punto la desaprobación de sus amigos cercanos y sus familiares
le ha hecho pensar en no consumir?
1
No he pensado en eso
2
Algo
3
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Past year "very light" tobacco users.
DISPLAY: UNDERLINE "amigos cercanos y sus familiares".
PATH ID:
R04_YX0714
En los últimos 12 meses, ¿le han hablado sus padres o tutores, aunque fuera una sola vez, acerca de
que no debe fumar cigarrillos electrónicos u otros productos electrónicos con nicotina?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0694
Si sus padres o tutores lo encontraran fumando cigarrillos electrónicos u otros productos electrónicos
con nicotina, ¿cómo cree que reaccionarían? Ellos estarían...
1
muy alterados
2
no muy alterados
3
como si nada
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0500
En los últimos 12 meses, ¿le han hablado sus padres o tutores, aunque fuera una sola vez, acerca de
que no debe consumir ningún tipo de tabaco?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0200
Si sus padres o tutores lo encontraran consumiendo tabaco, ¿cómo cree que reaccionarían? Ellos
estarían...
1
muy alterados
2
no muy alterados
3
como si nada
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
ACCESSIBILITY
PATH ID:
R04_YX0715
¿Qué tan fácil cree que es para las personas de su edad comprar cigarrillos electrónicos u otros
productos electrónicos con nicotina en una tienda?
1
Muy fácil
2
Un poco fácil
3
Un poco difícil
4
Muy difícil
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0716
¿Cuál es la probabilidad de que usted trate de comprar un cigarrillo electrónico u otros productos
electrónicos con nicotina en los próximos 30 días?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0499
¿Qué tan fácil cree que es para las personas de su edad comprar productos de tabaco en una tienda?
1
Muy fácil
2
Un poco fácil
3
Un poco difícil
4
Muy difícil
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0501
¿Cuál es la probabilidad de que usted trate de comprar cigarrillos en los próximos 30 días?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0502
¿Cuál es la probabilidad de que usted trate de comprar productos de tabaco (sin incluir cigarrillos) en
los próximos 30 días?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PSYCHOSOCIAL
PATH ID:
R04_YX0488
Las siguientes preguntas son acerca de problemas comunes psicológicos, conductuales y personales.
A estos problemas se les considera como graves cuando los tiene por dos semanas o más, cuando
vuelven, cuando le impiden cumplir con sus responsabilidades o cuando le hacen sentir que ya no
puede más.
Después de cada una de las siguientes preguntas, díganos cuándo fue la última vez que ocurrió este
problema indicando si fue el mes pasado, hace 2 a 12 meses, hace más de un año o nunca.
1
NEXT
ASK: All youth respondents.
DISPLAY: UNDERLINE "graves".
BOX ID:
R04_YXD07
Display questions R04_YX0161 through R04_YX0164 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0161 is the stem. As each question is answered, show the next one.
PATH ID:
R04_YX0161
¿Cuándo fue la última vez que tuvo serios problemas como...
sentirse atrapado, solo, triste, melancólico, deprimido o desesperado?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "serios problemas".
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0162
problemas para dormir, como tener pesadillas, dormir sin descansar o quedarse dormido a lo largo del
día?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0163
sentirse muy ansioso, nervioso, tenso, asustado, con pánico o sentía que algo malo iba a pasar?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0164
angustiarse mucho o molestarse cuando se acordaba de algo que ocurrió en el pasado?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXD08
Display questions R04_YX0165 through R04_YX0251 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0165 is the stem. As each question is answered, show the next one.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0165
¿Cuándo fue la última vez que pasó algo de lo siguiente dos o más veces...
mintió o engañó para obtener lo que deseaba o para dejar de hacer algo?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "dos o más veces".
PATH ID:
R04_YX0166
tuvo dificultad al prestar atención en la escuela, el trabajo o en casa?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0167
tuvo dificultad al escuchar las instrucciones en la escuela, el trabajo o en casa?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0168
intimidó o amenazó a otras personas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0169
inició una pelea física con otra persona?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0250
se sintió inquieto o con la necesidad de ir de un lado a otro o de treparse en las cosas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0251
respondió a una pregunta antes de que la persona termine de hacer la pregunta?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR34
If new baseline youth respondent, go to Box R04_YXD90.
Else, go to Box R04_YXR05.
BOX ID:
R04_YXD90
Display questions R04_YX0510_NB through R04_YX0520_NB using the expanded WVB stem-leaf
screen. The introduction text from R04_YX0510_NB is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YX0510_NB
En qué medida está de acuerdo o en desacuerdo con las siguientes afirmaciones.
Me gusta hacer cosas que dan miedo.
1
Completamente de acuerdo
2
De acuerdo
3
Ni de acuerdo ni en desacuerdo
4
En desacuerdo
5
Completamente en desacuerdo
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0515_NB
Me gusta hacer cosas nuevas y emocionantes, incluso si tengo que romper las reglas.
1
Completamente de acuerdo
2
De acuerdo
3
Ni de acuerdo ni en desacuerdo
4
En desacuerdo
5
Completamente en desacuerdo
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
PATH ID:
R04_YX0520_NB
Prefiero tener amigos que son fascinantes e impredecibles.
1
Completamente de acuerdo
2
De acuerdo
3
Ni de acuerdo ni en desacuerdo
4
En desacuerdo
5
Completamente en desacuerdo
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
SUBSTANCE USE
BOX ID:
R04_YXR05
Continuing youth respondents, go to R04_YX0084_12M.
New baseline youth respondents, go to R04_YX0084_NB.
PATH ID:
R04_YX0084_NB
Las siguientes preguntas son acerca de su consumo de alcohol y otras drogas. Recuerde que toda la
información que usted le dé al Estudio PATH se mantendrá en privado.
Alguna vez, ¿ha consumido alcohol, incluyendo sorbos de la bebida de otra persona o de su propia
bebida?
1
Sí
2
No
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: New baseline youth respondents.
DISPLAY: UNDERLINE "".
PATH ID:
R04_YX0086_NB
Aproximadamente, ¿qué edad tenía la primera vez que tomó alcohol, incluyendo pequeñas probaditas
o sorbos?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YX0087_NB
-7
REFUSED
GO TO R04_YX0087_NB
ASK: New baseline youth respondents who have ever used alcohol.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YX0086_NB_LC1
La computadora registró que la primera vez que usted tomó alcohol, incluyendo pequeñas probaditas o
sorbos fue a la edad de [R04_YX0086_NB]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0086_NB
2
NEXT
GO TO R04_YX0074_NB
ASK: IF R04_YX0086_NB <= 5.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0086_NB_LC2
La computadora registró que la primera vez que usted tomó alcohol, incluyendo pequeñas probaditas o
sorbos fue a la edad de [R04_YX0086_NB]. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0086_NB
2
NEXT
GO TO R04_YX0074_NB
ASK: IF R04_YX0086_NB > R04_YOUTHAGE.
PATH ID:
R04_YX0087_NB
La primera vez que tomó alcohol, incluyendo pequeñas probaditas o sorbos, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report age they first used alcohol.
DISPLAY: UNDERLINE "".
PATH ID:
R04_YX0074_NB
Aproximadamente, ¿qué edad tenía la primera vez que tomó su primera bebida alcohólica, aparte de
pequeñas probaditas o sorbos?
Una bebida es una lata o botella de cerveza; una bebida a base de vino (wine cooler) o una copa de
vino, champán o jerez; un trago de licor o un cóctel.
-2
1
Nunca he tomado una bebida alcohólica aparte de pequeñas
probaditas o sorbos
I___I___I___I Años
-8
DON'T KNOW
GO TO R04_YX0270_NB
-7
REFUSED
GO TO R04_YX0270_NB
ASK: New baseline youth respondents who have ever used alcohol.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD WITH BUTTON "Nunca he tomado una bebida
alcohólica aparte de pequeñas probaditas o sorbos" ON LEFT.
UNDERLINE "primera bebida alcohólica".
DISPLAY "Años" AS A TITLE.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0074_NB_LC1
La computadora registró que la primera vez que usted tomó una bebida alcohólica, sin contar pequeñas
probaditas o sorbos, fue a la edad de [R04_YX0074_NB]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0074_NB
2
NEXT
GO TO BOX R04_YXR26
ASK: IF R04_YX0074_NB >= 0 AND R04_YX0074_NB <= 10.
PATH ID:
R04_YX0074_NB_LC2
La computadora registró que la primera vez que usted tomó una bebida alcohólica, sin contar pequeñas
probaditas o sorbos, fue a la edad de [R04_YX0074_NB]. Son más años de los que usted tiene
actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0074_NB
2
NEXT
GO TO BOX R04_YXR26
ASK: IF R04_YX0074_NB > R04_YOUTHAGE.
PATH ID:
R04_YX0270_NB
Cuando tomó su primera bebida alcohólica, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report age they first used alcohol.
BOX ID:
R04_YXR26
If new baseline youth respondent has ever used any form of tobacco and reported valid age of first drink
and onset of tobacco use precedes onset of alcohol use, go to R04_YX0077_NB.
Else, go to R04_YX0084_12M.
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Wave 4 (version 4.0)
PATH ID:
R04_YX0077_NB
La primera vez que tomó alcohol cuando tenía {AGE OF FIRST ALCOHOL USE} años, ¿también
[fumaba cigarrillos/consumía productos de tabaco/fumaba cigarrillos o consumía otros productos de
tabaco]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used tobacco and alcohol, where age of onset of
tobacco use precedes onset of alcohol use.
DISPLAY: FILL {AGE OF ALCOHOL USE} WITH AGE REPORTED IN R04_YX0074_NB.
IF R04_EVER_USE_CIGSONLY = 1, DISPLAY "fumaba cigarrillos".
ELSE, IF R04_EVER_USE_TOBXCIGS = 1, DISPLAY "consumía productos de tabaco".
ELSE, IF R04_EVER_USE_DUAL = 1, DISPLAY "fumaba cigarrillos o consumía otros productos de
tabaco".
PATH ID:
R04_YX0084_12M
[Las siguientes preguntas son acerca de su consumo de alcohol y otras drogas. Recuerde que toda la
información que usted le dé al Estudio PATH se mantendrá en privado.
]En los últimos 12 meses, ¿ha consumido algún tipo de bebidas alcohólicas, incluyendo pequeñas
probaditas o sorbos?
1
Sí
2
No
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: New baseline youth respondents who have ever used alcohol and continuing youth respondents.
DISPLAY: IF R04_YOUTHTYPE = 1, DISPLAY "Las siguientes preguntas son sobre su consumo de
alcohol y otras drogas. Recuerde que toda la información que usted le dé al Estudio PATH se
mantendrá en privado."
ELSE, DO NOT DISPLAY THIS TEXT.
PATH ID:
R04_YX0673
¿Ha consumido alcohol en los últimos 30 días?
1
Sí
2
No
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: Youth respondents who have used alcohol in the past 12 months.
DISPLAY: UNDERLINE "últimos 30 días".
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0075
En los últimos 30 días, ¿cuántos días se ha tomado al menos una bebida alcohólica?
Una bebida es una lata o botella de cerveza; una bebida a base de vino (wine cooler) o una copa de
vino, champán o jerez; un trago de licor o un cóctel.
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used alcohol in the past 30 days.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
BOX ID:
R04_YXR46
Youth respondents who have used alcohol on none of the past 30 days or did not know or refused to
report on how many days they have used alcohol in the past 30 days, go to Box R04_YXR06.
Else, go to R04_YX0076.
PATH ID:
R04_YX0076
En promedio, en esos días en los que tomó bebidas alcohólicas en los últimos 30 días, ¿cuántas
bebidas alcohólicas consumió normalmente cada día?
Una bebida alcohólica puede ser una lata o una botella de cerveza; una bebida a base de vino (wine
cooler) o una copa de vino, champán o jerez; un trago de licor o un cóctel.
1
|___|___|
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: Youth respondents who have used alcohol one day or more in the past 30 days.
PATH ID:
R04_YX0076_LC1
La computadora registró que usted normalmente tomó [R04_YX0076] bebidas alcohólicas en los días
que bebió en los últimos 30 días. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0076
2
NEXT
GO TO BOX R04_YXR06
ASK: IF R04_YX0076 > 30.
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PATH
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Wave 4 (version 4.0)
BOX ID:
R04_YXR06
New baseline youth respondents who have never smoked a blunt, smoked marijuana from a hookah, or
used marijuana in an e-product, go to R04_YX0085_NB.
Else, new baseline youth respondents who have ever smoked a blunt, smoked marijuana from a
hookah, or used marijuana in an e-product, go to R04_YX0079_NB.
Else, continuing youth respondents who have not smoked a blunt in the past 12 months, go to
R04_YX0085_12M.
Else, continuing youth respondents who have smoked a blunt in the past 30 days, go to Box
R04_YXR28.
Else, continuing youth respondents who have smoked a blunt in the past 12 months, go to
R04_YX0675.
PATH ID:
R04_YX0085_NB
Alguna vez, ¿ha consumido marihuana, hachís, THC, mota, maría o hierba?
1
Sí
2
No
GO TO BOX R04_YXD02
-8
DON'T KNOW
GO TO BOX R04_YXD02
-7
REFUSED
GO TO BOX R04_YXD02
ASK: New baseline youth respondents who did not previously report ever smoking a blunt, smoking
marijuana from a hookah, or using marijuana in an e-product.
PATH ID:
R04_YX0079_NB
¿Qué edad tenía la primera vez que consumió marihuana, hachís, THC, mota, maría o hierba?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YX0271_NB
-7
REFUSED
GO TO R04_YX0271_NB
ASK: New baseline youth respondents who have ever used marijuana.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YX0079_NB_LC1
La computadora registró que la primera vez que usted comenzó a consumir marihuana, hachís, THC,
mota, maría o hierba fue a la edad de [R04_YX0079_NB] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0079_NB
2
NEXT
GO TO BOX R04_YXR27
ASK: IF R04_YX0079_NB <= 10.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0079_NB_LC2
La computadora registró que usted tenía [R04_YX0079_NB] años la primera vez que comenzó a
consumir marihuana, hachís, THC, mota, maría o hierba. Son más años de los que usted tiene
actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0079_NB
2
NEXT
GO TO BOX R04_YXR27
ASK: IF R04_YX0079_NB > R04_YOUTHAGE.
PATH ID:
R04_YX0271_NB
La primera vez que consumió marihuana, hachís, THC, mota, maría o hierba, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report age they first used
marijuana.
BOX ID:
R04_YXR27
If new baseline youth respondent reported valid age of first marijuana use and has ever used any form
of tobacco, and onset of tobacco use precedes onset of marijuana use, go to R04_YX0080_NB.
Else, youth respondents who have smoked a blunt in the past 30 days, go to Box R04_YXR28.
Else, new baseline youth who have ever used marijuana, go to R04_YX0085_12M.
Else, go to Box R04_YXR41.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0080_NB
La primera vez que consumió marihuana cuando tenía {AGE OF FIRST MARIJUANA USE} años,
¿también [fumaba cigarrillos/consumía productos de tabaco/fumaba cigarrillos o consumía otros
productos de tabaco]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used tobacco and marijuana, where age of onset
of tobacco use precedes onset of marijuana use.
DISPLAY: FILL {AGE OF FIRST MARIJUANA USE} WITH AGE REPORTED IN R04_YX0079_NB.
IF R04_EVER_USE_CIGSONLY = 1, DISPLAY "fumaba cigarrillos".
IF R04_EVER_USE_TOBXCIGS = 1, DISPLAY "consumía productos de tabaco".
IF R04_EVER_USE_DUAL = 1, DISPLAY "fumaba cigarrillos o consumía otros productos de tabaco".
BOX ID:
R04_YXR41
Youth respondents who have smoked a blunt in the past 30 days, go to Box R04_YXR28.
Else, youth respondents who have smoked a blunt in the past 12 months, go to R03_YX0675.
Else, go to R04_YX0085_12M.
PATH ID:
R04_YX0085_12M
En los últimos 12 meses, ¿ha consumido marihuana, hachís, THC, mota, maría o hierba?
1
Sí
2
No
GO TO BOX R04_YXR28
-8
DON'T KNOW
GO TO BOX R04_YXR28
-7
REFUSED
GO TO BOX R04_YXR28
ASK: Continuing youth respondents who did not previously report smoking a blunt in the past 12 months
and new baseline youth respondents who ever used marijuana and did not previously report smoking a
blunt in the past 12 months.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0675
¿Ha consumido marihuana, hachís, THC, mota, maría o hierba en los últimos 30 días?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used marijuana in the past 12 months and did not report smoking
blunts in the past 30 days.
DISPLAY: UNDERLINE "últimos 30 días".
BOX ID:
R04_YXR28
New baseline youth respondents, go to Box R04_YXD02.
Continuing youth respondents, go to Box R04_YXD03.
BOX ID:
R04_YXD02
DISPLAY INSTRUCTION:
For R04_YX0089_NB and R04_YX0220_NB, display a "Sí" and "No" column with options for each
response category.
PATH ID:
R04_YX0089_NB
Alguna vez, ¿ha tomado alguno de los siguientes medicamentos que se venden con receta médica y
que no le recetaron o que ha tomado únicamente por las sensaciones que dan?
1
Ritalin® o Adderall®
2
Analgésicos, sedantes o tranquilizantes
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
DISPLAY: UNDERLINE "no" and "únicamente".
PATH ID:
R04_YX0220_NB
Alguna vez, ¿ha consumido alguna de las siguientes sustancias?
1
Cocaína o crack
2
Medicamentos estimulantes como metanfetaminas o anfetaminas (speed)
3
Alguna otra droga tal como la heroína, inhalantes, disolventes o alucinógenos
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents.
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PATH
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Wave 4 (version 4.0)
BOX ID:
R04_YXR07
PROGRAM: Items R04_YX0082_NB[_01/.../_05], R04_YX0272_NB[_01/.../_05],
R04_YX0083_NB[_01/.../_05], and R04_YX0676[_01/.../_05] are asked for each substance the
respondent uses in R04_YX0089_NB[_01/_02] and R04_YX0220_NB[_01/_02/_03]. If respondent uses
more than one substance, repeat items in a loop.
If no substances are selected in R04_YX0089_NB[_01/_02] or R04_YX0220_NB[_01/_02/_03], go to
Box R04_YXV02.
BOX ID:
R04_YXD05
PROGRAM: CREATE [SUBSTANCEFILL] If R04_YX0089_NB_01 = 1, display "Ritalin® o Adderall®".
If R04_YX0089_NB_02 = 1, display "analgésicos, sedantes o tranquilizantes".
If R04_YX0220_NB_01 = 1, display "cocaína o crack".
If R04_YX0220_NB_02 = 1, display "medicamentos estimulantes como metanfetaminas o anfetaminas
(speed)".
If R04_YX0220_NB_03 = 1, display "alguna otra droga tal como la heroína, inhalantes, disolventes o
alucinógenos".
PATH ID: R04_YX0082_NB
¿Qué edad tenía la primera vez que consumió [SUBSTANCEFILL]?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YX0272_NB[_01/…/_05]
-7
REFUSED
GO TO R04_YX0272_NB[_01/…/_05]
ASK: New baseline youth respondents that have ever used a substance.
DISPLAY: FOR R04_YX0082_NB_01: If R04_YX0089_NB_01 = 1, DISPLAY "Ritalin® o Adderall®".
FOR R04_YX0082_NB_02: If R04_YX0089_NB_02 = 1, DISPLAY "analgésicos, sedantes o
tranquilizantes".
FOR R04_YX0082_NB_03: If R04_YX0220_NB_01 = 1, DISPLAY "cocaína o crack"
FOR R04_YX0082_NB_04: If R04_YX0220_NB_02 = 1, DISPLAY "medicamentos estimulantes como
metanfetaminas o anfetaminas (speed)"
FOR R04_YX0082_NB_05: If R04_YX0220_NB_03 = 1, DISPLAY "alguna otra droga tal como la
heroína, inhalantes, disolventes o alucinógenos"
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0082_NB_01_LC1
La computadora registró que la primera vez que usted comenzó a tomar Ritalin® o Adderall® fue a la
edad de [R04_YX0082_NB_01]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_01
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_01 <= 10.
PATH ID:
R04_YX0082_NB_01_LC2
La computadora registró que usted tenía [R04_YX0082_NB_01] años la primera vez que comenzó a
tomar Ritalin® o Adderall®. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_01
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_01 > R04_YOUTHAGE.
PATH ID:
R04_YX0082_NB_02_LC1
La computadora registró que la primera vez que usted comenzó a tomar analgésicos, sedantes o
tranquilizantes fue a la edad de [R04_YX0082_NB_02]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_02
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_02 <= 10.
PATH ID:
R04_YX0082_NB_02_LC2
La computadora registró que usted tenía [R04_YX0082_NB_02] años la primera vez que usted
comenzó a tomar analgésicos, sedantes o tranquilizantes. Son más años de los que usted tiene
actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_02
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_02 > R04_YOUTHAGE.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0082_NB_03_LC1
La computadora registró que la primera vez que usted comenzó a consumir cocaína o crack fue a la
edad de [R04_YX0082_NB_03]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_03
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_03 <= 10.
PATH ID:
R04_YX0082_NB_03_LC2
La computadora registró que usted tenía [R04_YX0082_NB_03] años la primera vez que usted
comenzó a consumir cocaína o crack. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_03
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_03 > R04_YOUTHAGE.
PATH ID:
R04_YX0082_NB_04_LC1
La computadora registró que la primera vez que usted comenzó a consumir estimulantes como
metanfetamina o speed fue a la edad de [R04_YX0082_NB_04]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_04
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_04 <= 10.
PATH ID:
R04_YX0082_NB_04_LC2
La computadora registró que usted tenía [R04_YX0082_NB_04] años la primera vez que usted
comenzó a consumir estimulantes como metanfetamina o speed. Son más años de los que usted tiene
actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_04
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_04 > R04_YOUTHAGE.
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PATH
Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0082_NB_05_LC1
La computadora registró que la primera vez que usted comenzó a consumir otras drogas como heroína,
inhalantes, disolventes o alucinógenos fue a la edad de [R04_YX0082_NB_05]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_05
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_05 <= 10.
PATH ID:
R04_YX0082_NB_05_LC2
La computadora registró que usted tenía [R04_YX0082_NB_05] años la primera vez que usted
comenzó a consumir otras drogas como heroína, inhalantes, disolventes o alucinógenos. Son más años
de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0082_NB_05
2
NEXT
GO TO BOX R04_YXR30
ASK: IF R04_YX0082_NB_05 > R04_YOUTHAGE.
PATH ID:
R04_YX0272_NB
La primera vez que consumió [SUBSTANCEFILL], ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who did not know or refused to report age they first used
substance.
BOX ID:
R04_YXR30
If new baseline youth respondent reported valid age of first use and has ever used any form of tobacco,
and onset of tobacco use precedes onset of substance use, go to R04_YX0083_NB.
Else, go to Box R04_YXR47.
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PATH ID:
R04_YX0083_NB
La primera vez que consumió [SUBSTANCEFILL] cuando tenía {AGE OF FIRST SUBSTANCE USE}
años, ¿también [fumaba cigarrillos/consumía productos de tabaco/fumaba cigarrillos o consumía otros
productos de tabaco]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used tobacco and substances, where age of
onset of tobacco use precedes onset of substance use.
DISPLAY: FILL {AGE OF FIRST SUBSTANCE USE} WITH AGE REPORTED IN R04_YX0082_NB.
IF R04_EVER_USE_CIGSONLY = 1, DISPLAY "fumaba cigarrillos".
IF R04_EVER_USE_TOBXCIGS = 1, DISPLAY "consumía productos de tabaco".
IF R04_EVER_USE_DUAL= 1, DISPLAY "fumaba cigarrillos o consumía otros productos de tabaco".
BOX ID:
R04_YXR47
New baseline youth respondents who have remaining substance loops to complete, go back to
R04_YX0082_NB and repeat for remaining substances.
Else, if new baseline youth respondent has no remaining substance loops to complete, go to Box
R04_YXD03.
BOX ID:
R04_YXD03
DISPLAY INSTRUCTIONS
For R04_YX0089_12M and R04_YX0220_12M, display a "Sí" and "No" column with options for each
response category.
BOX ID:
R04_YXR48
New baseline youth respondents who have ever used Ritalin® or Adderall®, or painkillers, sedatives, or
tranquilizers and continuing youth respondents, go to R04_YX0089_12M.
Else, new baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs,
go to R04_YX0220_12M.
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PATH ID:
R04_YX0089_12M
En los últimos 12 meses, ¿ha tomado alguno de los siguientes medicamentos que se venden con
receta médica y que no le recetaron o que ha tomado únicamente por las sensaciones que dan?
1
Ritalin® o Adderall®
2
Analgésicos, sedantes o tranquilizantes
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used Ritalin® or Adderall®, or painkillers,
sedatives, or tranquilizers and continuing youth respondents.
DISPLAY: UNDERLINE "no" AND "únicamente".
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0089_NB_01 = 1, DISPLAY OPTION 1; ELSE, DO NOT
DISPLAY OPTION 1.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0089_NB_02 = 1, DISPLAY OPTION 2; ELSE, DO NOT
DISPLAY OPTION 2.
IF R04_YOUTHTYPE = 1, DISPLAY ALL RESPONSE OPTIONS.
BOX ID:
R04_YXR49
New baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs and
continuing youth respondents, go to R04_YX0220_12M.
Else, go to Box R04_YXR08.
PATH ID:
R04_YX0220_12M
En los últimos 12 meses, ¿ha consumido alguna de las siguientes sustancias?
1
Cocaína o crack
2
Medicamentos estimulantes como metanfetaminas o anfetaminas (speed)
3
Alguna otra droga tal como la heroína, inhalantes, disolventes o alucinógenos
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs
and continuing youth respondents.
DISPLAY: IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_01 = 1, DISPLAY RESPONSE OPTION
1; ELSE, DO NOT DISPLAY OPTION 1.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_02 = 1, DISPLAY RESPONSE OPTION 2; ELSE,
DO NOT DISPLAY OPTION 2.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_03 = 1, DISPLAY RESPONSE OPTION 3; ELSE,
DO NOT DISPLAY OPTION 3.
IF R04_YOUTHTYPE = 1, DISPLAY ALL RESPONSE OPTIONS.
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BOX ID:
R04_YXR08
PROGRAM: Repeat R04_YX0676[_01/.../_05] for each substance selected in
R04_YX0089_12M[_01/_02] and R04_YX0220_12M[_01/_02/_03].
If no substances are selected in R04_YX0089_12M[_01/_02] and R04_YX0220_12M[_01/_02/_03], go
to Box R04_YXV02.
PATH ID:
R04_YX0676
¿Ha consumido [SUBSTANCEFILL] en los últimos 30 días?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used a substance in the past 12 months.
DISPLAY: UNDERLINE "'últimos 30 días".
BOX ID:
R04_YXR01
Youth respondents who have remaining substance loops to complete, go back to R04_YX0676 and
repeat for remaining substances.
Else, if youth respondent has no remaining substance loops to complete, go to Box R04_YXV02.
BOX ID:
R04_YXV02
PROGRAM: CREATE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
R04_EVER_USER_ALC = Has ever used alcohol
R04_EVER_USER_MJ = Has ever used marijuana
R04_EVER_USER_RIT = Has ever used Ritalin® or Adderall®
R04_EVER_USER_PK = Has ever used painkillers, sedatives, or tranquilizers
R04_EVER_USER_COC = Has ever used cocaine or crack
R04_EVER_USER_STIM = Has ever used stimulants like methamphetamine or speed
R04_EVER_USER_OTH = Has ever used other drugs like heroin, inhalants, solvents, or hallucinogens
R04_SUBSTANCE_COUNT = Count of the number of substances ever used
BOX ID:
R04_YXR02
If youth respondent has used at least one substance, go to R04_YX0170.
Else, go to Box R04_YMT01.
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PATH ID:
R04_YX0170
¿Cuándo fue la última vez que...
consumió alcohol u otras drogas semanalmente o con mayor frecuencia?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
BOX ID:
R04_YXR03
If youth respondent has used two or more substances and has used alcohol or drugs weekly or more
often, go to R04_YX0175.
Else, go to R04_YX0171.
PATH ID:
R04_YX0175
Usted mencionó que en el pasado consumió alcohol o drogas por lo menos semanalmente. ¿Qué
sustancias consumió semanalmente o con mayor frecuencia? No incluya los medicamentos que le
recetaron. Escoja todas las opciones que correspondan.
1
Alcohol
2
Marihuana, hachís, THC, mota, maría o hierba
3
Ritalin® o Adderall®
4
Analgésicos, sedantes o tranquilizantes
5
Cocaína o crack
6
Medicamentos estimulantes como metanfetaminas o anfetaminas (speed)
7
Alguna otra droga tal como la heroína, inhalantes, disolventes o alucinógenos
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who used alcohol or other drugs weekly or more often AND report ever using
two or more substances.
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PATH ID:
R04_YX0171
¿Cuándo fue la última vez que...
pasó mucho tiempo comprando alcohol u otras drogas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0172
¿Cuándo fue la última vez que...
seguía consumiendo alcohol u otras drogas a pesar de que le provocaba problemas sociales, originaba
peleas o lo metía en problemas con otras personas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0173
¿Cuándo fue la última vez que...
su consumo de alcohol u otras drogas disminuyó su compromiso con el trabajo, la escuela, la casa o
eventos sociales?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
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PATH ID:
R04_YX0193
¿Cuándo fue la última vez que...
pasó mucho tiempo recuperándose de los efectos del alcohol u otras drogas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0174
¿Cuándo fue la última vez que...
tuvo síntomas de abstinencia al alcohol u otras drogas como manos temblorosas, vómitos, dificultad
para estar quieto o dificultad para dormir?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0194
¿Cuándo fue la última vez que...
consumió alcohol u otras drogas para dejar de sentirse enfermo o para evitar sentir los síntomas de
abstinencia?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
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BOX ID:
R04_YXR31
Youth respondents who use two or more substances and who indicated alcohol or drugs caused
problems for them, go to R04_YX0176.
Else, go to Box R04_YMT01.
PATH ID:
R04_YX0176
Usted mencionó que el alcohol o las drogas le han provocado problemas. ¿Qué sustancias le
provocaron estos problemas? No incluya los medicamentos que le recetaron. Escoja todas las opciones
que correspondan.
1
Alcohol
2
Marihuana, hachís, THC, mota, maría o hierba
3
Ritalin® o Adderall®
4
Analgésicos, sedantes o tranquilizantes
5
Cocaína o crack
6
Medicamentos estimulantes como metanfetaminas o anfetaminas (speed)
7
Alguna otra droga tal como la heroína, inhalantes, disolventes o alucinógenos
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who use two or more substances and who indicated alcohol or drugs caused
problems for them.
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ADDITIONAL DEMOGRAPHICS
BOX ID:
R04_YMT01
Por último, tenemos algunas preguntas adicionales para usted.
PATH ID:
R04_YM0019
En los últimos 12 meses, ¿ha ido a la escuela en algún momento?
1
Sí
2
No
GO TO R04_YM0020
-8
DON'T KNOW
GO TO R04_YM0020
-7
REFUSED
GO TO R04_YM0020
ASK: All youth respondents.
PATH ID:
R04_YM0018
¿En qué grado está? Si está en vacaciones de verano o en feriado, elija el grado o año al que ingresará
cuando vuelva a la escuela.
1
4° grado o menos
GO TO R04_YM0032
2
5°
GO TO R04_YM0032
3
6°
GO TO R04_YM0032
4
7°
GO TO R04_YM0032
5
8°
GO TO R04_YM0032
6
9°
GO TO R04_YM0032
7
10°
GO TO R04_YM0032
8
11°
GO TO R04_YM0032
9
12° grado
GO TO R04_YM0032
10
Universidad, escuela vocacional o técnica
GO TO R04_YM0032
11
No está matriculado
GO TO R04_YM0032
12
Recibo mi educación en casa
GO TO R04_YM0032
13
En mi escuela no hay grados
GO TO R04_YM0032
-8
DON'T KNOW
GO TO R04_YM0032
-7
REFUSED
GO TO R04_YM0032
ASK: Youth respondents who went to school in the past 12 months.
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PATH ID:
R04_YM0020
¿Qué grado o año de escuela completó?
1
4° grado o menos
2
5°
3
6°
4
7°
5
8°
6
9°
7
10°
8
11°
9
12° grado
10
Universidad, escuela vocacional o técnica
11
Me educan en casa
12
En mi escuela no hay grados
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not go to school in the past 12 months.
PATH ID:
R04_YM0032
En los últimos 30 días, ¿hizo algún trabajo pagado fuera de casa? Esto incluye tanto a los trabajos
habituales como a trabajos de cuidado de niños o jardinería.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YM0008
En una semana normal, ¿cuánto dinero recibe en total? Incluya el dinero que recibió de un trabajo,
familiar, como propina o de otras fuentes.
1
Ninguno
2
Menos de un dólar
3
1 a 5 dólares
4
6 a 10 dólares
5
11 a 20 dólares
6
21 a 50 dólares
7
51 a 100 dólares
8
101 a 150 dólares
9
151 dólares o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YMR04
Youth respondents aged 17 and older, go to R04_YM0007.
Else, youth respondents aged 14 and older, go to R04_YM0021.
Else, go to R04_YX00769.
PATH ID:
R04_YM0007
¿Ha prestado alguna vez servicio militar en las Fuerzas Armadas, la Reserva o la Guardia Nacional de
Estados Unidos?
Nota: El servicio militar activo para la Reserva o la Guardia Nacional no incluye el entrenamiento
regular para la Reserva o la Guardia. Sí incluye estar activo para misiones militares, como por ejemplo
la Guerra de Iraq.
1
Sí. Actualmente está en servicio activo
2
Sí. Estuvo en servicio activo en el pasado pero no actualmente
3
No. Únicamente en entrenamiento para la Reserva o la Guardia
Nacional
GO TO R04_YM0021
4
No. Nunca ha prestado el servicio militar
GO TO R04_YM0021
-8
DON'T KNOW
GO TO R04_YM0021
-7
REFUSED
GO TO R04_YM0021
ASK: Youth respondents aged 17 and older.
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PATH ID:
R04_YM0011
¿En qué rama o ramas militares [presta/prestó] el servicio militar? Escoja todas las opciones que
correspondan.
1
Ejército
2
Marina
3
Fuerza Aérea
4
Cuerpo de Marines
5
Guardia Costera
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 17 and older who have been on active duty, both currently or in the past.
DISPLAY: IF R04_YM0007 = 1, DISPLAY "presta".
ELSE, IF R04_YM0007 = 2, DISPLAY "prestó".
PATH ID:
R04_YM0021
Las siguientes preguntas son acerca de su nivel de atracción sexual a AMBOS sexos, hombres y
mujeres.
Por favor, responda las preguntas cuidadosamente, ya que es importante que las entienda y que sea lo
más honesto posible.
¿Por quién se ha sentido atraído sexualmente, incluso si no hizo nada al respecto?
1
Solo por mujeres, nunca por hombres
2
Mayormente por mujeres y por lo menos una vez por hombres
3
Casi con la misma frecuencia por mujeres y hombres
4
Mayormente por hombres y por lo menos una vez por mujeres
5
Solo por hombres, nunca por mujeres
6
Nunca me he sentido atraído sexualmente por nadie
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older.
DISPLAY: FOR MALE RESPONDENTS, DISPLAY RESPONSE OPTIONS 1-5 IN THE SPECIFIED
ORDER. FOR FEMALE RESPONDENTS, DISPLAY RESPONSE OPTIONS 1-5 IN REVERSE ORDER,
WHERE RESPONSE OPTION 5 IS PRESENTED FIRST, OPTION 4 SECOND, ETC. IF SEX IS
UNKNOWN, DEFAULT TO ORDER SHOWN FOR MALE RESPONDENTS.
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PATH ID:
R04_YM0063
¿Se considera…
1
Heterosexual (le atraen personas del otro sexo)
2
Lesbiana o gay (le atraen personas del mismo sexo)
3
Bisexual (le atraen ambos sexos)
4
Otra cosa
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older.
PATH ID:
R04_YM0061
Algunas personas se describen a sí mismas como transgéneros o transexuales cuando se identifican
con un género distinto al de su sexo biológico al nacer. Por ejemplo, una persona transgénero o
transexual sería alguien que nació varón, pero que se siente mujer o que vive como una mujer.
¿Se considera transgénero o transexual?
1
Sí
2
No
GO TO R04_YX0769
-8
DON'T KNOW
GO TO R04_YX0769
-7
REFUSED
GO TO R04_YX0769
ASK: Youth respondents aged 14 and older.
PATH ID:
R04_YM0062
¿Se considera a sí mismo o a sí misma hombre a mujer, mujer a hombre o de género no conforme?
1
Sí, transgénero o transexual, hombre a mujer
1
Sí, transgénero o transexual, mujer a hombre
1
Sí, transgénero o transexual, de género no conforme
4
No
5
No está seguro
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older who are transgender.
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PATH ID:
R04_YX0769
En el futuro, es posible que el cuestionario de PATH se pueda contestar por Internet en su
computadora de escritorio, computadora portátil o tableta. Debido a su longitud, el cuestionario no se
podrá contestar en teléfonos inteligentes o smartphones.
Usted podrá contestar el cuestionario cuando le convenga, sin la presencia de un entrevistador. El
incentivo llegaría por correo unos días después de que conteste el cuestionario.
Cree que contestar el cuestionario PATH por Internet en su computadora de escritorio, computadora
portátil o tableta, ¿le interesaría mucho, un poco o en absoluto?
1
Me interesa mucho
GO TO R04_YL3000
2
Me interesa algo
GO TO R04_YL3000
3
No estoy interesado en absoluto
4
No estoy seguro
GO TO R04_YL3000
-8
DON'T KNOW
GO TO R04_YL3000
-7
REFUSED
GO TO R04_YL3000
ASK: All youth respondents.
PATH ID:
R04_YX0770
¿Por qué no? Escoja todas las opciones que correspondan.
1
No tengo computadora de escritorio, computadora portátil, ni tableta con acceso a Internet
2
Me preocupan las dificultades técnicas
3
Prefiero contar con la presencia de un entrevistador
4
Me preocupa la confidencialidad de mi información
5
Me preocupa no recibir mi incentivo
6
Otro (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who would not be interested in doing PATH questionnaires online in the future.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YL3000
Ha terminado[ esta parte en] el cuestionario. Por favor entréguele la computadora al entrevistador.
1
CONTINUE
ASK: All youth respondents.
DISPLAY: IF R04_E_YOUTH = 1, DISPLAY "esta parte en ";
ELSE, DO NOT DISPLAY THIS TEXT.
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PATH ID:
R04_YL3001
Ahora el entrevistador tendrá que ingresar la clave de la computadora.
1
I__I__I__I__I MONITOR PASSWORD
ASK: All youth respondents.
PATH ID:
R04_ERR_YL3001
The password you entered was incorrect.
Please press the BACK button and re-enter. Don't forget to press the ERASE button before you re-enter
your answer.
1
BACK
GO TO R04_YL3001
ASK: If interviewer entered monitor password incorrectly.
BOX ID:
R04_YLR04
Emancipated youth respondents, go to R04_YL3002.
Else, go to R04_LCYS01.
PATH ID:
R04_YL3002
YOU MUST COLLECT CONTACT INFORMATION FROM THE RESPONDENT.
THE RESPONDENT IS AN EMANCIPATED YOUTH.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: Interviewers
DISPLAY: Display interviewer instructions in blue font.
BOLD "MUST".
BOX ID:
R04_YLR05
Emancipated youth, go to contact information section R04_YXT04.
Else, go to R04_LCYS01
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CONTACT INFORMATION – EMANCIPATED YOUTH
BOX ID:
R04_YXT04
CONTACT INFORMATION SECTION IS ASKED OF EMANCIPATED YOUTH ONLY.
PATH ID:
R04_YL0041
Ya que su continua participación en el Estudio PATH es importante para el éxito del estudio, quisiera
confirmar su información de contacto para mis registros. Únicamente usaremos esta información para
contactarle acerca de su participación en el estudio.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR01
Emancipated youth respondents who have a valid Wave 4 physical address, go to R04_YL0001.
Else, go to R04_YL0037.
PATH ID:
R04_YL0037
¿Cuál es su dirección?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
GO TO R04_YL0035
-7
REFUSED
GO TO R04_YL0035
ASK: Emancipated youth respondents who need to correct their physical address or who do not have a
valid physical address on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0002
¿Recibe usted el correo en esta dirección?
1
SÍ
2
NO
GO TO R04_YL0035
-8
DON'T KNOW
GO TO R04_YL0035
-7
REFUSED
GO TO R04_YL0035
ASK: Emancipated youth respondents who confirmed or provided their physical address.
PATH ID:
R04_YL0003
¿Me podría dar su dirección postal?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who do not receive mail at their physical address.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0035
¿Tiene otra vivienda en la que viva durante el año?
1
SÍ
2
NO
GO TO BOX R04_YLR02
-8
DON'T KNOW
GO TO BOX R04_YLR02
-7
REFUSED
GO TO BOX R04_YLR02
ASK: Emancipated youth respondents.
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PATH ID:
R04_YL0036
¿Cuál es la dirección de la otra vivienda?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who have a second home.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR02
Emancipated youth respondents who have a valid telephone number on file, go to R04_YL0004_12M.
Else, go to R04_YL0004.
PATH ID:
R04_YL0004
¿Cuál es el mejor número de teléfono para comunicarse con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who need to correct their telephone number, who don't know if
the telephone number provided is correct, or who do not have a valid telephone number on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR14
Emancipated youth respondents who provided their telephone number, go to R04_YL0038.
Else, emancipated youth respondents who did not provide, did not know, or refused to report a valid
telephone number, go to R04_YL0012.
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PATH ID:
R04_YL0038
¿Es este número de un celular?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YLR03
ASK: Emancipated youth respondents who confirmed or provided their telephone number.
PATH ID:
R04_YL0032
¿Podemos comunicarnos con usted con mensajes de texto por este número?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who said their telephone number is a cell phone or did not know
or refused to report whether it is a cell phone.
BOX ID:
R04_YLR03
Emancipated youth respondents who have a valid second telephone number on file, go to R04_YL0005.
Else, go to R04_YL0006.
PATH ID:
R04_YL0005
Tengo anotado que su otro número de teléfono es [(XXX)-XXX-XXXX].
¿Es correcto?
IF SP DOES NOT WANT TO PROVIDE A SECOND PHONE NUMBER, ENTER REFUSED.
1
SÍ
2
NO
GO TO R04_YL0039
-8
DON'T KNOW
GO TO R04_YL0012
-7
REFUSED
GO TO R04_YL0012
ASK: Emancipated youth respondents who have a valid second telephone number on file.
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PATH ID:
R04_YL0006
¿Cuál es un número alterno que podamos utilizar para comunicarnos con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who need to correct their second telehone number or who do not
have a valid second telephone number on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR15
Emancipated youth respondents who provided their second phone number, go to R04_YL0039.
Else, emancipated youth respondents who did not provide, did not know, or refused to report a valid
second phone number, go to R04_YL0012.
PATH ID:
R04_YL0039
¿Es este número de un celular?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YL0012
ASK: Emancipated youth respondents who confirmed their phone number in R04_YL0005 or provided a
phone number in R04_YL0006.
PATH ID:
R04_YL0033
¿Podemos comunicarnos con usted con mensajes de texto por este número?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who said their second number is a cell phone or did not know or
refused to report whether it is a cell phone.
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PATH ID:
R04_YL0012
¿Me podría dar su correo electrónico?
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.
1
EMAIL NAME
2
EMAIL PROVIDER
-8
DON'T KNOW
-7
REFUSE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR09
Emancipated youth respondents who provided more than one mode of contact information, go to
R04_YL0017.
Else, go to R04_YL0018.
PATH ID:
R04_YL0017
¿Cuál es la mejor manera para comunicarse con usted?
1
PHONE
2
TEXT MESSAGE
3
E-MAIL
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided more than one mode of contact information.
PATH ID:
R04_YL0018
¿Tiene pensado mudarse ya sea de manera permanente o temporal dentro de los próximos 12 meses?
1
SÍ
2
NO
3
QUIZÁS
GO TO R04_YL0020
-8
DON'T KNOW
GO TO R04_YL0020
-7
REFUSED
GO TO R04_YL0020
ASK: Emancipated youth respondents.
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PATH ID:
R04_YL0019
¿Me podría decir un poco más acerca de sus planes de mudanza?
IF NEEDED: [Por ejemplo, su nueva dirección o la ciudad o el estado a donde tiene pensado mudarse.]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who plan to move in the next 12 months.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0020
Ya que quisiéramos volver a entrevistarlo es importante que podamos contactarlo en aproximadamente
un año. En caso de que no podamos contactarlo, ¿tiene algún familiar o amigo que no viva con usted y
que sepa cómo comunicarse con usted?
IF NEEDED: [Tenga la certeza de que solo usaremos esta información si no podemos comunicarnos
con usted.]
¿Cómo se llama esa persona?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE AND BOLD "FIRST NAME".
BOX ID:
R04_YLR10
If FIRST NAME is don’t know or refused, go to R04_YL3003.
Else, go to R04_YL0022.
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PATH ID:
R04_YL0022
¿Cuál es la dirección de esa persona?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0023
¿Cuál es el número de teléfono de esa persona?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0021
¿Qué relación o parentesco tiene con usted?
1
ESPOSO O ESPOSA
2
PADRE O MADRE (INCLUYENDO LOS SUEGROS)
4
ABUELO O ABUELA
8
HERMANO O HERMANA (INCLUYENDO CUÑADOS O CUÑADAS)
13
AMIGO O AMIGA/VECINO O VECINA
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who who provided a first name for a proxy contact in
R04_YL0020.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YL0025
¿Podría darme el nombre de otro familiar o amigo que sepa cómo comunicarse con usted?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE AND BOLD "FIRST NAME".
BOX ID:
R04_YLR11
If FIRST NAME is don’t know or refused, go to R04_YL3003.
Else, go to R04_YL0027
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PATH ID:
R04_YL0027
¿Cuál es la dirección de esa persona?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0028
¿Cuál es el número de teléfono de esa persona?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0026
¿Qué relación o parentesco tiene con usted?
1
ESPOSO O ESPOSA
2
PADRE O MADRE (INCLUYENDO LOS SUEGROS)
4
ABUELO O ABUELA
8
HERMANO O HERMANA (INCLUYENDO CUÑADOS O CUÑADAS)
13
AMIGO O AMIGA/VECINO O VECINA
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YL3003
Si se muda o cambia de número de teléfono sírvase actualizar su información de contacto en la página
en Internet del Estudio PATH o llamando a nuestra línea directa y gratuita. Cada año podría recibir 5
dólares en su tarjeta de débito como agradecimiento por actualizar su información de contacto.
Gracias por su tiempo y por contestar estas preguntas.
ENTER 1 TO CONTINUE.
1
CONTINUE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_LCYS01
INTERVIEWER: IN WHAT LANGUAGE DID YOU MOSTLY CONDUCT THE CAPI PORTIONS OF
THIS INTERVIEW?
1
ENGLISH
END INTERVIEW AND RETURN TO IMS
2
SPANISH
END INTERVIEW AND RETURN TO IMS
ASK: All youth respondents (asked of Interviewer).
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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APPENDIX: USER GROUPS
Variable Name
Variable Description
User Group Definition
Ever or Never users - Cigarettes
R04_EVER_NEVER_CIGS_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a cigarette.
(2) Never user = Youth respondents who have
not ever smoked a cigarette.
IF (R04_YC1002_NB = 1 OR
R04_YC1002_12M = 1 OR
R03_EVER_NEVER_CIGS = 1), THEN
R04_EVER_NEVER_CIGS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_CIGS_YOUTH !=
1, THEN R04_EVER_NEVER_CIGS_YOUTH =
2.
Initiators - Cigarettes
R04_INIT_CIGS_YOUTH
(1) Initiator = Youth respondents who initiated
cigarette use between Waves or new baseline
youth respondents who have ever smoked a
cigarette.
(2) Non-initiator = Youth respondents who did
not initiate cigarette use between Waves or new
baseline youth respondent who have not ever
smoked a cigarette.
IF R03_EVER_NEVER_CIGS ! = 1 AND
R04_EVER_NEVER_CIGS_YOUTH = 1, THEN
R04_INIT_CIGS_YOUTH = 1.
ELSE, R04_INIT_CIGS_YOUTH = 2.
Past 30 Day Users - Cigarettes
R04_PAST30DAY_CIGS
(1) Past 30 day user = Youth respondents who
have smoked a cigarette in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarette in the past 30
days.
IF R04_YC1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_CIGS = 1.
ELSE, R04_PAST30DAY_CIGS = 2.
Past 30 Day "Very Light" or "Not Light" Cigarettes
R04_PAST30DAY_CIGS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a cigarette in the
past 30 days, and have smoked 10 or less
cigarettes in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a cigarette in the
past 30 days, and have smoked more than 10
cigarettes in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YC1005 = 1 OR 2 OR 3 AND
R03_NUMLIFE_CIGS != 1) AND (R04_YC1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_CIGS_LEVEL = 1.
ELSE, IF (R04_YC1005 > 3 OR R04_YC1005 =
-8, -7 OR R03_NUMLIFE_CIGS = 1) AND
(R04_YC1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_CIGS_LEVEL= 2.
ELSE, R04_PAST30DAY_CIGS_LEVEL = 8.
CIGARETTES
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Electronic Nicotine
Products
R04_EVER_NEVER_EPRODS_YOUTH
(1) Ever user = Youth respondents who have
ever used an electronic nicotine product.
(2) Never user = Youth respondents who have
not ever used an electronic nicotine product.
IF (R03_EVER_NEVER_EPRODS = 1 OR
(R04_YV1001_NB = 1 AND R04_YV1002_NB =
1) OR R04_YV1002_12M = 1), THEN
R04_EVER_NEVER_EPRODS_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_EPRODS_YOUTH != 1,
THEN R04_EVER_NEVER_EPRODS_YOUTH
= 2.
Initiators - E-Products
R04_INIT_EPRODS_YOUTH
(1) Initiator = Youth respondents who initiated eproduct use between Waves or new baseline
youth respondents who have ever used an eproduct.
(2) Non-initiator = Youth respondents who have
not initiated e-product use between Waves or
new baseline youth respondents who have not
ever used an e-product.
IF R03_EVER_NEVER_EPRODS != 1 AND
R04_EVER_NEVER_EPRODS = 1, THEN
R04_INIT_EPRODS_YOUTH = 1.
ELSE, R04_INIT_EPRODS_YOUTH = 2.
Past 30 Day Users - E-Products
R04_PAST30DAY_EPRODS
(1) Past 30 day user = Youth respondents who
have used an e-product in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not used an e-product in the past 30
days.
IF R04_YV1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_EPRODS = 1.
ELSE, R04_PAST30DAY_EPRODS = 2.
Past 30 Day "Very Light" or "Not Light
Users - E-Products
R04_PAST30DAY_EPRODS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used an e-product in the
past 30 days, and have used an e-product only
once in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used an e-product in the
past 30 days, and have used e-products more
than once in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YV1005 = 1 AND
R03_NUMLIFE_EPROD != 1) AND
(R04_YV1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_EPRODS_LEVEL = 1.
ELSE, IF (R04_YV1005 > 1 OR R04_YV1005 =
-8, -7 OR R03_NUMLIFE_EPROD = 1) AND
(R04_YV1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_EPRODS_LEVEL= 2.
ELSE, R04_PAST30DAY_EPRODS_LEVEL =
8.
ENDS
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Variable Name
Variable Description
User Group Definition
Ever or Never Smokers – Traditional
Cigars
R04_EVER_NEVER_GTRAD_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a traditional cigar.
(2) Never user = Youth respondents who have
not ever smoked a traditional cigar.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_01 = 1) OR
R04_YG9104_12M_01 = 1 OR
R03_EVER_NEVER_GTRAD = 1, THEN
R04_EVER_NEVER_GTRAD_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_GTRAD_YOUTH
!= 1, THEN
R04_EVER_NEVER_GTRAD_YOUTH = 2.
Initiators – Traditional Cigars
R04_INIT_GTRAD_YOUTH
(1) Initiator = Youth respondents who initiated
traditional cigar use between Waves or new
baseline youth respondents who have ever
smoked a traditional cigar.
(2) Non-initiator = Youth respondents who did
not initiate traditional cigar use between Waves
or new baseline youth respondents who have
not ever smoked a traditional cigar.
IF R03_EVER_NEVER_GTRAD != 1 AND
R04_EVER_NEVER_GTRAD_YOUTH = 1,
THEN R04_INIT_GTRAD_YOUTH = 1.
ELSE, R04_INIT_GTRAD_YOUTH = 2.
Past 30 Day Smokers - Traditional
Cigars
R04_PAST30DAY_GTRAD
(1) Past 30 day user = Youth respondents who
have smoked a traditional cigar in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a traditional cigar in the
past 30 days.
IF R04_YG1112TC = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GTRAD = 1.
ELSE, R04_PAST30DAY_GTRAD = 2.
Past 30 Day "Very Light" or "Not Light"
Smokers - Traditional Cigars
R04_PAST30DAY_GTRAD_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a traditional
cigar in the past 30 days, and have smoked 10
or less traditional cigars in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a traditional
cigar in the past 30 days, and have smoked
more than 10 traditional cigars in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005TC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GTRAD != 1) AND
(R04_YG1112TC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GTRAD_LEVEL = 1.
ELSE, IF (R04_YG1005TC > 3 OR
R04_YG1005TC = -8, -7 OR
R03_NUMLIFE_GTRAD = 1) AND
(R04_YG1112TC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GTRAD_LEVEL = 2.
ELSE, R04_PAST30DAY_GTRAD_LEVEL = 8.
CIGARS
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Variable Name
Variable Description
User Group Definition
Past 12 Month Blunt-Only Smokers –
Traditional Cigars
R04_12MBLUNT_ONLY_BTRAD
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke traditional cigars as
blunts every time when smoked in the past 12
months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke traditional cigars
as blunts every time when smoked in the past
12 months.
IF R04_YG9106_01 = 1 AND R04_YG1095_01
= 1, THEN R04_12MBLUNT_ONLY_BTRAD =
1.
ELSE, R04_12MBLUNT_ONLY_BTRAD = 2.
Past 30 Day Blunt-Only Smokers –
Traditional Cigars
R04_30DBLUNT_ONLY_BTRAD
(1) Past 30 day user = Youth respondents who
have smoked a traditional cigar as a blunt in the
past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a traditional cigar as a
blunt in the past 30 days.
IF R04_12MBLUNT_ONLY_BTRAD = 1 AND
R04_YJ1112TC = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BTRAD = 1.
ELSE, R04_30DBLUNT_ONLY_BTRAD = 2.
Initiators – Traditional Cigars as Blunts
R04_INIT_BLUNT_BTRAD_YOUTH
(1) Initiator = Youth respondents who initiated
smoking traditional cigars as blunts between
Waves or new baseline youth respondents who
have ever used traditional cigars as blunts every
time in the past 12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking traditional cigars as blunts
between Waves or new baseline youth
respondents who have not ever used traditional
cigars as blunts.
(1) Ever user = Youth respondents who have
ever smoked a cigarillo.
(2) Never user = Youth respondents who have
not ever smoked a cigarillo.
IF R03_EVER_NEVER_BTRAD != 1 AND
R04_YG1095_01 = 1 AND R04_YG9106_01 =
1, THEN R04_INIT_BLUNT_BTRAD_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BTRAD_YOUTH = 2.
Ever or Never Smokers – Cigarillos
R04_EVER_NEVER_GRILLO_YOUTH
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IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_02 = 1 AND
(R04_YG9009_NB_01= 1 OR
R04_YG9009_NB_03 = 1)) OR
R04_YG9009_12M_01 = 1 OR
R04_YG9009_12M_03 = 1 OR
R03_EVER_NEVER_GRILLO = 1, THEN
R04_EVER_NEVER_GRILLO_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_GRILLO_YOUTH != 1,
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Youth Questionnaire (Spanish) – New and Aged-Up Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
User Group Definition
THEN R04_EVER_NEVER_GRILLO_YOUTH =
2.
Initiators – Cigarillos
R04_INIT_GRILLO_YOUTH
(1) Initiator = Youth respondents who initiated
cigarillo use between Waves or new baseline
youth respondents who have ever smoked a
cigarillo.
(2) Non-initiator = Youth respondents who did
not initiate cigarillo use between Waves or new
baseline youth respondents who have not ever
smoked a cigarillo.
IF R03_EVER_NEVER_GRILLO != 1 AND
R04_EVER_NEVER_GRILLO_YOUTH = 1,
THEN R04_INIT_GRILLO_YOUTH = 1.
ELSE, R04_INIT_GRILLO_YOUTH = 2.
Past 30 Day Smokers - Cigarillos
R04_PAST30DAY_GRILLO
(1) Past 30 day user = Youth respondents who
have smoked a cigarillo in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarillo in the past 30
days.
IF R04_YG1112CL = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GRILLO = 1.
ELSE, R04_PAST30DAY_GRILLO = 2.
Past 30 Day "Very Light" or "Not Light"
Smokers - Cigarillos
R04_PAST30DAY_GRILLO_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a cigarillo in the
past 30 days, and have smoked 10 or less
cigarillos in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a cigarillo in the
past 30 days, and have smoked more than 10
cigarillos in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005CL = 1 OR 2 OR 3 AND
R03_NUMLIFE_GRILLO != 1) AND
(R04_YG1112CL = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GRILLO_LEVEL = 1.
ELSE, IF (R04_YG1005CL > 3 OR
R04_YG1005CL = -8, -7 OR
R03_NUMLIFE_GRILLO = 1) AND
(R04_YG1112CL = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GRILLO_LEVEL = 2.
ELSE, R04_PAST30DAY_GRILLO_LEVEL = 8.
Past 12 Month Blunt-Only Smokers –
Cigarillos
R04_12MBLUNT_ONLY_BRILLO
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke cigarillos as blunts
every time when smoked in the past 12 months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke cigarillos as
blunts every time when smoked in the past 12
months.
IF R04_YG9106_02 = 1 AND R04_YG1095_02
= 1, THEN R04_12MBLUNT_ONLY_BRILLO =
1.
ELSE, R04_12MBLUNT_ONLY_BRILLO = 2.
Past 30 Day Blunt-Only Smokers –
Cigarillos
(1) Past 30 day user = Youth respondents who
have smoked a cigarillo as a blunt in the past 30
IF R04_12MBLUNT_ONLY_BRILLO = 1 AND
R04_YJ1112CG = 1 OR 2 OR 3, THEN
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Variable Name
Variable Description
User Group Definition
R04_30DBLUNT_ONLY_BRILLO
days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarillo as a blunt in the
past 30 days.
R04_30DBLUNT_ONLY_BRILLO = 1.
ELSE, R04_30DBLUNT_ONLY_BRILLO = 2.
Initiators – Cigarillos as Blunts
R04_INIT_BLUNT_BRILLO_YOUTH
(1) Initiator = Youth respondents who initiated
smoking cigarillos as blunts between Waves or
new baseline youth respondents who have ever
used cigarillos as blunts every time in the past
12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking cigarillos as blunts between
Waves or new baseline youth respondents who
have not ever used cigarillos as blunts.
IF R03_EVER_NEVER_BRILLO != 1 AND
R04_YG1095_02 = 1 AND R04_YG9106_02 =
1, THEN R04_INIT_BLUNT_BRILLO_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BRILLO_YOUTH = 2.
Ever or Never Smokers – Filtered Cigars
R04_EVER_NEVER_GFILTR_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a filtered cigar.
(2) Never user = Youth respondents who have
not ever smoked a filtered cigar.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_02 = 1 AND
R04_YG9009_NB_02 = 1) OR
R04_YG9009_12M_02 = 1 OR
R03_EVER_NEVER_GFILTR = 1, THEN
R04_EVER_NEVER_GFILTR_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_GFILTR_YOUTH
!= 1, THEN
R04_EVER_NEVER_GFILTR_YOUTH = 2.
Initiators – Filtered Cigars
R04_INIT_GFILTR_YOUTH
(1) Initiator = Youth respondents who initiated
filtered cigar use between Waves or new
baseline youth respondents who ever smoked a
filtered cigar.
(2) Non-initiator = Youth respondents who did
not initiate filtered cigar use between Waves or
new baseline youth respondents who have not
ever smoked a filtered cigar.
IF R03_EVER_NEVER_GFILTR != 1 AND
R04_EVER_NEVER_GFILTR_YOUTH = 1,
THEN R04_INIT_GFILTR_YOUTH = 1.
ELSE, R04_INIT_GFILTR_YOUTH = 2.
Past 30 Day Users – Filtered Cigars
R04_PAST30DAY_GFILTR
(1) Past 30 day user = Youth respondents who
have smoked a filtered cigar in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a filtered cigar in the past
IF R04_YG1112FC = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GFILTR = 1.
ELSE, R04_PAST30DAY_GFILTR = 2.
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Wave 4 (version 4.0)
Variable Name
Variable Description
User Group Definition
30 days.
Past 30 Day "Very Light" or "Not light"
Smokers - Filtered Cigars
R04_PAST30DAY_GFILTR_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a filtered cigar in
the past 30 days, and have smoked 10 or less
filtered cigars in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a filtered cigar in
the past 30 days, and have smoked more than
10 filtered cigars in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005FC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GFILTR != 1) AND
(R04_YG1112FC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GFILTR_LEVEL = 1.
ELSE, IF (R04_YG1005FC > 3 OR
R04_YG1005FC = -8, -7 OR
R03_NUMLIFE_GFILTR = 1) AND
(R04_YG1112FC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GFILTR_LEVEL = 2.
ELSE, R04_PAST30DAY_GFILTR_LEVEL = 8.
Past 12 Month Blunt-Only Smokers –
Filtered Cigars
R04_12MBLUNT_ONLY_BFILTR
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke filtered cigars as blunts
every time when smoked in the past 12 months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke filtered cigars as
blunts every time when smoked in the past 12
months.
IF R04_YG9106_03 = 1 AND R04_YG1095_03
= 1, THEN R04_12MBLUNT_ONLY_BFILTR =
1.
ELSE, R04_12MBLUNT_ONLY_BFILTR = 2.
Past 30 Day Blunt-Only Smokers –
Filtered Cigars
R04_30DBLUNT_ONLY_BFILTR
(1) Past 30 day user = Youth respondents who
have smoked a filtered cigar as a blunt in the
past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a filtered cigar as a blunt
in the past 30 days.
IF R04_12MBLUNT_ONLY_BFILTR = 1 AND
R04_YJ1112FC = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BFILTR = 1.
ELSE, R04_30DBLUNT_ONLY_BFILTR = 2.
Initiators – Filtered Cigars as Blunts
R04_INIT_BLUNT_BFILTR_YOUTH
(1) Initiator = Youth respondents who initiated
smoking filtered cigars as blunts between
Waves or new baseline youth respondents who
have ever used filtered cigars as blunts every
time in the past 12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking filtered cigars as blunts
between Waves or new baseline youth
respondents who have not ever used filtered
cigars as blunts.
IF R03_EVER_NEVER_BFILTR != 1 AND
R04_YG9106_03 = 1 AND R04_YG1095_03 =
1, THEN R04_INIT_BLUNT_BFILTR_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BFILTR_YOUTH = 2.
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Pipe
R04_EVER_NEVER_PIPE_YOUTH
(1) Ever user = Youth respondents who have
ever smoked pipe tobacco.
(2) Never user = Youth respondents who have
not ever smoked pipe tobacco.
IF (R04_YP1001_NB = 1 AND
R04_YP1002_NB = 1) OR R04_YP1002_12M =
1 OR R03_EVER_NEVER_PIPE = 1, THEN
R04_EVER_NEVER_PIPE_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_PIPE_YOUTH !=
1, THEN R04_EVER_NEVER_PIPE_YOUTH =
2.
Initiator - Pipe
R04_INIT_PIPE_YOUTH
(1) Initiator = Youth respondents who initiated
pipe use between Waves or new baseline youth
respondents who have ever smoked a pipe.
(2) Non-initiator = Youth respondents who did
not initiate pipe use between Waves or new
baseline youth respondents who have not ever
smoked a pipe.
IF R03_EVER_NEVER_PIPE != 1 AND
R04_EVER_NEVER_PIPE_YOUTH = 1, THEN
R04_INIT_PIPE_YOUTH = 1.
ELSE, R04_INIT_PIPE_YOUTH = 2.
Past 30 Day Users - Pipe
R04_PAST30DAY_PIPE
(1) Past 30 day user = Youth respondents who
have smoked a pipe in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a pipe in the past 30
days.
IF R04_YP1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_PIPE = 1.
ELSE, R04_PAST30DAY_PIPE = 2.
Ever or Never Users - Hookah
R04_EVER_NEVER_HOOK_YOUTH
(1) Ever user = Youth respondents who have
ever smoked hookah.
(2) Never user = Youth respondents who have
not ever smoked hookah.
IF (R04_YH1001_NB = 1 AND
R04_YH1002_NB = 1) OR R04_YH1002_12M =
1 OR R03_EVER_NEVER_HOOK = 1, THEN
R04_EVER_NEVER_HOOK_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_HOOK_YOUTH
!= 1, THEN
R04_EVER_NEVER_HOOK_YOUTH = 2.
Initiator - Hookah
R04_INIT_HOOK_YOUTH
(1) Initiator = Youth respondents who initiated
hookah use between Waves or new baseline
youth respondents who have ever smoked a
hookah.
(2) Non-initiator = Youth respondents who have
IF R03_EVER_NEVER_HOOK != 1 AND
R04_EVER_NEVER_HOOK_YOUTH = 1,
THEN R04_INIT_HOOK_YOUTH = 1.
ELSE, R04_INIT_HOOK_YOUTH = 2.
PIPES
HOOKAH
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Variable Name
Variable Description
User Group Definition
did not initiate hookah use between Waves or
new baseline youth respondents who have not
ever smoked a hookah.
Past 30 Day Users - Hookah
R04_PAST30DAY_HOOK
(1) Past 30 day user = Youth respondents who
have smoked hookah in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked hookah in the past 30
days.
IF R04_YH1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_HOOK = 1.
ELSE, R04_PAST30DAY_HOOK = 2.
Ever or Never Users - Snus
R04_EVER_NEVER_SNUS_YOUTH
(1) Ever user = Youth respondents who have
ever used snus.
(2) Never user = Youth respondents who have
not ever used snus.
IF (R04_YU1001_NB = 1 AND
R04_YU1002_NB = 1) OR R04_YU1002_12M =
1 OR R03_EVER_NEVER_SNUS = 1, THEN
R04_EVER_NEVER_SNUS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_SNUS_YOUTH
!= 1, THEN
R04_EVER_NEVER_SNUS_YOUTH = 2.
Initiator - Snus
R04_INIT_SNUS_YOUTH
(1) Initiator = Youth respondents who initiated
snus use between Waves or new baseline youth
respondents who have ever used snus.
(2) Non-initiator = Youth respondents who did
not initiate snus use between Waves or new
baseline youth respondents who have not ever
used snus.
IF R03_EVER_NEVER_SNUS != 1 AND
R04_EVER_NEVER_SNUS_YOUTH = 1, THEN
R04_INIT_SNUS_YOUTH = 1.
ELSE, R04_INIT_SNUS_YOUTH = 2.
Past 30 Day Users - Snus
R04_PAST30DAY_SNUS
(1) Past 30 day user = Youth respondents who
have used snus in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not used snus in the past 30 days.
IF R04_YU1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SNUS = 1.
ELSE, R04_PAST30DAY_SNUS = 2.
SNUS
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Wave 4 (version 4.0)
Variable Name
Variable Description
User Group Definition
Past 30 Day "Very Light" or "Not Light"
Users - Snus
R04_PAST30DAY_SNUS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used snus in the past 30
days, and have used snus 10 or fewer times in
their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used snus in the past 30
days, and have used snus more than 10 times in
their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YU1005 = 1 OR 2) AND (R04_YU1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_SNUS_LEVEL = 1.
ELSE, IF (R04_YU1005> 2 OR R04_YU1005 = 8, -7 OR R03_NUMLIFE_SNUS = 1) AND
(R04_YU1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_SNUS_LEVEL = 2.
ELSE, R04_PAST30DAY_SNUS_LEVEL = 8.
Ever or Never Users - Smokeless
Tobacco
R04_EVER_NEVER_SMKLS_YOUTH
(1) Ever user = Youth respondents who have
ever used smokeless tobacco.
(2) Never user = Youth respondents who have
not ever used smokeless tobacco.
IF (R04_YS1001_NB = 1 AND
R04_YS1002_NB = 1) OR R04_YS1002_12M =
1 OR R03_EVER_NEVER_SMKLS = 1, THEN
R04_EVER_NEVER_SMKLS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_SMKLS_YOUTH
!= 1, THEN
R04_EVER_NEVER_SMKLS_YOUTH = 2.
Initiator - Smokeless Tobacco
R04_INIT_SMKLS_YOUTH
(1) Initiator = Youth respondents who initiated
smokeless tobacco use between Waves or new
baseline youth respondents who have ever used
smokeless tobacco.
(2) Non-initiator = Youth respondents who did
not initiate smokeless tobacco use between
Waves or new baseline youth respondents who
have not ever used smokeless tobacco.
IF R03_EVER_NEVER_SMKLS != 1 AND
R04_EVER_NEVER_SMKLS_YOUTH = 1,
THEN R04_INIT_SMKLS_YOUTH = 1.
ELSE, R04_INIT_SMKLS_YOUTH = 2.
SMOKELESS TOBACCO
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Variable Name
Variable Description
User Group Definition
Past 30 Day Users – Smokeless
Tobacco
R04_PAST30DAY_SMKLS
(1) Past 30 day user = Youth respondents who
have used smokeless tobacco in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not used smokeless tobacco in the
past 30 days.
IF R04_YS1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SMKLS = 1.
ELSE, R04_PAST30DAY_SMKLS = 2.
Past 30 Day "Very Light" or "Not Light"
Users - Smokeless Tobacco
R04_PAST30DAY_SMKLS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used smokeless tobacco
in the past 30 days, and have used 10 times or
less in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used smokeless tobacco
in the past 30 days, and have used more than
10 times in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YS1005 = 1 OR 2) AND (R04_YS1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_SMKLS_LEVEL = 1.
ELSE, IF (R04_YS1005 > 2 OR R04_YS1005 =
-8, -7 OR R03_NUMLIFE_SMKLS = 1) AND
R04_YS1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SMKLS_LEVEL = 2.
ELSE, R04_PAST30DAY_SMKLS_LEVEL = 8.
Ever or Never Users - Dissolvable
Tobacco
R04_EVER_NEVER_DISSBL_YOUTH
(1) Ever user = Youth respondents who have
ever used dissolvable tobacco.
(2) Never user = Youth respondents who have
not ever used dissolvable tobacco.
IF (R04_YD1001_NB = 1 AND
R04_YD1002_NB = 1) OR R04_YD1002_12M =
1 OR R03_EVER_NEVER_DISSBL = 1, THEN
R04_EVER_NEVER_DISSBL_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_DISSBL_YOUTH
!= 1, THEN
R04_EVER_NEVER_DISSBL_YOUTH = 2.
Initiator - Dissolvable Tobacco
R04_INIT_DISSBL_YOUTH
(1) Initiator = Youth respondents who initiated
dissolvable tobacco use between Waves new
baseline youth respondents who have ever used
dissolvable tobacco.
(2) Non-initiator = Youth respondents who did
not initiate dissolvable tobacco use between
Waves or new baseline youth respondents who
have not ever used dissolvable tobacco.
IF R03_EVER_NEVER_DISSBL != 1 AND
R04_EVER_NEVER_DISSBL_YOUTH = 1,
THEN R04_INIT_DISSBL_YOUTH = 1.
ELSE, R04_INIT_DISSBL_YOUTH = 2.
DISSOLVABLE TOBACCO
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Wave 4 (version 4.0)
Variable Name
Variable Description
User Group Definition
Past 30 Day Users - Dissolvable
Tobacco
R04_PAST30DAY_DISS
(1) Past 30 day user = Youth respondents who
have used dissolvable tobacco in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not used dissolvable tobacco in the
past 30 days.
IF R04_YD1002_30D = 1, THEN
R04_PAST30DAY_DISS = 1.
ELSE, R04_PAST30DAY_DISS = 2.
Ever or Never Users - Bidis
R04_EVER_NEVER_BIDI_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a bidi.
(2) Never user = Youth respondents who have
not ever smoked a bidi.
IF ((R04_YB9101_NB_01 = 1 OR
R04_YB9101_NB_02 = 1) AND
R04_YB9102_NB_01 = 1) OR
R04_YB9102_12M_01 = 1 OR
R03_EVER_NEVER_BIDI = 1, THEN
R04_EVER_NEVER_BIDI_YOUTH= 1.
ELSE, IF R04_EVER_NEVER_BIDI_YOUTH !=
1, THEN R04_EVER_NEVER_BIDI_YOUTH =
2.
Initiator - Bidis
R04_INIT_BIDI_YOUTH
(1) Initiator = Youth respondents who initiated
bidi use between Waves or new baseline youth
respondents who have ever smoked a bidi.
(2) Non-initiator = Youth respondents who did
not initiate bidi use between Waves or new
baseline youth respondents who have not ever
smoked a bidi.
IF R03_EVER_NEVER_BIDI != 1 AND
R04_EVER_NEVER_BIDI_YOUTH = 1, THEN
R04_INIT_BIDI_YOUTH = 1.
ELSE, R04_INIT_BIDI_YOUTH = 2.
Past 30 Day Users - Bidis
R04_PAST30DAY_BIDI
(1) Past 30 day user = Youth respondents who
have smoked a bidi in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have never smoked a bidi in the past 30
days.
IF R04_YB9102_30D_01 = 1, THEN
R04_PAST30DAY_BIDI = 1.
ELSE, R04_PAST30DAY_BIDI = 2.
Ever or Never Users - Kreteks
R04_EVER_NEVER_KRETEK_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a kretek.
(2) Never user = Youth respondents who have
not ever smoked a kretek.
IF ((R04_YB9101_NB_01 = 1 OR
R04_YB9101_NB_02 = 1) AND
R04_YB9102_NB_02 = 1) OR
R04_YB9102_12M_02 = 1 OR
R03_EVER_NEVER_KRETEK = 1, THEN
R04_EVER_NEVER_KRETEK_YOUTH = 1.
BIDIS AND KRETEKS
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Variable Name
Variable Description
User Group Definition
ELSE, IF
R04_EVER_NEVER_KRETEK_YOUTH != 1,
THEN R04_EVER_NEVER_KRETEK_YOUTH =
2.
Initiator - Kreteks
R04_INIT_KRETEK_YOUTH
(1) Initiator = Youth respondents who initiated
kretek use between Waves or new baseline
youth respondents who have ever smoked a
kretek.
(2) Non-initiator = Youth respondents who did
not initiate smokeless tobacco use between
Waves or new baseline youth respondents who
have not ever smoked a kretek.
IF R03_EVER_NEVER_KRETEK != 1 AND
R04_EVER_NEVER_KRETEK_YOUTH = 1,
THEN R04_INIT_KRETEK_YOUTH = 1.
ELSE, R04_INIT_KRETEK_YOUTH = 2.
Past 30 Day Users - Kreteks
R04_PAST30DAY_KRETEK
(1) Past 30 day user = Youth respondents who
have smoked a kretek in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have never smoked a kretek in the past 30
days.
IF R04_YB9102_30D_02 = 1, THEN
R04_PAST30DAY_KRETEK = 1.
ELSE, R04_PAST30DAY_KRETEK = 2.
(1) Ever user = Youth respondents who have
ever used any type of tobacco product(s) in
lifetime.
(2) Never user = Youth respondents who have
not ever used any type of tobacco product(s) in
lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 OR
R04_EVER_NEVER_EPRODS_YOUTH = 1 OR
(R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
R04_EVER_NEVER_PIPE_YOUTH = 1 OR
R04_EVER_NEVER_HOOK_YOUTH = 1 OR
R04_EVER_NEVER_SMKLS_YOUTH = 1 OR
R04_EVER_NEVER_SNUS_YOUTH = 1 OR
R04_EVER_NEVER_DISSBL_YOUTH = 1 OR
R04_EVER_NEVER_BIDI_YOUTH = 1 OR
R04_EVER_NEVER_KRETEK_YOUTH = 1,
THEN R04_EVER_USE_TOB=1.
TOBACCO (GENERAL)
Ever Users - Tobacco
R04_EVER_USE_TOB
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Variable Name
Variable Description
User Group Definition
ELSE, R04_EVER_USE_TOB=2.
Ever Users – Cigarettes Only
R04_EVER_USE_CIGSONLY
(1) Ever user = Youth respondents who have
ever used only cigarettes, and no other
products, in lifetime.
(2) Never user = Youth respondents who have
not ever used only cigarettes, and no other
products, in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 AND
R04_EVER_NEVER_EPRODS_YOUTH != 1
AND R04_EVER_NEVER_GTRAD_YOUTH != 1
AND R04_EVER_NEVER_GRILLO_YOUTH !=
1 AND R04_EVER_NEVER_GFILTR_YOUTH
!= 1 AND R04_EVER_NEVER_PIPE_YOUTH !=
1 AND R04_EVER_NEVER_HOOK_YOUTH !=
1 AND R04_EVER_NEVER_SMKLS_YOUTH !=
1 AND R04_EVER_NEVER_SNUS_YOUTH !=
1 AND R04_EVER_NEVER_DISSBL_YOUTH
!= 1 AND R04_EVER_NEVER_BIDI_YOUTH !=
1 AND R04_EVER_NEVER_KRETEK_YOUTH
!= 1, THEN R04_EVER_USE_CIGSONLY= 1.
ELSE, R04_EVER_USE_CIGSONLY= 2.
Ever Users - Dual
R04_EVER_USE_DUAL
(1) Ever user = Youth respondents who have
ever used cigarettes and at least one other
tobacco product in lifetime.
(2) Never user = Youth respondents who have
not ever used cigarettes and at least one other
tobacco product in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 AND
((R04_EVER_NEVER_EPRODS_YOUTH = 1)
OR (R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
(R04_EVER_NEVER_PIPE_YOUTH = 1) OR
(R04_EVER_NEVER_HOOK_YOUTH = 1) OR
(R04_EVER_NEVER_SMKLS_YOUTH = 1) OR
(R04_EVER_NEVER_SNUS_YOUTH = 1) OR
(R04_EVER_NEVER_DISSBL_YOUTH = 1) OR
(R04_EVER_NEVER_BIDI_YOUTH = 1) OR
(R04_EVER_NEVER_KRETEK_YOUTH = 1)),
THEN R04_EVER_USE_DUAL= 1.
ELSE, R04_EVER_USE_DUAL= 2.
Ever Users – Tobacco (Excluding
Cigarettes)
(1) Ever user = Youth respondents who have
ever used any tobacco products, excluding
IF R04_EVER_NEVER_CIGS_YOUTH = 2 AND
(R04_EVER_NEVER_EPRODS_YOUTH = 1
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Variable Name
Variable Description
User Group Definition
R04_EVER_USE_TOBXCIGS
cigarettes, in lifetime.
(2) Never user = Youth respondents who have
not ever used any tobacco products, excluding
cigarettes, in lifetime.
OR (R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
(R04_EVER_NEVER_PIPE_YOUTH = 1) OR
(R04_EVER_NEVER_HOOK_YOUTH = 1) OR
(R04_EVER_NEVER_SMKLS_YOUTH = 1) OR
(R04_EVER_NEVER_SNUS_YOUTH = 1) OR
(R04_EVER_NEVER_DISSBL_YOUTH = 1) OR
(R04_EVER_NEVER_BIDI_YOUTH = 1) OR
(R04_EVER_NEVER_KRETEK_YOUTH = 1)),
THEN R04_EVER_USE_TOBXCIGS = 1.
ELSE, R04_EVER_USE_TOBXCIGS = 2.
Past 30 Day Users - Tobacco
R04_PAST30DAY_TOB
(1) Past 30 day user = Youth respondents who
have used any tobacco product(s) in the past 30
days.
(2) Not past 30 day user = Youth respondents
who have not ever used any tobacco product(s)
in the past 30 days.
IF R04_PAST30DAY_CIGS = 1 OR
R04_PAST30DAY_EPRODS = 1 OR
R04_PAST30DAY_GTRAD = 1 OR
R04_PAST30DAY_GRILLO = 1 OR
R04_PAST30DAY_GFILTR = 1 OR
R04_PAST30DAY_PIPE = 1 OR
R04_PAST30DAY_HOOK = 1 OR
R04_PAST30DAY_SMKLS = 1 OR
R04_PAST30DAY_SNUS = 1 OR
R04_PAST30DAY_DISS = 1 OR
R04_PAST30DAY_BIDI = 1 OR
R04_PAST30DAY_KRETEK = 1,
THEN R04_PAST30DAY_TOB = 1.
ELSE, R04_PAST30DAY_TOB = 2.
Past Year Level - Tobacco
R04_PASTYEAR_TOB_USE_LEVEL
(1) Very light = Youth respondents who have
used any tobacco product in the last year, and
are not "not light" users of any product.
(2) Not light = Youth respondents who are not
light users of any tobacco product and have
used in the past year.
IF R04_EVER_USE_TOB = 1 AND
(((R04_YC1005 = 1 OR 2 OR 3 AND
R03_NUMLIFE_CIGS != 1) AND (R04_YC1112
= 1, 2, 3, 4, OR 5)) OR ((R04_YV1005 = 1 AND
R03_NUMLIFE_ECIG != 1) AND (R04_YV1112
= 1, 2, 3, 4, OR 5)) OR ((R04_YG1005TC = 1
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Variable Name
Variable Description
User Group Definition
OR 2 OR 3 AND R03_NUMLIFE_GTRAD != 1)
AND (R04_YG1112TC = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005CL = 1 OR 2 OR 3 AND
R03_NUMLIFE_GRILLO != 1) AND
(R04_YG1112CL = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005FC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GFILTR != 1) AND
(R04_YG1112FC = 1, 2, 3, 4, OR 5)) OR
(R04_YP1112 = 1, 2, 3, 4, OR 5) OR
(R04_YH1112 = 1, 2, 3, 4, OR 5) OR
((R04_YU1005 = 1 OR 2) AND (R04_YU1112 =
1, 2, 3, 4, OR 5)) AND ((R04_YS1005 = 1 OR 2)
AND (R04_YS1112 = 1, 2, 3, 4, OR 5)) OR
R04_YD1002_12M = 1 OR R04_YB9102_01 = 1
OR R04_YB9102_02 = 1), THEN
R04_PASTYEAR_TOB_USE_LEVEL = 1.
IF ((R04_YC1005 > 3 OR R04_YC1005 = -8, -7
OR R03_NUMLIFE_CIGS = 1) AND
(R04_YC1112 = 1 OR 2 OR 3 OR 4 OR 5)) OR
((R04_YV1005 > 1 OR R04_YV1005 = -8, -7 OR
R03_NUMLIFE_ECIG = 1) AND (R04_YV1112 =
1, 2, 3, 4, OR 5)) OR ((R04_YG1005TC > 3 OR
R04_YG1005TC = -8, -7 OR
R03_NUMLIFE_GTRAD = 1) AND
(R04_YG1112TC = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005CL > 3 OR R04_YG1005CL = -8,
-7 OR R03_NUMLIFE_GRILLO = 1) AND
(R04_YG1112CL = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005FC > 3 OR R04_YG1005FC = -8,
-7 OR R03_NUMLIFE_GFILTR = 1) AND
(R04_YG1112FC = 1, 2, 3, 4, OR 5)) OR
((R04_YU1005 > 2 OR R04_YU1005 = -8, -7
OR R03_NUMLIFE_SNUS = 1) AND
(R04_YU1112 = 1, 2, 3, 4, OR 5)) OR
((R04_YS1005 > 2 OR R04_YS1005 = -8, -7 OR
R03_NUMLIFE_SMKLS = 1) AND
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Variable Name
Variable Description
User Group Definition
(R04_YS1112 = 1, 2, 3, 4, OR 5)), THEN
R04_PASTYEAR_TOB_USE_LEVEL = 2.
Past Year Users - Tobacco
R04_PASTYEAR_TOB_USE
(1) Past year tobacco = (Past year users of
tobacco only) Youth respondents who have
used any tobacco product(s) in the past 12
months, but have not used any e-products in the
past 12 months.
(2) Past year e-product = (Past year users of eproducts only) Youth respondents who have
used any e-product in the past 12 months, but
have not used any other tobacco product(s) in
the past 12 months.
(3) Past year both = (Past year users of tobacco
and e-products) Youth respondents who have
used any e-product in the past 12 months and
have used at least one other tobacco product in
the past 12 months.
(4) Past year non-user = (Past year non-users of
any tobacco or e-product) Youth respondents
who have not used any e-product in the past 12
months and have not used any other tobacco
product in the past 12 months.
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IF [R04_YV1112 != 1, 2, 3, 4, 5] AND
[(R04_YC1112 = 1, 2, 3, 4, 5) OR
(R04_YG1112TC = 1, 2, 3, 4, 5) OR
(R04_YG1112CL = 1, 2, 3, 4, 5) OR
(R04_YG1112FC = 1, 2, 3, 4, 5) OR
(R04_YP1112 = 1, 2, 3, 4, 5) OR (R04_YH1112
= 1, 2, 3, 4, 5) OR (R04_YU1112 = 1, 2, 3, 4, 5)
OR (R04_YS1112 = 1, 2, 3, 4, 5) OR
R04_YB9102_12M_01 = 1 OR
R04_YB9102_12M_02 = 1 OR
R04_YD1002_12M = 1], THEN
R04_PASTYEAR_TOB_USE = 1.
ELSE, IF [R04_YV1112 = 1, 2, 3, 4, 5] AND
[(R04_YC1112 != 1, 2, 3, 4, 5) AND
(R04_YG1112TC != 1, 2, 3, 4, 5) AND
(R04_YG1112CL != 1, 2, 3, 4, 5) AND
(R04_YG1112FC != 1, 2, 3, 4, 5) AND
(R04_YP1112 != 1, 2, 3, 4, 5) AND
(R04_YH1112 != 1, 2, 3, 4, 5) AND
(R04_YU1112 != 1, 2, 3, 4, 5) AND
(R04_YS1112 != 1, 2, 3, 4, 5) AND
R04_YB9102_12M_01 != 1 AND
R04_YB9102_12M_02 != 1 AND
R04_YD1002_12M != 1], THEN
R04_PASTYEAR_TOB_USE = 2.
ELSE, IF [R04_YV1112 = 1, 2, 3, 4, 5] AND
[(R04_YC1112=1, 2, 3, 4, 5) OR
(R04_YG1112TC = 1, 2, 3, 4, 5) OR
(R04_YG1112CL = 1, 2, 3, 4, 5) OR
(R04_YG1112FC = 1, 2, 3, 4, 5) OR
(R04_YP1112 = 1, 2, 3, 4, 5) OR (R04_YH1112
= 1, 2, 3, 4, 5) OR (R04_YU1112 = 1, 2, 3, 4, 5)
OR (R04_YS1112 = 1, 2, 3, 4, 5) OR
R04_YB9102_12M_01 = 1 OR
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Variable Name
Variable Description
User Group Definition
R04_YB9102_12M_02 = 1 OR
R04_YD1002_12M = 1], THEN
R04_PASTYEAR_TOB_USE = 3.
ELSE, IF [R04_YV1112 != 1, 2, 3, 4, 5] AND
[(R04_YC1112 != 1, 2, 3, 4, 5) AND
(R04_YG1112TC != 1, 2, 3, 4, 5) AND
(R04_YG1112CL != 1, 2, 3, 4, 5) AND
(R04_YG1112FC != 1, 2, 3, 4, 5) AND
(R04_YP1112 != 1, 2, 3, 4, 5) AND
(R04_YH1112 != 1, 2, 3, 4, 5) AND
(R04_YU1112 != 1, 2, 3, 4, 5) AND
(R04_YS1112 != 1, 2, 3, 4, 5) AND
R04_YB9102_12M_01 != 1 AND
R04_YB9102_12M_02 != 1 AND
R04_YD1002_12M != 1], THEN
R04_PASTYEAR_TOB_USE = 4.
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APPENDIX: DERIVED VARIABLES
Variable Name
Variable Description
Variable Definition
R04_YOUTHAGE
Youth respondent age.
IF R04_E_YOUTH = 1, THEN R04_YOUTHAGE
= R04_CURRENT_AGE_LD.
ELSE, R04_YOUTHAGE = R04_PARYTHAGE.
R04_EPRODCOUNT
The number of different electronic nicotine
products used.
R04_EPRODCOUNT = 0;
IF R04_YV9035_01 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_02 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_03 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_04 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_05 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1.
R04_EDEVICETYPE
Electronic nicotine product device type.
IF R04_YV9005 = 2, -8 OR -7 AND
R04_YV9008 = 2, -8 OR -7 AND R04_YV9038 =
2, 3, -8 OR -7 AND R04_YV9009 = 2, -8 OR -7,
THEN R04_EDEVICETYPE = 1 (Disposable).
ELSE, IF R04_YV9005 = 1 AND R04_YV9008 =
1 AND R04_YV9038 = 2, 3, -8 OR -7 AND
R04_YV9009 = 2, -8 OR -7, THEN
R04_EDEVICETYPE = 2 (Non-Refillable
Cartridge).
ELSE, IF R04_YV9005 = 1 AND R04_YV9008 =
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Variable Name
Variable Description
Variable Definition
1 AND R04_YV9038 != 1 AND R04_YV9009 =
1, THEN R04_EDEVICETYPE = 3 (Refillable
Cartridge).
ELSE, IF R04_YV9005 = 1 AND R04_YV9038 =
1 AND R04_YV9009 = 1, THEN
R04_EDEVICETYPE = 4 (Refillable Tank
System).
ELSE, IF R04_YV9005 = 1, 2, -8 OR -7 AND
R04_YV9008 = 2, -8 OR -7 AND R04_YV9038 =
2, 3, -8 OR -7 AND R04_YV9009 = 1, THEN
R04_EDEVICETYPE = 5 (Refillable Mod
System).
ELSE, R04_EDEVICETYPE = 6 (Unknown).
CIGARFILL
Fill to be shown in question text to indicate the
cigar type.
Fill with "traditional cigar" for traditional
cigar/blunt smokers
Fill with "cigarillo" for cigarillo/blunt smokers
Fill with "filtered cigar" for filtered cigar/blunt
smokers
IF R04_EVER_NEVER_GTRAD = 1 OR
R04_12MBLUNT_ONLY_GTRAD = 1, THEN
CIGARFILL = "traditional cigar".
IF R04_EVER_NEVER_GRILLO = 1 OR
R04_12MBLUNT_ONLY_GRILLO = 1, THEN
CIGARFILL = "cigarillo".
IF R04_EVER_NEVER_GFILTR = 1 OR
R04_12MBLUNT_ONLY_GFILTR = 1, THEN
CIGARFILL = "filtered cigar".
CIGARLOOP
Cigars as Non-Blunts:
GTRAD = Youth respondents who have ever
smoked traditional cigars and have not smoked
traditional cigars as blunts every time when
smoked in the past 12 months.
GRILLO = Youth respondents who have ever
smoked cigarillos and have not smoked
cigarillos as blunts every time when smoked in
the past 12 months.
GFILTR = Youth respondents who have ever
smoked filtered cigars and have not smoked
Cigars as Non-Blunts:
GTRAD: IF R04_EVER_NEVER_GTRAD = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2,
THEN LOOP = GTRAD.
GRILLO: IF R04_EVER_NEVER_GRILLO = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2,
THEN LOOP = GRILLO.
GFILTR: IF R04_EVER_NEVER_GFILTR = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2,
THEN LOOP = GFILTR.
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Variable Name
Variable Description
Variable Definition
filtered cigars as blunts every time when smoked
in the past 12 months.
Cigars as Blunts-Only:
BTRAD = Youth respondents who smoke
traditional cigars as blunts every time when
smoked in the past 12 months.
BRILLO = Youth respondents who smoke
cigarillos as blunts every time when smoked in
the past 12 months.
BFILTR = Youth respondents who smoke filtered
cigars as blunts every time when smoked in the
past 12 months.
Cigars as Blunts-Only:
BTRAD: IF R04_12MBLUNT_ONLY_BTRAD =
1, THEN LOOP = BTRAD.
BRILLO: IF R04_12MBLUNT_ONLY_BRILLO =
1, THEN LOOP = BRILLO.
BFILTR: IF R04_12MBLUNT_ONLY_BFILTR =
1, THEN LOOP = BFILTR.
R04_YOUTH_ASTHMA
(1) Asthma = Youth respondent has ever had
asthma.
(2) No asthma = Youth respondent has never
had asthma.
IF R03_ASTHMA = 1 OR R04_YT0031_NB = 1
OR R04_YT0031_12M = 1, THEN
R04_YOUTH_ASTHMA = 1.
ELSE, R04_YOUTH_ASTHMA = 2.
R04_SUBSTANCE_COUNT
Number of substances the youth respondent has
ever used.
R04_SUBSTANCE_COUNT = 0;
IF R04_EVER_USER_ALC = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_MJ = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_RIT = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_PK = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_COC = 1, SET
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Variable Name
Variable Description
Variable Definition
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_STIM = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_OTH = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
R04_EVER_USER_ALC
Youth respondent has ever used alcohol.
IF R03_EVER_USER_ALCOHOL = 1 OR
R04_YX0084_NB = 1 OR R04_YX0084_12M =
1, THEN R04_EVER_USER_ALC = 1. ELSE
R04_EVER_USER_ALC = 2.
R04_EVER_USER_MJ
Youth respondent has ever used marijuana.
IF R03_EVER_USER_MARIJUANA = 1 OR
R04_YX0085_NB =1 OR R04_YG9105_NB = 1
OR R04_YH9031 = 1 OR R04_YV9042 = 1 OR
R04_YX0085_12M = 1 OR R04_YG9107 = 1,
THEN R04_EVER_USER_MJ = 1. ELSE,
R04_EVER_USER_MJ = 2.
R04_EVER_USER_RIT
Youth respondent has ever used Ritalin® or
Adderall®.
IF R03_EVER_USER_RITALIN = 1 OR
R04_YX0089_NB_01= 1 OR
R04_YX0089_12M_01 = 1, THEN
R04_EVER_USER_RIT = 1. ELSE
R04_EVER_USER_RIT = 2.
R04_EVER_USER_PK
Youth respondent has ever used painkillers,
sedatives, or tranquilizers.
IF R03_EVER_USER_PAINKILLERS = 1 OR
R04_YX0089_NB_02 = 1 OR
R04_YX0089_12M_02 = 1 , THEN
R04_EVER_USER_PK = 1. ELSE
R04_EVER_USER_PK = 2.
R04_EVER_USER_COC
Youth respondent has ever used cocaine or
crack.
IF R03_EVER_USER_COCAINE = 1 OR
R04_YX0220_NB_01 = 1 OR
R04_YX0220_12M_01 = 1, THEN
R04_EVER_USER_COC = 1. ELSE,
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Variable Name
Variable Description
Variable Definition
R04_EVER_USER_COC = 2.
R04_EVER_USER_STIM
Youth respondent has ever used stimulants like
methamphetamine or speed.
IF R03_EVER_USER_STIMULANTS = 1 OR
R04_YX0220_NB_02 = 1 OR
R04_YX0220_12M_02 = 1, THEN
R04_EVER_USER_STIM = 1. ELSE,
R04_EVER_USER_STIM = 2.
R04_EVER_USER_OTH
Youth respondent has ever used other drugs like
heroin, inhalants, solvents, or hallucinogens.
IF R03_EVER_USER_OTHERDRUG = 1 OR
R04_YX0220_NB_03 = 1 OR
R04_YX0220_12M_03 = 1, THEN
R04_EVER_USER_OTH = 1. ELSE,
R04_EVER_USER_OTH = 2.
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Wave 4 (version 4.0)
Table of Contents
INTRODUCTORY DEMOGRAPHICS ....................................................................................... 1
CIGARETTE .............................................................................................................................. 7
ELECTRONIC NICOTINE PRODUCTS .................................................................................. 26
CIGAR .................................................................................................................................... 59
PIPE ..................................................................................................................................... 106
HOOKAH ............................................................................................................................... 114
SNUS .................................................................................................................................... 135
SMOKELESS TOBACCO...................................................................................................... 155
DISSOLVABLE TOBACCO ................................................................................................... 174
BIDIS AND KRETEKS ........................................................................................................... 176
OTHER TOBACCO ............................................................................................................... 178
NEW PRODUCT - PLACEHOLDER ..................................................................................... 179
FIRST TOBACCO PRODUCT............................................................................................... 181
NICOTINE DEPENDENCE AND CESSATION / QUITTER .................................................. 183
PACKAGING AND HEALTH WARNINGS ............................................................................ 200
RISK PERCEPTIONS AND ATTITUDES.............................................................................. 213
MEDIA USE .......................................................................................................................... 234
SECONDHAND SMOKE EXPOSURE .................................................................................. 238
HEALTH ................................................................................................................................ 240
MARKETING, ADVERTISING AND PROMOTION ............................................................... 259
SOCIAL NORMS, PEER AND FAMILY INFLUENCES ........................................................ 264
ACCESSIBILITY .................................................................................................................... 272
PSYCHOSOCIAL .................................................................................................................. 274
SUBSTANCE USE ................................................................................................................ 279
ADDITIONAL DEMOGRAPHICS .......................................................................................... 290
CONTACT INFORMATION – EMANCIPATED YOUTH ....................................................... 297
APPENDIX: USER GROUPS ................................................................................................ 309
APPENDIX: DERIVED VARIABLES ..................................................................................... 328
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SECTION
# OF QUESTIONS
Introductory Demographics
7
Cigarettes
Electronic Nicotine Products
Cigar
Pipe
Hookah
Snus
42
70
84
13
54
46
Smokeless Tobacco
Dissolvable Tobacco
Bidis and Kreteks
Other Tobacco
New Product - Placeholder
First Tobacco Product
45
2
2
1
5
1
Nicotine Dependence and Cessation/Quitter
Packaging and Health Warnings
Risk Perceptions and Attitudes
Media Use
Secondhand Smoke Exposure
Health
39
31
56
7
2
46
Marketing, Advertising and Promotion
Social Norms, Peer and Family Influences
Accessibility
Psychosocial
Substance Use
Additional Demographics
11
21
5
12
18
13
Contact Information – Emancipated Youth
26
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OMB Control Number: 0925-0664
Expiration Date: XX/XX/XXXX
Public reporting burden for this collection of information is estimated to average 35 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 (0925-0664). Do not return the completed form to this address.
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Wave 4 (version 4.0)
INTRODUCTORY DEMOGRAPHICS
BOX ID:
R04_YMV01
PROGRAM: LOAD THE FOLLOWING DERIVED VARIABLES FROM PRELOAD FILE.
R03_EVER_NEVER_CIGS - Wave 3 ever or never user of cigarettes
R03_EVER_NEVER_EPRODS - Wave 3 ever or never user of e-products
R03_EVER_NEVER_GTRAD - Wave 3 ever or never user of traditional cigars
R03_EVER_NEVER_GRILLO - Wave 3 ever or never user of cigarillos
R03_EVER_NEVER_GFILTR - Wave 3 ever or never user of filtered cigars
R03_EVER_NEVER_BTRAD - Wave 3 ever or never user of traditional cigars as blunts
R03_EVER_NEVER_BRILLO - Wave 3 ever or never user of cigarillos as blunts
R03_EVER_NEVER_BFILTR - Wave 3 ever or never user of filtered cigars as blunts
R03_EVER_NEVER_PIPE - Wave 3 ever or never user of pipes
R03_EVER_NEVER_HOOK - Wave 3 ever or never user of hookah
R03_EVER_NEVER_SNUS - Wave 3 ever or never user of snus
R03_EVER_NEVER_SMKLS - Wave 3 ever or never user of smokeless tobacco
R03_EVER_NEVER_DISSBL - Wave 3 ever or never user of dissolvable tobacco
R03_EVER_NEVER_BIDI - Wave 3 ever or never user of bidis
R03_EVER_NEVER_KRETEK - Wave 3 ever or never user of kreteks
R03_NUMLIFE_CIGS - The respondent reported smoking 100+ cigarettes in their lifetime at any
previous wave.
R03_NUMLIFE_ECIG - The respondent reported using e-cigarettes 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_GTRAD - The respondent reported smoking 100+ traditional cigars in their lifetime at
any previous wave.
R03_NUMLIFE_GRILLO - The respondent reported smoking 100+ cigarillos in their lifetime at any
previous wave.
R03_NUMLIFE_GFILTR - The respondent reported smoking 100+ filtered cigars in their lifetime at any
previous wave.
R03_NUMLIFE_PIPE - The respondent reported smoking a pipe 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_HOOK - The respondent reported smoking hookah 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_SNUS - The respondent reported using 100+ snus pouches in their lifetime at any
previous wave.
R03_NUMLIFE_SMKLS - The respondent reported using smokeless tobacco 100+ times in their
lifetime at any previous wave.
R03_REGUSE_CIGS - The respondent reported smoking cigarettes fairly regularly at any previous
wave.
R03_REGUSE_ECIG - The respondent reported using e-cigarettes fairly regularly at any previous
wave.
R03_REGUSE_GTRAD - The respondent reported smoking traditional cigars fairly regularly at any
previous wave.
R03_REGUSE_GRILLO - The respondent reported smoking cigarillos fairly regularly at any previous
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wave.
R03_REGUSE_GFILTR - The respondent reported smoking filtered cigars fairly regularly at any
previous wave.
R03_REGUSE_PIPE - The respondent reported smoking a pipe fairly regularly at any previous wave.
R03_REGUSE_HOOK - The respondent reported smoking hookah fairly regularly at any previous wave.
R03_REGUSE_SNUS - The respondent reported using snus fairly regularly at any previous wave.
R03_REGUSE_SMKLS - The respondent reported using smokeless tobacco fairly regularly at any
previous wave.
R03_GENDER - Respondent reported gender
R03_ASTHMA - Respondent reported being diagnosed with asthma in any previous wave.
R03_EVER_USER_ALCOHOL - Respondent reported ever using alcohol in any previous wave.
R03_EVER_USER_MARIJUANA - Respondent reported ever using marijuana in any previous wave.
R03_EVER_USER_RITALIN - Respondent reported ever using ritalin in any previous wave.
R03_EVER_USER_PAINKILLERS - Respondent reported ever using painkillers in any previous wave.
R03_EVER_USER_COCAINE - Respondent reported ever using cocaine in any previous wave.
R03_EVER_USER_STIMULANTS - Respondent reported ever using stimulants in any previous wave.
R03_USCITIZEN – Respondent reported US citizenship in any previous wave.
R04_LINKED_ADDRESS - Emancipated youth respondents' best address from IMS.
R04_VTBESTSPPHONE - Emancipated youth respondents' best phone number from IMS.
R04_PHONE2 - Emancipated youth respondents' second phone number from IMS.
R04_E_YOUTH - Youth respondents that are emancipated.
BOX ID:
R04_YMV02
PROGRAM: DERIVE THE FOLLOWING VARIABLE (SEE APPENDIX).
R04_YOUTHAGE = Age verified by parent or age derived from emancipated youth's birthdate.
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BOX ID:
R04_YMD04
Note - In the following specifications, “!=” represents “not equal to”.
Note - References to the various respondent types are as follows:
"New baseline youth respondents" = Youth respondents where this is their first interview in the Youth
cohort and in the PATH Study. Includes youth who have aged-up into the Youth cohort and youth who
are new to the PATH Study as part of the replenishment sample.
"Continuing youth respondents" = Youth respondents whose last completed interview in a previous
wave was in the Youth cohort, and they continue to be in the Youth cohort. This is not their first
interview in the Youth cohort or the PATH Study.
"Emancipated youth respondents" = Youth respondents who are emancipated.
"All youth respondents" = All youth respondents in the Youth cohort.
BOX ID:
R04_YMR03
New baseline youth respondents, go to R04_YM0004_NB.
Else, continuing youth respondents who did not report US citizenship in a previous wave, go to
R04_YM0069.
Else, go to R04_YM0065.
PATH ID:
R04_YM0069
Are you a citizen of the United States?
1
Yes, born in the United States
2
Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas
3
Yes, born abroad of U.S. citizen parent or parents
4
Yes, U.S. citizen by naturalization
5
No, not a U.S. citizen
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents and continuing youth respondents who did not report US
citizenship in a previous wave.
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PATH ID:
R04_YM0065
About how many years have you lived in the United States? (If you have lived in the United States for
less than a year, enter 1.)
1
I have lived in the United States my whole life
2
I___I___I___I YEARS
GO TO BOX R04_YMD03
-8
DON'T KNOW
GO TO BOX R04_YMD03
-7
REFUSED
GO TO BOX R04_YMD03
ASK: All youth respondents.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD, WITH BUTTON “I have lived in the United
States my whole life” ON RIGHT.
DISPLAY "YEARS" AS TITLE.
PATH ID:
R04_YM0065_LC1
The computer recorded that you have lived in the United States for [R04_YM0065] years. That is older
than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YM0065
2
NEXT
GO TO BOX R04_YMD03
ASK: IF R04_YM0065 > R04_YOUTHAGE
BOX ID:
R04_YMD03
Display questions R04_YM0066 through R04_YM0073 using the expanded WVB stem-leaf screen. The
introduction text from R04_YM0066 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YM0066
How well do you...
speak English?
1
Very well
2
Well
3
Not well
4
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YM0070
read English?
1
Very well
2
Well
3
Not well
4
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YM0073
write in English?
1
Very well
2
Well
3
Not well
4
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YM0071
Do you speak a language other than English at home?
1
Yes
2
No
GO TO BOX R04_YCT01
-8
DON'T KNOW
GO TO BOX R04_YCT01
-7
REFUSED
GO TO BOX R04_YCT01
ASK: All youth respondents.
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PATH ID:
R04_YM0072
What other languages do you speak at home? Choose all that apply.
1
Spanish
2
Chinese
3
Tagalog
4
Vietnamese
5
French
6
Korean
7
German
8
Arabic
9
Russian
10
Some other language (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who speak another language at home.
DISPLAY: 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.”
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CIGARETTE
BOX ID:
R04_YCT01
The next questions are about your experience with cigarettes.
BOX ID:
R04_YCR02
New baseline youth respondents, go to R04_YC1002_NB.
Continuing youth respondents, go to R04_YC1002_12M.
PATH ID:
R04_YC1002_12M
In the past 12 months, have you smoked a cigarette, even one or two puffs?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
BOX ID:
R04_YCV02
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_CIGS_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
cigarette.
R04_EVER_NEVER_CIGS_YOUTH = 2 (Never user) Youth respondents who have not ever smoked a
cigarette.
R04_INIT_CIGS_YOUTH = 1 (Initiator) Youth respondents who initiated cigarette use between Waves
or new baseline youth respondents who have ever smoked a cigarette.
BOX ID:
R04_YCR01
Youth respondents who have never smoked a cigarette, go to R04_YC1103.
Else, new baseline youth respondents who have ever smoked a cigarette, go to R04_YC1006_NB.
Else, continuing youth respondents who initiated cigarette smoking since the previous wave, go to
R04_YC1108.
Else, continuing youth respondents who had smoked 100 or more cigarettes in the previous wave, go to
Box R04_YCR21.
Else, go to R04_YC1005.
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PATH ID:
R04_YC1103
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: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1206
Do you think you will smoke a cigarette in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1104
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: Youth respondents who have never smoked a cigarette.
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PATH ID:
R04_YC1105
If one of your best friends were to offer you a cigarette, would you smoke it?
1
Definitely yes
GO TO BOX R04_YVT01
2
Probably yes
GO TO BOX R04_YVT01
3
Probably not
GO TO BOX R04_YVT01
4
Definitely not
GO TO BOX R04_YVT01
-8
DON'T KNOW
GO TO BOX R04_YVT01
-7
REFUSED
GO TO BOX R04_YVT01
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1108
Was the first cigarette you smoked flavored to taste like menthol or mint?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC9104
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: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
DISPLAY: UNDERLINE "pleasant".
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PATH ID:
R04_YC9105
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: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
DISPLAY: UNDERLINE "unpleasant".
PATH ID:
R04_YC9106
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: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC1005
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: Aged-up and continuing youth respondents who have ever smoked a cigarette and had not
smoked 100 or more cigarettes in the previous wave, and new cohort youth respondents who have ever
smoked a cigarette.
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BOX ID:
R04_YCR21
Youth respondents who have ever smoked a cigarette and had never smoked cigarettes fairly regularly
in the previous wave, go to R04_YC1100.
Else, go to R04_YC9022.
PATH ID:
R04_YC1100
Have you ever smoked cigarettes fairly regularly?
1
Yes
2
No
GO TO R04_YC9022
-8
DON'T KNOW
GO TO R04_YC9022
-7
REFUSED
GO TO R04_YC9022
ASK: Youth respondents who have ever smoked a cigarette and had never smoked fairly regularly in
the previous wave.
PATH ID:
R04_YC1007
How old were you when you first started smoking cigarettes fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YC1121
-7
REFUSED
GO TO R04_YC1121
ASK: Youth respondents who have ever smoked cigarettes fairly regularly and did not smoke fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH ID:
R04_YC1007_LC1
The computer recorded that you started smoking cigarettes fairly regularly at age [R04_YC1007]. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1007
2
NEXT
GO TO R04_YC9022
ASK: IF R04_YC1007 <= 5 OR R04_YC1007 < R04_YC1006_NB.
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PATH ID:
R04_YC1007_LC2
The computer recorded that you started smoking cigarettes fairly regularly at age [R04_YC1007]. This is
older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1007
2
NEXT
GO TO R04_YC9022
ASK: IF R04_YC1007 > R04_YOUTHAGE.
PATH ID:
R04_YC1121
When you first started smoking cigarettes fairly regularly, 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: Youth respondents who have ever smoked cigarettes fairly regularly and did not smoke fairly
regularly in a previous wave and who did not know or refused to report the age they started smoking.
PATH ID:
R04_YC9022
Do you consider yourself a smoker?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette.
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PATH ID:
R04_YC1112
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
GO TO BOX R04_YCV01
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YCV01
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YCV01
6
1 to 4 years ago
GO TO BOX R04_YCV01
7
5 or more years ago
GO TO BOX R04_YCV01
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC0100
When did you last smoke a cigarette?
1
In the past hour
GO TO R04_YC0103
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YCV01
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who smoked a cigarette in the past 7 days.
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PATH ID:
R04_YC0102
When you last smoked a cigarette [FILL BASED ON R04_YC0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigarette today, yesterday or the day before yesterday,
but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YC0100]:
IF R04_YC0100 = 2, DISPLAY “today”.
ELSE, IF R04_YC0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YC0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YC0103
How many cigarettes [have/did] you [smoked/smoke] [FILL BASED ON R04_YC0100]? A pack usually
has 20 cigarettes in it.
1
I__I__I Number of cigarettes
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who have smoked a cigarette in the past hour, sometime today, yesterday or
the day before yesterday.
DISPLAY: DISPLAY "Number of cigarettes" AS A TITLE.
IF R04_YC0100 = 1, 2, DISPLAY “have” AND “smoked”.
IF R04_YC0100 = 3, 4, DISPLAY, “did” AND “smoke”.
FOR [FILL BASED ON R04_YC0100]:
IF R04_YC0100 = 1, 2, DISPLAY “today”.
IF R04_YC0100 = 3, DISPLAY “yesterday”.
IF R04_YC0100 = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YC0103_LC1
The computer recorded that you smoked [R04_YC0103] cigarettes [today/yesterday/the day before
yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC0103
2
NEXT
GO TO BOX R04_YCV01
ASK: IF R04_YC0103 > 60 OR R04_YC0103 = 11, 22, 33, 44, 55.
DISPLAY: IF R04_YC0100 = 1, 2, DISPLAY “today”.
IF R04_YC0100 = 3, DISPLAY “yesterday”.
IF R04_YC0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YCV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_CIGS = 1 (Past 30 day cigarette smoker) Youth respondents who have smoked a
cigarette in the past 30 days.
R04_PAST30DAY_CIGS_LEVEL = 1 (Past 30 day "Very Light" cigarette smokers) Youth
respondents who have smoked a cigarette in the past 30 days, and have smoked 10 or less cigarettes
in their lifetime.
R04_PAST30DAY_CIGS_LEVEL = 2 (Past 30 day "Not Light" cigarette smokers) Youth
respondents who have smoked a cigarette in the past 30 days, and have smoked more than 10
cigarettes in their lifetime.
BOX ID:
R04_YCR22
Past 30 day cigarette smokers, go to R04_YC1022.
Else, go to R04_YVT01.
PATH ID:
R04_YC1022
In the past 30 days, on how many days did you smoke cigarettes?
1
I__I__I DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
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PATH ID:
R04_YC1023
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: Past 30 day cigarette smokers.
PATH ID:
R04_YC9048
In the past 30 days, did you smoke manufactured cigarettes or did you smoke roll-your-own cigarettes?
1
Manufactured cigarettes
2
Roll-your-own cigarettes
3
Both manufactured and roll-your-own cigarettes
4
I don't know
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YCR20
ASK: Past 30 day cigarette smokers.
PATH ID:
R04_YC1130
In the past 30 days, were any of the cigarettes you smoked flavored to taste like menthol or mint?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day manufactured cigarette smokers.
BOX ID:
R04_YCR20
Youth respondents who have smoked roll-your-own cigarettes in the past 30 days, go to R04_YC9045.
Else, go to R04_YC1142.
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PATH ID:
R04_YC9045
In the past 30 days, was any of the roll-your-own tobacco you smoked flavored to taste like menthol or
mint?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day roll-your-own cigarette smokers.
PATH ID:
R04_YC1142
In the past 30 days, did anyone sell you cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
PATH ID:
R04_YC1123
In the past 30 days, did anyone refuse to sell you cigarettes because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
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PATH ID:
R04_YC1118
In the past 30 days, how did you usually get your own cigarettes?
1
I gave someone else money to buy cigarettes for me
2
I bought cigarettes myself from a store
3
I asked someone to give me a cigarette
4
Someone offered me a cigarette
5
I bought cigarettes from another person
6
I took cigarettes from a store or another person
7
I got cigarettes some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
DISPLAY: 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.”
BOX ID:
R04_YCR03
Past 30 day cigarette smokers who usually buy cigarettes for themselves or give someone else money
to buy cigarettes for them, go to R04_YC1030.
Else, go to Box R04_YCR23.
PATH ID:
R04_YC1030
[When you give money to someone else, how do they/How do you] usually buy your cigarettes?
1
In person
2
From the internet
GO TO R04_YC1039
3
By telephone
GO TO R04_YC1039
-8
DON'T KNOW
GO TO R04_YC1039
-7
REFUSED
GO TO R04_YC1039
ASK: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them.
DISPLAY: IF R04_YC1118 = 1, DISPLAY “When you give money to someone else, how do they”; IF
R04_YC1118 = 2, DISPLAY “How do you”.
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PATH ID:
R04_YC1032
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: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them in person.
DISPLAY: IF R04_YC1118 = 1, DISPLAY “they”; IF R04_YC1118 = 2, DISPLAY “you”.
PATH ID:
R04_YC1033
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
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: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them in person.
DISPLAY: IF R04_YC1118 = 1, DISPLAY “they”; IF R04_YC1118 = 2, DISPLAY “you”.
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.”
BOX ID:
R04_YCR24
Past 30 day "not-light" cigarette smokers who usually buy cigarettes for themselves or give someone
else money to buy cigarettes for them, go to R04_YC1039.
Else, go to Box R04_YCR23.
PATH – Wave 4
Youth Questionnaire – Extended Interview
19
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1039
Think about the last time you [bought/gave money to someone else to buy you] cigarettes. Did you buy
them by the carton, pack, or as a single cigarette?
1
Carton
2
Pack
3
Single cigarette
-8
DON'T KNOW
GO TO BOX R04_YCR23
-7
REFUSED
GO TO BOX R04_YCR23
ASK: Past 30 day "not-light" cigarette smokers who buy cigarettes for themselves or someone else buys
for them.
DISPLAY: IF R04_YC1118 = 2, DISPLAY "bought". IF R04_YC1118 = 1, DISPLAY "gave money to
someone else to buy you".
PATH ID:
R04_YC1034
How much did you pay for a [carton of cigarettes/pack of cigarettes/single cigarette]?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YCR23
-7
REFUSED
GO TO BOX R04_YCR23
ASK: Past 30 day "not-light" cigarette smokers who buy cigarettes for themselves or someone else buys
for them by the carton, pack or as singles.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YC1039 = 1, DISPLAY "carton of cigarettes"; IF R04_YC1039 = 2, DISPLAY "pack of
cigarettes"; IF R04_YC1039 = 3, DISPLAY "single cigarette".
PATH ID:
R04_YC1034_LC1
The computer recorded that you paid $[R04_YC1034_D].[R04_YC1034_C] for a [carton of
cigarettes/pack of cigarettes/single cigarette]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
2
NEXT
GO TO R04_YC1034
ASK: IF ((R04_YC1034_D > 125 OR R04_YC1034_D < 25) AND R04_YC1039 = 1) OR
((R04_YC1034_D > 15 OR R04_YC1034_D < 4) AND R04_YC1039 = 2) OR ((R04_YC1034_D > 3 OR
(R04_YC1034_D = 0 AND R04_YC1034_C < 50)) AND R04_YC1039 = 3).
DISPLAY: IF R04_YC1039 = 1, DISPLAY "carton of cigarettes".
IF R04_YC1039 = 2, DISPLAY “pack of cigarettes”.
IF R04_YC1039 = 3, DISPLAY “single cigarette”.
PATH – Wave 4
Youth Questionnaire – Extended Interview
20
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YCR23
Past 30 day "not light" cigarette smokers, go to R04_YC1047.
Else, past 30 day cigarette smokers, go to R04_YC1945.
Else, go to Box R04_YVT01.
PATH ID:
R04_YC1047
Do you have a regular brand of cigarettes that you usually smoke?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
PATH ID:
R04_YC1945
Do you know the name of the brand of cigarettes you [usually smoke/last smoked]?
1
Yes
2
No
GO TO BOX R04_YCR07
-8
DON'T KNOW
GO TO BOX R04_YCR07
-7
REFUSED
GO TO BOX R04_YCR07
ASK: Past 30 day cigarette smokers.
DISPLAY: IF R04_YC1047 = 1, DISPLAY “usually smoke”.
ELSE, DISPLAY “last smoked”.
UNDERLINE "name of the brand".
PATH ID:
R04_YC1048
What brand of cigarette [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers who know the brand name.
DISPLAY: IF R04_YC1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
PATH – Wave 4
Youth Questionnaire – Extended Interview
21
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YCR04
If youth respondent selects brand in R04_YC1048_BRAND, go to R04_YC1070_PRODUCT.
Else, if youth respondent selects “Something else” in R04_YC1048_BRAND, go to R04_YC1049.
Else, go to Box R04_YCR07.
PATH ID:
R04_YC1049
You said that your brand was not listed. What is it?
__________________________
GO TO BOX R04_YCR07
-8
1
DON'T KNOW
GO TO BOX R04_YCR07
-7
REFUSED
GO TO BOX R04_YCR07
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH ID:
R04_YC1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YC1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YCR05
If youth respondent selects "Something else" in R04_YC1070_PRODUCT, go to R04_YC1071.
Else, go to Box R04_YCR07.
PATH – Wave 4
Youth Questionnaire – Extended Interview
22
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1071
You said that the type of [BRANDFILL]s that you smoke was not listed. What type is it?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected a brand
image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YCR07
Past 30 day “not-light” cigarette smokers who have a regular brand, go to R04_YC1051.
Else, youth respondents who have smoked a cigarette today, yesterday or the day before yesterday
who know the name of their brand AND selected a valid brand and product for the last cigarette
smoked, go to R04_YC0104.
Else, go to Box R04_YVT01.
PATH ID:
R04_YC1051
About how long have you been smoking your regular brand of cigarettes?
1
I___I___I DAYS
2
I___I___I MONTHS
3
I___I___I YEARS
-8
DON'T KNOW
GO TO R04_YC9019
-7
REFUSED
GO TO R04_YC9019
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
PATH ID:
R04_YC1051_LC1
The computer recorded that you have been smoking your regular brand for [R04_YC1051]. That is older
than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1051
2
NEXT
GO TO R04_YC9019
ASK: IF (R04_YC1051_NN > R04_YOUTHAGE) AND R04_YC1051_UN = 3.
PATH – Wave 4
Youth Questionnaire – Extended Interview
23
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1051_LC2
The computer recorded "0" for how long you have been smoking your regular brand of cigarettes.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1051
2
NEXT
GO TO R04_YC9019
ASK: IF R04_YC1051_NN = 0.
PATH ID:
R04_YC9019
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: Past 30 day "not-light" cigarette smokers who have a regular brand.
BOX ID:
R04_YCD01
PROGRAM: Display questions R04_YC9010 and R04_YC9014 on one screen. Show the intro/transition
text from R04_YC9010 first, then show each item with a Yes/No response. As each item is answered,
show the next one.
PATH ID:
R04_YC9010
In choosing your regular brand of cigarettes, was part of your decision based on any of the following?
It is affordable.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
PATH – Wave 4
Youth Questionnaire – Extended Interview
24
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9014
The taste.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
BOX ID:
R04_YCR08
Youth respondents who have smoked a cigarette today, yesterday or the day before yesterday who
know the name of their brand AND selected a valid brand in R04_YC1048_BRAND and valid product in
R04_YC1070_PRODUCT, go to R04_YC0104.
Else, go to Box R04_YVT01.
PATH ID:
R04_YC0104
We just have one more question about [your regular brand / the last brand] of cigarettes[ you smoked].
You said earlier that you smoked a cigarette [TIME OF LAST USE].
Think about the very last cigarette you smoked. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers who have smoked a cigarette in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a valid brand
AND valid product.
DISPLAY: UNDERLINE "your regular brand" AND "the last brand" IN THE QUESTION TEXT.
IF R04_YC1047 = 1, DISPLAY “your regular brand”.
ELSE, DISPLAY "the last brand" AND "you smoked".
IF R04_YC0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
IF R04_YC0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
IF R04_YC0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
IF R04_YC0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH R04_YC1070_PRODUCT RESPONSE.
PATH – Wave 4
Youth Questionnaire – Extended Interview
25
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
ELECTRONIC NICOTINE PRODUCTS
BOX ID:
R04_YVT01
The next questions are about electronic nicotine products, such as e-cigarettes, vape pens, personal
vaporizers and mods, e-cigars, e-pipes, e-hookahs and hookah pens.
These products are battery-powered and produce vapor or aerosol instead of smoke. They contain
nicotine liquid, sometimes called “e-liquid” or “e-juice,” although the amount of nicotine can vary and
some may not contain any nicotine at all.
Some can be bought as one-time, disposable products, while others can be bought as re-usable kits
that are rechargeable. Some common brands include Vuse, Blu, Logic, MarkTen, NJOY, eGo, and
iTaste.
[SHOW GENERIC IMAGE OF E-PRODUCTS]
BOX ID:
R04_YVR03
New baseline youth respondents, go to R04_YV1001_NB.
Else, continuing youth respondents, go to R04_YV1002_12M.
PATH ID:
R04_YV1002_12M
In the past 12 months, have you used an electronic nicotine product, even one or two times? (Electronic
nicotine products include e-cigarettes, vape pens, personal vaporizers and mods, e-cigars, e-pipes, ehookahs and hookah pens.)
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Yes
2
No
GO TO BOX R04_YVV02
-8
DON'T KNOW
GO TO BOX R04_YVV02
-7
REFUSED
GO TO BOX R04_YVV02
ASK: Continuing youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
26
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVV02
PROGRAM - CREATE THE FOLLOWING USER GROUPS AND DERIVED VARIABLES (SEE
APPENDIX):
R04_EVER_NEVER_EPRODS_YOUTH = 1 (Ever user) Youth respondents who have ever used an
electronic nicotine product.
R04_EVER_NEVER_EPRODS_YOUTH = 2 (Never user) Youth respondents who have not ever used
an electronic nicotine product.
R04_INIT_EPRODS_YOUTH = 1 (Initiator) Youth respondents who initiated electronic nicotine product
use between Waves or new baseline respondents who have ever used an e-product.
R04_EPRODCOUNT= The number of electronic nicotine products used.
BOX ID:
R04_YVR01
New baseline youth respondents who did not say they have heard of e-products, go to Box
R04_YGT01.
Else, continuing youth respondents who have never used e-products, and new baseline youth
respondents who have heard of but never used e-products, go to R04_YV1103.
Else, go to Box R04_YVR02.
PATH ID:
R04_YV1103
Have you ever been curious about using an electronic nicotine product? (Electronic nicotine products
include e-cigarettes, vape pens, personal vaporizers and mods, e-cigars, e-pipes, e-hookahs and
hookah pens.)
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have never used e-products, and new baseline youth
respondents who have heard of but never used e-products.
PATH ID:
R04_YV1206
Do you think you will try an electronic nicotine product in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used e-products.
PATH – Wave 4
Youth Questionnaire – Extended Interview
27
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1104
Do you think that you will try an electronic nicotine product soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used e-products.
PATH ID:
R04_YV1105
If one of your best friends were to offer you an electronic nicotine product, would you try it?
1
Definitely yes
GO TO R04_YV9041
2
Probably yes
GO TO R04_YV9041
3
Probably not
GO TO R04_YV9041
4
Definitely not
GO TO R04_YV9041
-8
DON'T KNOW
GO TO R04_YV9041
-7
REFUSED
GO TO R04_YV9041
ASK: Youth respondents who have heard of but never used e-products.
BOX ID:
R04_YVR02
New baseline youth respondents who have ever used e-products, go to R04_YV1006_NB.
Else, continuing youth respondents who initiated e-product since the previous wave, go to
R04_YV1011.
Else, continuing youth respondents who had used e-products 100 or more times in the previous wave,
go to Box R04_YVR37.
Else, go to R04_YV1005.
PATH – Wave 4
Youth Questionnaire – Extended Interview
28
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1011
When you first used an electronic nicotine product, which flavor did you use? Choose all that apply.
1
Tobacco-flavored
2
Menthol or mint
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
A non-alcoholic drink (such as coffee, soda, energy drinks, or other beverages)
8
Candy, desserts or other sweets
9
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated e-product use since the previous wave, and new
baseline youth respondents who have ever used an e-product.
DISPLAY: 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:
R04_YV1005
How many times have you used an electronic nicotine product in your entire life?
1
1 time, even just a few puffs
2
2 to 10 times
3
11 to 20 times
4
21 to 50 times
5
51 to 99 times
6
100 or more times
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever used an e-product and had not used
100 or more times in the previous wave, and new cohort youth respondents who have ever used an eproduct.
BOX ID:
R04_YVR37
Youth respondents who have ever used an e-product and had never used e-products fairly regularly in
the previous wave, go to R04_YV1100.
Else, go to R04_YV1112.
PATH – Wave 4
Youth Questionnaire – Extended Interview
29
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1100
Have you ever used electronic nicotine products fairly regularly?
1
Yes
2
No
GO TO R04_YV1112
-8
DON'T KNOW
GO TO R04_YV1112
-7
REFUSED
GO TO R04_YV1112
ASK: Youth respondents who have ever used an e-product and had never used fairly regularly in the
previous wave.
PATH ID:
R04_YV1007
How old were you when you first started using electronic nicotine products fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YV1121
-7
REFUSED
GO TO R04_YV1121
ASK: Youth respondents who have ever used e-products fairly regularly and did not use fairly regularly
in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH ID:
R04_YV1007_LC1
The computer recorded that you started using electronic nicotine products fairly regularly at age
[R04_YV1007]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1007
2
NEXT
GO TO R04_YV1112
ASK: IF R04_YV1007 <= 5 OR (R04_YV1007 < R04_YV1006_NB).
PATH ID:
R04_YV1007_LC2
The computer recorded that you started using electronic nicotine products fairly regularly at age
[R04_YV1007]. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1007
2
NEXT
GO TO R04_YV1112
ASK: IF R04_YV1007 > R04_YOUTHAGE.
PATH – Wave 4
Youth Questionnaire – Extended Interview
30
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1121
When you first started using electronic nicotine products fairly regularly, 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: Youth respondents who did not know or refused to report the age they started using e-products
fairly regularly.
PATH ID:
R04_YV1112
When was the last time you used an electronic nicotine product, 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
GO TO BOX R04_YVV01
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YVV01
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YVV01
6
1 to 4 years ago
GO TO BOX R04_YVV01
7
5 or more years ago
GO TO BOX R04_YVV01
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who have ever used an e-product.
PATH ID:
R04_YV0100
When did you last use an electronic nicotine product?
1
In the past hour
GO TO R04_YV0103
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YVV01
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who used e-products in the past 7 days.
PATH – Wave 4
Youth Questionnaire – Extended Interview
31
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV0102
When you last used an electronic nicotine product [FILL BASED ON R04_YV0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used an e-product today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YV0100]:
IF R04_YV0100 = 2, DISPLAY “today”.
IF R04_YV0100 = 3, DISPLAY “yesterday”.
IF R04_YV0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YV0103
How many puffs from an electronic nicotine product [have/did] you [taken/take] [FILL BASED ON
R04_YV0100]?
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who have used an e-product in the past hour, sometime today, yesterday or
the day before yesterday.
DISPLAY: IF R04_YV0100 = 1, 2, DISPLAY “have” AND “taken”.
IF R04_YV0100 = 3, 4, DISPLAY “did” AND “take”.
FOR [FILL BASED ON R04_YV0100]:
IF R04_YV0100 = 1, 2, DISPLAY “today”.
IF R04_YV0100 = 3, DISPLAY “yesterday”.
IF R04_YV0100 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – Extended Interview
32
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV0103_LC1
The computer recorded that you took [R04_YV0103] puffs from an electronic nicotine product
[today/yesterday/the day before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV0103
2
NEXT
GO TO BOX R04_YVV01
ASK: IF R04_YV0103 > 200 OR R04_YV0103 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV0100 = 1, 2, DISPLAY “today”.
IF R04_YV0100 = 3, DISPLAY “yesterday”.
IF R04_YV0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YVV01
PROGRAM - CREATE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_EPRODS = 1 (Past 30 day e-product user) Youth respondents who have used an
electronic nicotine product in the past 30 days.
R04_PAST30DAY_EPRODS_LEVEL = 1 (Past 30 day "Very Light" e-product user) Youth
respondents who have used an electronic nicotine product in the past 30 days, and have used an
electronic nicotine product only once in their lifetime.
R04_PAST30DAY_EPRODS_LEVEL = 2 (Past 30 day "Not Light" e-product user) Youth
respondents who have used an electronic nicotine product in the past 30 days, and have used
electronic nicotine products more than once in their lifetime.
PATH ID:
R04_YV9041
Not including yourself, does anyone living in your home own an e-cigarette or other electronic nicotine
product?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have seen, heard of, or ever used e-product, and continuing
youth respondents.
BOX ID:
R04_YVR54
Continuing youth respondents that have used an e-product in the past 12 months and new baseline
youth respondents that have ever used an e-product, go to R04_YV9035.
Else, go to Box R04_YVR04.
PATH – Wave 4
Youth Questionnaire – Extended Interview
33
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9035
Which of the following electronic nicotine products have you used? Choose all that apply.
[SHOW GENERIC IMAGE OF E-PRODUCTS BY SUBTYPE]
1
E-cigarette including a vape pen, personal vaporizer, or mod
2
E-cigar
3
E-pipe
4
E-hookah including a hookah pen
5
Something else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months.
DISPLAY: 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.”
BOX ID:
R04_YVR55
If the only device type selected is “Something else” or the respondent did not know or refused to report
which device types they have used, go to Box R04_YVR04.
Else, repeat R04_YV9060 for each device type selected, except "Something else".
When all loops complete, go to Box R04_YVV04.
PATH ID:
R04_YV9060
Do you use more than one kind of [FILL WITH DEVICE TYPE SELECTED IN R04_YV9035]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months and selected a type of e-product.
DISPLAY: FOR R04_YV9060_01, DISPLAY "e-cigarette".
FOR R04_YV9060_02, DISPLAY "e-cigar".
FOR R04_YV9060_03, DISPLAY "e-pipe".
FOR R04_YV9060_04, DISPLAY "e-hookah".
PATH – Wave 4
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PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR59
If there are remaining device types, go back to Box R04_YVR55 and complete loop for all remaining
device types.
Else, if all loops are complete, go to Box R04_YVV04.
BOX ID:
R04_YVV04
PROGRAM - CREATE THE FOLLOWING DERIVED VARIABLE (SEE APPENDIX):
R04_EPRODCOUNT = Number of e-products used.
BOX ID:
R04_YVR56
If the respondent uses more than one type of electronic nicotine product, go to R04_YV9044.
Else, go to Box R04_YVR04.
PATH ID:
R04_YV9044
You mentioned that you have used more than one type of electronic nicotine product.
Which type of electronic nicotine product do you use most often?
[SHOW GENERIC IMAGE OF E-PRODUCTS BY SUBTYPE]
1
E-cigarette including a vape pen, personal vaporizer, or mod
2
E-cigar
3
E-pipe
4
E-hookah including a hookah pen
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months and selected a type of e-product and
have used more than one e-product.
DISPLAY: BOLD AND UNDERLINE "most often".
BOX ID:
R04_YVR04
Past 30 day e-product users (including "very light" users), go to R04_YV9140.
Else, go to Box R04_YVR58.
PATH – Wave 4
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35
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9140
Please look at this picture. Which group is most like the electronic nicotine product you use most often?
[SHOW GENERIC IMAGE OF 6 E-PRODUCT GROUPS]
1
Group 1
2
Group 2
3
Group 3
4
Group 4
5
Group 5
6
Group 6
7
None of the above
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users (including "very light" users).
DISPLAY: UNDERLINE "most often".
BOX ID:
R04_YVR58
Past 30 day "not light" e-product users, go to Box R04_YVD04.
Else, past 30 day e-product users, go to Box R04_YVV03.
Else, go to R04_YV9042.
BOX ID:
R04_YVD04
Display questions R04_YV9005 through R04_YV9009 using the expanded WVB stem-leaf screen. For
each leaf, display a Yes/No response. The introduction text from R04_YV9005 is the stem. Show all
leaves on the screen at once.
PATH ID:
R04_YV9005
For the following questions, please think about the electronic nicotine product you use most often.
Is it rechargeable?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
DISPLAY: BOLD AND UNDERLINE “most often”.
PATH – Wave 4
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36
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9038
Does it use a tank system?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9008
Does it use cartridges?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9009
Can you refill it with “e-liquid”?
1
Yes
2
No
GO TO BOX R04_YVV03
-8
DON'T KNOW
GO TO BOX R04_YVV03
-7
REFUSED
GO TO BOX R04_YVV03
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9046
How often do you refill your electronic nicotine product with e-liquid?
1
At least once a day
2
Once every couple of days
3
Once a week
4
A few times a month
5
Once a month
6
A few times a year
7
Once a year
8
Never
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YVV03
ASK: Past 30 day "not light" e-product users that use refillable e-products.
PATH – Wave 4
Youth Questionnaire – Extended Interview
37
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9036
Who refills it with e-liquid?
1
I refill it myself
2
I get it refilled at a vape shop or vapor lounge
3
I buy it already filled
4
I get it refilled some other way
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users that use refillable e-products and has refilled them before.
BOX ID:
R04_YVV03
PROGRAM - CREATE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
R04_EDEVICETYPE (E-Product device type):
R04_EDEVICETYPE = 1 (Disposable E-Product Users).
R04_EDEVICETYPE = 2 (Non-Refillable Cartridge E-Product Users).
R04_EDEVICETYPE = 3 (Refillable Cartridge E-Product Users).
R04_EDEVICETYPE = 4 (Refillable Tank System E-Product Users).
R04_EDEVICETYPE = 5 (Refillable Mod System E-Product Users).
R04_EDEVICETYPE = 6 (Unknown E-Product User Type).
PATH – Wave 4
Youth Questionnaire – Extended Interview
38
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVT04
PROGRAM - CREATE [EPRODFILL1-3]:
EPRODFILL1:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL1 = "electronic nicotine products".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL1 = "electronic nicotine cartridges".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL1 = "milliliters of eliquid".
EPRODFILL2:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL2 = "electronic nicotine products".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL2 = "electronic nicotine cartridges".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL2 = "e-liquid".
EPRODFILL3:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL3 = "electronic nicotine product".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL3 = "electronic nicotine cartridge".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL3 = "e-liquid".
PATH ID:
R04_YV9010
Please think about the [EPRODFILL3] you use most often.
Does it contain nicotine?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: BOLD AND UNDERLINE “most often”.
PATH ID:
R04_YV1022
In the past 30 days, on how many days did you use an electronic nicotine product?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
PATH – Wave 4
Youth Questionnaire – Extended Interview
39
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9040
In the past 30 days, on the days you used an electronic nicotine product, how many [EPRODFILL1] did
you use per day?
1
Less than 1 per day
2
I___I___I
GO TO R04_YV1131
-8
DON'T KNOW
GO TO R04_YV1131
-7
REFUSED
GO TO R04_YV1131
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD, WITH BUTTON LABEL: “Less than 1 per day”
ON RIGHT.
PATH ID:
R04_YV9040_LC1
The computer recorded that on the days you used in the past 30 days, you used [R04_YV9040]
[EPRODFILL1] a day.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV9040
2
NEXT
GO TO R04_YV1131
ASK: IF R04_YV9040 > 5.
PATH ID:
R04_YV1026
On average, on the days that you use, how many times each day do you pick up your electronic nicotine
product to use it, whether you take one puff or several?
1
I___I___I___I
-8
DON'T KNOW
GO TO R04_YV1027
-7
REFUSED
GO TO R04_YV1027
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire – Extended Interview
40
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1026_LC1
The computer recorded that on the days you use, you pick up your electronic nicotine product to use it
[R04_YV1026] [time / times] a day, on average.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1026
2
NEXT
GO TO R04_YV1027
ASK: IF R04_YV1026 > 50 OR R04_YV1026 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV1026 = 1, DISPLAY "time".
ELSE, DISPLAY "times".
PATH ID:
R04_YV1027
Each time you pick up your electronic nicotine product to use it, about how many puffs did you take?
1
I___I___I___I
-8
DON'T KNOW
GO TO R04_YV1131
-7
REFUSED
GO TO R04_YV1131
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1027_LC1
The computer recorded that you take [R04_YV1027] [puff / puffs] from your electronic nicotine product
each time you use it, on average.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1027
2
NEXT
GO TO R04_YV1131
ASK: IF R04_YV1027 > 50 OR R04_YV1027 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV1027 = 1, DISPLAY "puff".
ELSE, DISPLAY "puffs".
PATH – Wave 4
Youth Questionnaire – Extended Interview
41
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1131
Which flavors of [EPRODFILL2] have you used in the past 30 days? Choose all that apply.
1
Tobacco-flavored
2
Menthol or mint
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
A non-alcoholic drink (such as coffee, soda, energy drinks, or other beverages)
8
Candy, desserts or other sweets
9
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: 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.”
BOX ID:
R04_YVR38
Youth respondents who used menthol or mint flavored e-products in the past 30 days, go to
R04_YV1147.
Else, youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in
the past 30 days, go to R04_YV1157.
Else, go to R04_YV1142.
PATH ID:
R04_YV1147
In the past 30 days, on the days you used an electronic nicotine product, how often was it flavored to
taste like menthol or mint?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users that have used menthol or mint flavored e-products.
PATH – Wave 4
Youth Questionnaire – Extended Interview
42
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR40
Youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in the
past 30 days, go to R04_YV1157.
Else, go to R04_YV1142.
PATH ID:
R04_YV1157
In the past 30 days, on the days you used an electronic nicotine product, how often was it flavored to
taste like clove, spice, fruit, chocolate, alcoholic or non-alcoholic drinks, candy, desserts or other
sweets?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in
the past 30 days.
PATH ID:
R04_YV1142
In the past 30 days, did anyone sell you [EPRODFILL2]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1123
In the past 30 days, did anyone refuse to sell you [EPRODFILL2] because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire – Extended Interview
43
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1118
In the past 30 days, how did you usually get your own [EPRODFILL2]?
1
I gave someone else money to buy them for me
2
I bought them myself from a store (including a vape shop or vapor lounge)
3
I asked someone to give me one
4
Someone offered it to me
5
I bought them from another person
6
I took them from a store or another person
7
I got them some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: 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.”
BOX ID:
R04_YVR05
Past 30 day e-product users who usually buy e-products for themselves or give someone else money to
buy e-products for them, go to R04_YV1030.
Else, go to Box R04_YVR57.
PATH ID:
R04_YV1030
[When you give money to someone else, how do they/How do you] usually buy your [EPRODFILL2]?
1
In person
2
From the internet
GO TO BOX R04_YVR06
3
By telephone
GO TO BOX R04_YVR06
-8
DON'T KNOW
GO TO BOX R04_YVR06
-7
REFUSED
GO TO BOX R04_YVR06
ASK: Past 30 day e-product users (including "very light" users) who buy e-products for themselves or
someone else buys for them.
DISPLAY: IF R04_YV1118 = 1, DISPLAY “When you give money to someone else, how do they”;
IF R04_YV1118 = 2, DISPLAY “How do you”.
PATH – Wave 4
Youth Questionnaire – Extended Interview
44
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1033
Where do [you/they] buy your [EPRODFILL2] most of the time?
11
A vape shop or vapor lounge
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
9
A swap meet or flea market
10
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users (including "very light" users) who buy e-products for themselves or
someone else buys for them in person.
DISPLAY: IF R04_YV1118 = 1, DISPLAY “they”;
IF R04_YV1118 = 2, DISPLAY “you”.
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.”
BOX ID:
R04_YVR06
Past 30 day "not-light" disposable e-product users and e-product users of undetermined types who buy
e-products for themselves or someone else buys for them, go to R04_YV1136.
Else, refillable cartridge, tank system, and mod system e-product users, go to R04_YV1041.
Else, non-refillable e-product users, go to R04_YV1039.
Else, go to Box R04_YVR57.
PATH ID:
R04_YV1136
Think about the last time you [bought/gave money to someone else to buy you] electronic nicotine
products. Did you buy them by the box or pack, or as single electronic nicotine products?
1
Box or pack
2
Single electronic nicotine products
GO TO R04_YV1034
-8
DON'T KNOW
GO TO R04_YV1034
-7
REFUSED
GO TO R04_YV1034
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them.
PATH – Wave 4
Youth Questionnaire – Extended Interview
45
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1137
How many electronic nicotine products came in the box or pack that you last bought?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who last bought e-products in a box
or pack.
PATH ID:
R04_YV1138
How much did you pay for a box or pack of electronic nicotine products?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who last bought e-products in a box
or pack.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
PATH ID:
R04_YV1138_LC1
The computer recorded that you paid $[R04_YV1138_D].[R04_YV1138_C] for a box or pack of
electronic nicotine products. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1138
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1138_D < 10 OR R04_YV1138_D > 75.
PATH ID:
R04_YV1034
How much did you pay for a single electronic nicotine product?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who did not buy their last e-product
in box or pack.
DISPLAY: DISPLAY“$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
PATH – Wave 4
Youth Questionnaire – Extended Interview
46
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1034_LC1
The computer recorded that you paid $[R04_YV1034_D].[R04_YV1034_C] for a single electronic
nicotine product. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1034
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1034_D > 50.
PATH ID:
R04_YV1041
Think about the last time you [bought/gave money to someone else to buy you] e-liquid.
How much did you pay for a bottle or container of e-liquid?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" refillable cartridge, tank system, and mod system e-product users who buy
e-liquid for themselves or someone else buys for them.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YV1118 = 1, DISPLAY "gave money to someone else to buy you".
IF R04_YV1118 = 2, DISPLAY "bought".
PATH ID:
R04_YV1041_LC1
The computer recorded that you paid $[R04_YV1041_D].[R04_YV1041_C] for a bottle or container of eliquid. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1041
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1041_D > 50 OR (R04_YV1041_D = 50 AND R04_YV1041_C > 00).
PATH – Wave 4
Youth Questionnaire – Extended Interview
47
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1039
Think about the last time you [bought/gave money to someone else to buy you] electronic nicotine
product cartridges.
Did you buy them by the box or pack, or as single cartridges?
1
Box or pack
2
Single cartridges
GO TO R04_YV1043
-8
DON'T KNOW
GO TO R04_YV1043
-7
REFUSED
GO TO R04_YV1043
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them.
DISPLAY: IF R04_YV1118 = 1, DISPLAY "gave money to someone else to buy you".
IF R04_YV1118 = 2, DISPLAY "bought".
PATH ID:
R04_YV1040
How many electronic nicotine product cartridges came in the box or pack that you last bought?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought cartridges in a box or pack.
PATH ID:
R04_YV1042
How much did you pay for a box or pack of electronic nicotine product cartridges?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought cartridges in a box or pack.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
PATH – Wave 4
Youth Questionnaire – Extended Interview
48
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1042_LC1
The computer recorded that you paid $[R04_YV1042_D].[R04_YV1042_C] for a box or pack of
[EPRODFILL1]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1042
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1042_D > 50 OR (R04_YV1042_D = 50 AND R04_YV1042_C > 00).
PATH ID:
R04_YV1043
How much did you pay for a single electronic nicotine product cartridge?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought single cartridges or did not know or refused to report
whether the non-refillable cartridge was in a box or pack or a single cartridge.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
PATH ID:
R04_YV1043_LC1
The computer recorded that you paid $[R04_YV1043_D].[R04_YV1043_C] for a single [EPRODFILL3].
Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YV1043
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1043_D > 50 OR (R04_YV1043_D = 50 AND R04_YV1043_C > 00).
BOX ID:
R04_YVR57
Past 30 day "not-light" e-product users, go to R04_YV1047.
Else, go to R04_YV1945.
PATH – Wave 4
Youth Questionnaire – Extended Interview
49
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1047
Do you have a regular brand of [EPRODFILL2] that you usually use?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" e-product users.
PATH ID:
R04_YV1945
Do you know the name of the brand of [EPRODFILL2] you [usually use/last used]?
1
Yes
2
No
GO TO BOX R04_YVD02
-8
DON'T KNOW
GO TO BOX R04_YVD02
-7
REFUSED
GO TO BOX R04_YVD02
ASK: Past 30 day e-product users.
DISPLAY: IF R04_YV1047 = 1, DISPLAY “usually use”.
ELSE, DISPLAY “last used”.
UNDERLINE "name of the brand".
PATH ID:
R04_YV1048
What brand of [EPRODFILL2] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else.”]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who know the brand name.
DISPLAY: IF R04_YV1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
PATH – Wave 4
Youth Questionnaire – Extended Interview
50
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR33
If youth respondent selects "Something else" in R04_YV1048_BRAND, go to R04_YV1049.
Else, past 30 day e-product users who have used an e-product today, yesterday or the day before
yesterday who know the name of their brand AND selected a valid brand in R04_YV1048_BRAND, go
to R04_YV0104.
Else, go to Box R04_YVD02.
PATH ID:
R04_YV1049
You said that your brand was not listed. What is it?
1
__________________________
GO TO R04_YVD02
-8
DON'T KNOW
GO TO R04_YVD02
-7
REFUSED
GO TO R04_YVD02
ASK: Past 30 day e-product users that know the name of the brand they use who selected "Something
else" for their brand.
PATH ID:
R04_YV0104
You said earlier that you last used an electronic nicotine product [TIME OF LAST USE].
Think about the very last puff you took. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have used an e-product in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a valid brand.
DISPLAY: IF R04_YV0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
IF R04_YV0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
IF R04_YV0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
IF R04_YV0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH SELECTION MADE IN R04_YV1048_BRAND.
BOX ID:
R04_YVD02
Display question R04_YV1060, R04_YV1085, R04_YV1062, R04_YV1075, R04_YV1063,
R04_YV1064, R04_YV1065, R04_YV1066, R04_YV1067 on one screen. Show the intro/transition text
from R04_YV1060 first, then show each item with a Yes/No response. As each item is answered, show
the next one.
PROGRAM: Randomize order of R04_YV1060 through R04_YV1067.
PATH – Wave 4
Youth Questionnaire – Extended Interview
51
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1060
The next questions are about the reasons people use electronic nicotine products. Please select which
reasons apply to you.
I use electronic nicotine products because…
They are affordable.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1085
I can use electronic nicotine products at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1062
They might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1075
They might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire – Extended Interview
52
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1063
E-liquid comes in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
BOX ID:
R04_YVR13
Past 30 day e-product users who have also smoked cigarettes in the past year, go to R04_YV1064.
Else, go to R04_YV1065.
PATH ID:
R04_YV1064
Using electronic nicotine products helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have also smoked cigarettes in the past year.
PATH ID:
R04_YV1065
Electronic nicotine products don't smell.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1066
Using an electronic nicotine product feels like smoking a regular cigarette.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire – Extended Interview
53
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1067
Electronic nicotine products don’t bother non-tobacco users.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
BOX ID:
R04_YVR14
Past 30 day e-product users who have also smoked cigarettes in the past 30 days, go to R04_YV1086.
Else, past 30 day e-product users, go to R04_YV1139.
Else, go to R04_YV9042.
PATH ID:
R04_YV1086
In the past 30 days, have you used an electronic nicotine product at times when or in places where you
could not smoke regular cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have also smoked cigarettes in the past 30 days.
PATH ID:
R04_YV1139
Please rate your level of agreement for each statement using the following scale: 1 = not true of me at
all to 4 = very true of me.
It is easier to talk and get along with other people when using an electronic nicotine product.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
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Youth Questionnaire – Extended Interview
54
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1140
While using an electronic nicotine product, I feel more confident with other people.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH ID:
R04_YV1141
I use electronic nicotine products much more when I am with other people.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH ID:
R04_YV9042
Have you ever used marijuana, marijuana concentrates, marijuana waxes, THC, or hash oils in an
electronic product such as an e-cigarette, vape, mod, personal vaporizer, e-hookah, or hookah pen?
(Remember all information you give to the PATH Study will be kept private.)
1
Yes
2
No
GO TO BOX R04_YGT01
-8
DON'T KNOW
GO TO BOX R04_YGT01
-7
REFUSED
GO TO BOX R04_YGT01
ASK: New baseline youth respondents who have seen, heard of, or ever used e-products, and
continuing youth respondents.
DISPLAY: UNDERLINE "electronic product".
PATH – Wave 4
Youth Questionnaire – Extended Interview
55
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9106
When you have used an electronic product, how often were you using it to smoke marijuana, marijuana
concentrates, marijuana waxes, THC, or hash oils?
1
Every time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products to smoke marijuana.
PATH ID:
R04_YM0100
When did you last use marijuana, marijuana concentrates, marijuana waxes, THC, or hash oils in an
electronic product such as an e-cigarette, vape, mod, personal vaporizer, e-hookah, or hookah pen?
1
In the past hour
2
Sometime today
3
Yesterday
4
Day before yesterday
5
GO TO R04_YM0103
Three or more days ago
GO TO BOX R04_YVR10
-8
DON'T KNOW
GO TO BOX R04_YVR10
-7
REFUSED
GO TO BOX R04_YVR10
ASK: Youth respondents who have ever used marijuana in an e-product.
DISPLAY: UNDERLINE "electronic product".
PATH – Wave 4
Youth Questionnaire – Extended Interview
56
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0102
When you last used marijuana, marijuana concentrates, marijuana waxes, THC, or hash oils in an
electronic product [FILL BASED ON R04_YM0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used marijuana in an e-product today, yesterday or the day before
yesterday, but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YM0100]:
IF R04_YM0100 = 2, DISPLAY “today”.
IF R04_YM0100 = 3, DISPLAY “yesterday”.
IF R04_YM0100 = 4, DISPLAY “the day before yesterday”.
UNDERLINE "electronic product".
PATH ID:
R04_YM0103
How many puffs of marijuana, marijuana concentrates, marijuana waxes, THC, or hash oils from an
electronic product [have/did] you [taken/take] [FILL BASED ON R04_YM0100]?
1
I__I__I__I
-8
DON'T KNOW
GO TO BOX R04_YVR10
-7
REFUSED
GO TO BOX R04_YVR10
ASK: Youth respondents who have used marijuana in an e-product in the past hour, today, yesterday or
the day before yesterday.
DISPLAY: IF R04_YM0100 = 1, 2, DISPLAY “have” AND “taken”.
IF R04_YM0100 = 3, 4, DISPLAY “did” AND “take”.
FOR [FILL BASED ON R04_YM0100]:
IF R04_YM0100 = 1, 2, DISPLAY “today”.
IF R04_YM0100 = 3, DISPLAY “yesterday”.
IF R04_YM0100 = 4, DISPLAY “the day before yesterday”.
UNDERLINE "electronic product".
PATH – Wave 4
Youth Questionnaire – Extended Interview
57
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0103_LC1
The computer recorded that you took [R04_YM0103] puffs of marijuana, marijuana concentrates,
marijuana waxes, THC, or hash oil from an electronic product [today/yesterday/the day before
yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YM0103
2
NEXT
GO TO BOX R04_YVR10
ASK: IF R04_YM0103 > 200 OR R04_YM0103 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YM0100 = 1, 2, DISPLAY “today”.
IF R04_YM0100 = 3, DISPLAY “yesterday”.
IF R04_YM0100 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – Extended Interview
58
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
CIGAR
BOX ID:
R04_YGT01
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, Arturo Fuente, and Cohiba, but there are many
others.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
BOX ID:
R04_YGT02
Cigarillos and filtered cigars are smaller than traditional cigars. They are usually brown. Some are the
same size as cigarettes, and some come with filters or with plastic or wooden tips. Some common
brands are Black & Mild, Swisher Sweets, Dutch Masters, Phillies Blunts, Zig Zag, and Cheyenne.
[SHOW GENERIC IMAGES OF CIGARILLOS AND FILTERED CIGARS]
BOX ID:
R04_YGR03
New baseline youth respondents, go to R04_YG9101_NB.
Continuing youth respondents, go to R04_YG1002_12M.
BOX ID:
R04_YGD02
DISPLAY INSTRUCTIONS
For R04_YG9104_NB, display a “Yes” and “No” column with options for each response category.
BOX ID:
R04_YGR19
New baseline youth respondents who have ever smoked a cigarillo or filtered cigar, go to
R04_YG9009_NB.
Else, go to Box R04_YGV04.
PATH – Wave 4
Youth Questionnaire – Extended Interview
59
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG1002_12M
In the past 12 months, have you smoked a traditional cigar, cigarillo, or filtered cigar, even one or two
puffs?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS, CIGARILLOS AND FILTERED CIGARS]
1
Yes
2
No
GO TO BOX R04_YGV04
-8
DON'T KNOW
GO TO BOX R04_YGV04
-7
REFUSED
GO TO BOX R04_YGV04
ASK: Continuing youth respondents.
BOX ID:
R04_YGD05
DISPLAY INSTRUCTIONS
For R04_YG9104_12M, display a “Yes” and “No” column with options for each response category.
PATH ID:
R04_YG9104_12M
Which type of cigar have you smoked in the past 12 months?
1
Traditional cigars like Macanudo, Romeo y Julieta, Arturo Fuente, Cohiba, or others
2
Cigarillos or filtered cigars like Black & Mild, Swisher Sweets, Dutch Masters, Phillies
Blunts, Zig Zag, Cheyenne, or others
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have smoked a traditional cigar, cigarillo or filtered cigar in the
past 12 months.
BOX ID:
R04_YGR20
Continuing youth respondents who have smoked a cigarillo or filtered cigar in the past 12 months, go to
R04_YG9009_12M.
Else, go to Box R04_YGV04.
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Youth Questionnaire – Extended Interview
60
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9009_12M
Which of the following kinds of cigarillos or filtered cigars have you smoked in the past 12 months?
Choose all that apply.
The kind…
[SHOW GENERIC IMAGE OF CIGARILLOS WITH TIPS, FILTERED CIGARS, AND CIGARILLOS
WITHOUT TIPS]
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: Continuing youth respondents who have smoked a cigarillo or filtered cigar in the past 12 months.
BOX ID:
R04_YGV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_GTRAD_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
traditional cigar.
R04_EVER_NEVER_GTRAD_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
a traditional cigar.
R04_INIT_GTRAD_YOUTH = 1 (Initiator) Youth respondents who initiated traditional cigar use
between Waves or new baseline youth respondents who have ever smoked a traditional cigar.
R04_EVER_NEVER_GRILLO_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
cigarillo.
R04_EVER_NEVER_GRILLO_YOUTH = 2 (Never user) Youth respondents who have not ever
smoked a cigarillo.
R04_INIT_GRILLO_YOUTH = 1 (Initiator) Youth respondents who initiated cigarillo use between
Waves or new baseline youth respondents who have ever smoked a cigarillo.
R04_EVER_NEVER_GFILTR_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
filtered cigar.
R04_EVER_NEVER_GFILTR_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
a filtered cigar.
R04_INIT_GFILTR_YOUTH = 1 (Initiator) Youth respondents who initiated filtered cigar use between
Waves or new baseline youth respondents who have ever smoked a filtered cigar.
PATH – Wave 4
Youth Questionnaire – Extended Interview
61
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YGR04
Youth respondents who have never heard of traditional cigars, cigarillos, and filtered cigars, go to Box
R04_YPT01.
Else, youth respondents who have heard of cigars but never smoked a traditional cigar, go to
R04_YG9010.
Else, youth respondents who have heard of cigars but never smoked a cigarillo, go to R04_YG9011.
Else, youth respondents who have heard of cigars but never smoked a filtered cigar, go to
R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
PATH ID:
R04_YG9010
Have you ever been curious about smoking a traditional cigar?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
PATH ID:
R04_YG9020
Do you think you will smoke a traditional cigar in the next year?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
PATH – Wave 4
Youth Questionnaire – Extended Interview
62
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9013
Do you think that you will try a traditional cigar soon?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
PATH ID:
R04_YG9016
If one of your best friends were to offer you a traditional cigar, would you smoke it?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
BOX ID:
R04_YGR12
Youth respondents who have heard of cigars but never smoked a cigarillo, go to R04_YG9011.
Else, youth respondents who have heard of cigars but never smoked a filtered cigar, go to
R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
PATH – Wave 4
Youth Questionnaire – Extended Interview
63
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9011
Have you ever been curious about smoking a cigarillo?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
PATH ID:
R04_YG9021
Do you think you will smoke a cigarillo in the next year?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
PATH ID:
R04_YG9014
Do you think that you will try a cigarillo soon?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
PATH – Wave 4
Youth Questionnaire – Extended Interview
64
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9017
If one of your best friends were to offer you a cigarillo, would you smoke it?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
BOX ID:
R04_YGR13
Youth respondents who have heard of cigars but never smoked a filtered cigar, go to R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
PATH ID:
R04_YG9012
Have you ever been curious about smoking a filtered cigar?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH – Wave 4
Youth Questionnaire – Extended Interview
65
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9022
Do you think you will smoke a filtered cigar in the next year?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH ID:
R04_YG9015
Do you think that you will try a filtered cigar soon?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH ID:
R04_YG9018
If one of your best friends were to offer you a filtered cigar, would you smoke it?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH – Wave 4
Youth Questionnaire – Extended Interview
66
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YGR14
New baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, go to R04_YG9107.
PATH ID:
R04_YG9107
[Sometimes people take tobacco out of a traditional cigar, cigarillo or filtered cigar and replace it with
marijuana. This is sometimes called a “blunt”.
]In the past 12 months, have you smoked part or all of a traditional cigar, cigarillo or filtered cigar with
marijuana in it? [(Remember all information you give to the PATH Study will be kept private.)]
1
Yes
2
No
GO TO BOX R04_YGV01
-8
DON'T KNOW
GO TO BOX R04_YGV01
-7
REFUSED
GO TO BOX R04_YGV01
ASK: New baseline youth respondents who have ever smoked a blunt and all continuing youth
respondents.
DISPLAY: UNDERLINE "past 12 months".
IF R04_YOUTHTYPE = 1, DISPLAY "Sometimes people take tobacco out of a cigar, cigarillo or filtered
cigar and replace it with marijuana. This is sometimes called a “blunt”." AND "(Remember all the
information you give to the PATH Study will be kept private.)".
ELSE, DO NOT DISPLAY THIS TRANSITION TEXT.
PATH ID:
R04_YG1095
Which of the following looks like the type of cigar you usually smoke as a blunt? Choose all that apply.
[SHOW GENERIC IMAGE OF 3 CIGAR GROUPS]
1
Group 1
2
Group 2
3
Group 3
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked blunts in the past 12 months.
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PATH ID:
R04_YG9106
Now think about the past 12 months when you smoked the type of cigar shown below.
In the past 12 months, how often was any of the tobacco replaced with marijuana?
[SHOW GENERIC IMAGE OF [YG1095CIGARTYPE]]
1
Every time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked blunts in the past 12 months. (This question is repeated for
every cigar type identified in R04_YG1095[_01/_02/_03].)
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BOX ID:
R04_YGV01
DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
BLUNT-ONLY USER GROUPS:
R04_12MBLUNT_ONLY_BTRAD = Youth respondents who smoke traditional cigars as blunts every
time when smoked in the past 12 months.
R04_12MBLUNT_ONLY_BRILLO = Youth respondents who smoke cigarillos as blunts every time
when smoked in the past 12 months.
R04_12MBLUNT_ONLY_BFILTR = Youth respondents who smoke filtered cigars as blunts every time
when smoked in the past 12 months.
R04_INIT_BLUNT_BTRAD_YOUTH = Youth respondents who initiated smoking traditional cigars as
blunts between Waves or new baseline youth respondents who have ever used traditional cigars as
blunts every time in the past 12 months.
R04_INIT_BLUNT_BRILLO_YOUTH = Youth respondents who initiated smoking cigarillos as blunts
between Waves or new baseline youth respondents who have ever used cigarillos as blunts every time
in the past 12 months.
R04_INIT_BLUNT_BFILTR_YOUTH = Youth respondents who initiated smoking filtered cigars as
blunts between Waves or new baseline youth respondents who have ever used filtered cigars as blunts
every time in the past 12 months.
DEFINE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
CIGAR LOOPS
Cigars as Non-Blunts:
GTRAD = Youth respondents who have ever smoked traditional cigars and have not smoked traditional
cigars as blunts every time when smoked in the past 12 months.
GRILLO = Youth respondents who have ever smoked cigarillos and have not smoked cigarillos as
blunts every time when smoked in the past 12 months.
GFILTR = Youth respondents who have ever smoked filtered cigars and have not smoked filtered cigars
as blunts every time when smoked in the past 12 months.
Cigars as Blunts-Only:
BTRAD = Youth respondents who smoke traditional cigars as blunts every time when smoked in the
past 12 months.
BRILLO = Youth respondents who smoke cigarillos as blunts every time when smoked in the past 12
months.
BFILTR = Youth respondents who smoke filtered cigars as blunts every time when smoked in the past
12 months.
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BOX ID:
R04_YGR02
PROGRAM: CREATE LOOPS FOLLOWING ROUTING INSTRUCTIONS FOR VARIOUS CIGAR
TYPES:
Blunt/Cigar Loops
If the respondent has smoked cigars as blunts-only, R04_YJ1108[TC/CL/FC] through
R04_YJ1071[TC/CL/FC] are repeated in a loop for each cigar type as blunts. See Box R04_YJT04 for
transition text shown at the start of each loop.
After all blunt loops are complete, items from R04_YG1006_NB[TC/CL/FC] through
R04_YG1141[TC/CL/FC] are repeated once for each type of cigar the respondent has smoked,
following skips appropriately. See Box R04_YGT04 for transition text shown at the start of each loop.
If the respondent only smoked traditional cigars, cigarillos, or filtered cigars as blunts, go to Box
R04_YJT04.
Else, if the respondent has ever smoked traditional cigars, cigarillos, or filtered cigars, go to Box
R04_YGT04.
Else, if the respondent has not smoked traditional cigars, cigarillos, or filtered cigars as blunts, and has
never smoked traditional cigars, cigarillos, or filtered cigars, go to Box R04_YPT01.
[CIGARFILL]
If traditional cigar/blunt smoker, [CIGARFILL] = "traditional cigar".
If cigarillo/blunt smoker, [CIGARFILL] = "cigarillo".
If filtered cigar/blunt smoker, [CIGARFILL] = "filtered cigar".
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BOX ID:
R04_YJT04
PROGRAM - DISPLAY THE FOLLOWING TRANSITION TEXT AT THE START OF LOOPS:
IF LOOP=BTRAD Traditional Cigars (as blunts-only):
The next questions are about traditional cigars when smoked as blunts.
Traditional cigars contain tightly rolled tobacco that is wrapped in a tobacco leaf. Sometimes people
take tobacco out of a traditional cigar and replace it with marijuana. This is sometimes called a blunt. As
you answer these questions, please think only about your use of traditional cigars when smoked as
blunts like those shown below. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:]
There will be a separate section later about other kinds of blunts.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGAR]
IF LOOP=BRILLO Cigarillos (as blunts-only):
The next questions are about cigarillos when smoked as blunts.
Cigarillos are medium-sized cigars and sometimes come with plastic or wood tips. [Sometimes people
take tobacco out of a cigarillo and replace it with marijuana. This is sometimes called a blunt.] As you
answer these questions, please think only about your use of cigarillos when smoked as blunts like those
shown below. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] There will be a
separate section later about other kinds of blunts.
[SHOW GENERIC IMAGE OF CIGARILLO]
IF LOOP=BFILTR Filtered Cigars (as blunts-only):
The next questions are about filtered cigars when smoked as blunts.
Filtered cigars are usually brown and have a filter like a cigarette. [Sometimes people take tobacco out
of a filtered cigar and replace it with marijuana. This is sometimes called a blunt.] As you answer these
questions, please think only about your use of filtered cigars when smoked as blunts like those shown
below. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] There will be a separate
section later about other kinds of blunts.
[SHOW GENERIC IMAGE OF FILTERED CIGAR]
BOX ID:
R04_YJR09
Continuing youth respondents who have initiated blunt use since the previous wave, and new baseline
youth respondents who have ever smoked a blunt, go to R04_YJ1108[TC/CL/FC].
Else, youth respondents who have smoked blunts in the past 12 months, go to R04_YJ1112[TC/CL/FC].
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PATH ID:
R04_YJ1108
Was the first [CIGARFILL] you smoked as a blunt flavored to taste like menthol, mint, clove, spice, fruit,
chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YJ1112[TC/CL/FC]
3
I don't know
GO TO R04_YJ1112[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1112[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1112[TC/CL/FC]
ASK: Continuing youth respondents who have initiated blunt use since previous wave, and new baseline
youth respondents who have ever smoked blunts.
PATH ID:
R04_YJ1011
What flavor was that first [CIGARFILL] you smoked as a blunt? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first blunt was flavored.
DISPLAY: 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:
R04_YJ1112
When was the last time you smoked a [CIGARFILL] as a blunt, 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
GO TO BOX R04_YJV02
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YJV02
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YJV02
-8
DON'T KNOW
GO TO BOX R04_YJV02
-7
REFUSED
GO TO BOX R04_YJV02
ASK: Youth respondents who have smoked blunts in the past 12 months.
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PATH ID:
R04_YJ0100
When did you last smoke a [CIGARFILL] as a blunt?
1
In the past hour
2
Sometime today
GO TO R04_YJ0103[TC/CL/FC]
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YJV02
-8
DON'T KNOW
GO TO BOX R04_YJV02
-7
REFUSED
GO TO BOX R04_YJV02
ASK: Youth respondents who have smoked blunts in the past 7 days.
PATH ID:
R04_YJ0102
When you last smoked a [CIGARFILL] as a blunt [FILL BASED ON R04_YJ0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a blunt today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YJ0100[TC/CL/FC]]: IF R04_YJ0100[TC/CL/FC] = 2, DISPLAY
“today”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YJ0103
How many [CIGARFILL]s [have/did] you [smoked/smoke] as a blunt [FILL BASED ON
R04_YJ0100[TC/CL/FC]]? (If less than 1, enter 1.)
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YJV02[TC/CL/FC]
-7
REFUSED
GO TO BOX R04_YJV02[TC/CL/FC]
ASK: Youth respondents who have smoked a blunt in the past hour, today, yesterday or the day before
yesterday.
DISPLAY: IF R04_YJ0100[TC/CL/FC] = 1, 2, DISPLAY “have” AND “smoked”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, 4, DISPLAY “did” AND “smoke”.
FOR [FILL BASED ON R04_YJ0100[TC/CL/FC]]:
IF R04_YJ0100[TC/CL/FC] = 1, 2, DISPLAY “today”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100[TC/CL/FC] = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YJ0103TC_LC1
The computer recorded that you smoked [R04_YJ0103TC] traditional cigars as blunts
[today/yesterday/the day before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ0103TC
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103TC > 15 OR R04_YJ0103TC = 11.
DISPLAY: IF R04_YJ0100TC = 1, 2, DISPLAY “today”.
ELSE, IF R04_YJ0100TC = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100TC = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YJ0103CL_LC1
The computer recorded that you smoked [R04_YJ0103CL] cigarillos as blunts [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ0103CL
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103CL > 15 OR R04_YJ0103CL = 11.
DISPLAY: IF R04_YJ0100CL = 1, 2, DISPLAY “today”.
ELSE, IF R04_YJ0100CL = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100CL = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YJ0103FC_LC1
The computer recorded that you smoked [R04_YJ0103FC] filtered cigars as blunts [today/yesterday/the
day before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ0103FC
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103FC > 15 OR R04_YJ0103FC = 11.
DISPLAY: IF R04_YJ0100FC = 1, 2, DISPLAY “today”.
ELSE, IF R04_YJ0100FC = 3, DISPLAY “yesterday”.
ELSE, IF R04_YJ0100FC = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YJV02
PROGRAM - CREATE THE FOLLOWING VARIABLES FOR EACH CIGAR TYPE (SEE APPENDIX):
R04_30DBLUNT_ONLY_BTRAD = Youth respondents who have smoked a traditional cigar as a blunt
in the past 30 days.
R04_30DBLUNT_ONLY_BRILLO = Youth respondents who have smoked a cigarillo as a blunt in the
past 30 days.
R04_30DBLUNT_ONLY_BFILTR = Youth respondents who have smoked a filtered cigar as a blunt in
the past 30 days.
BOX ID:
R04_YJR06
Past 30 day blunt-only smokers, go to R04_YJ1022[TC/CL/FC].
Else, go to R04_YJ1047[TC/CL/FC].
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PATH ID:
R04_YJ1022
In the past 30 days, on how many days did you smoke a [CIGARFILL] as a blunt?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
DISPLAY: DISPLAY 'DAYS' AS TITLE.
PATH ID:
R04_YJ1023
In the past 30 days, on the days you smoked [CIGARFILL]s as blunts, how many [CIGARFILL]s did you
smoke as a blunt 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: Past 30 day blunt-only smokers.
PATH ID:
R04_YJ1130
In the past 30 days, were any of the [CIGARFILL]s that you smoked as a blunt flavored to taste like
menthol, mint, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YJ1142[TC/CL/FC]
3
I don't know
GO TO R04_YJ1142[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1142[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1142[TC/CL/FC]
ASK: Past 30 day blunt-only smokers.
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PATH ID:
R04_YJ1131
Which flavors have you smoked in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored blunt-only smokers.
DISPLAY: 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:
R04_YJ1147
On the days you smoked [CIGARFILL]s as blunts in the past 30 days, how often did you smoke flavored
[CIGARFILL]s?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored blunt-only smokers.
DISPLAY: Underline "flavored".
PATH ID:
R04_YJ1142
In the past 30 days, did anyone sell you [CIGARFILL]s?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
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PATH ID:
R04_YJ1123
In the past 30 days, did anyone refuse to sell you [CIGARFILL]s because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
PATH ID:
R04_YJ1118
In the past 30 days, how did you usually get your own [CIGARFILL]s for when you smoke blunts?
1
I gave someone else money to buy them for me
2
I bought them myself from a store (including a cigar bar)
3
I asked someone to give me one
GO TO R04_YJ1047[TC/CL/FC]
4
Someone offered it to me
GO TO R04_YJ1047[TC/CL/FC]
5
I bought them from another person
GO TO R04_YJ1047[TC/CL/FC]
6
I took them from a store or another person
GO TO R04_YJ1047[TC/CL/FC]
7
I got them some other way (SPECIFY)
GO TO R04_YJ1047[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day blunt-only smokers.
DISPLAY: 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:
R04_YJ1030
How do [you/they] usually buy your [CIGARFILL]s for when you smoke blunts?
1
In person (such as at a store or cigar bar)
2
From the internet
GO TO R04_YJ1039[TC/CL/FC]
3
By telephone
GO TO R04_YJ1039[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1039[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1039[TC/CL/FC]
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar as a blunt-only smokers who buy traditional
cigars/cigarillos/filtered cigars for blunts for themselves or someone else buys for them.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =1, DISPLAY “they”;
ELSE, IF R04_YJ1118[TC/CL/FC] =2, DISPLAY “you”.
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PATH ID:
R04_YJ1033
Where do [you/they] buy your [CIGARFILL]s 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
9
A swap meet or flea market
10
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only traditional cigar/cigarillo/filtered cigar smokers who buy traditional
cigars/cigarillos/filtered cigars for blunts for themselves or someone else buys for them in person.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =1, DISPLAY “they”;
ELSE, IF R04_YJ1118[TC/CL/FC] =2, DISPLAY “you”.
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:
R04_YJ1039
Think about the last time you [bought/gave money to someone else to buy you] [CIGARFILL]s for blunts.
Did you buy them by the box or pack, or as single [CIGARFILL]s?
1
Box or pack
2
Single [CIGARFILL]s
GO TO R04_YJ1034[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day blunt-only smokers who buy blunts for themselves or someone else buys for them.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =2, DISPLAY "bought".
ELSE, IF R04_YJ1118[TC/CL/FC] =1, DISPLAY "gave money to someone else to buy you".
PATH ID:
R04_YJ1040
How many [CIGARFILL]s came in the box or pack that you last bought for blunts?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers who last bought cigars by the box or pack.
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PATH ID:
R04_YJ1034
How much did you pay for a [box or pack of [CIGARFILL]s/single [CIGARFILL]]?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar as blunts-only smokers who buy traditional
cigar/cigarillo/filtered cigar as blunts for themselves or someone else buys for them who last bought by
box or pack or as single traditional cigars/cigarillos/filtered cigars.
DISPLAY: DISPLAY AS QUANTITY/QUANTITY. DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents”
AS TITLES.
IF R04_YJ1039[TC/CL/FC] =1, DISPLAY "box or pack of [CIGARFILL]s";
ELSE, IF R04_YJ1039[TC/CL/FC] =2, DISPLAY "single [CIGARFILL]".
PATH ID:
R04_YJ1034TC_LC1
The computer recorded that you paid $[R04_YJ1034TC_D].[R04_YJ1034TC_C] for a [box or pack of
traditional cigars for blunts/single traditional cigar for blunts]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ1034TC
2
NEXT
GO TO R04_YJ1047TC
ASK: IF ((R04_YJ1034TC_D > 300 OR R04_YJ1034TC_D < 10) AND R04_YJ1039TC = 1 ), OR
((R04_YJ1034TC_D > 15 OR R04_YJ1034TC_D < 1) AND R04_YJ1039TC = 2).
DISPLAY: IF R04_YJ1039TC = 1, DISPLAY "box or pack of traditional cigars for blunts";
ELSE, IF R04_YJ1039TC = 2, DISPLAY "single traditional cigar for blunts".
PATH ID:
R04_YJ1034CL_LC1
The computer recorded that you paid $[R04_YJ1034CL_D].[R04_YJ1034CL_C] for a [box or pack of
cigarillos for blunts/single cigarillo for blunts]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ1034CL
2
NEXT
GO TO R04_YJ1047CL
ASK: IF ((R04_YJ1034CL_D > 11 OR R04_YJ1034CL_D < 1) AND R04_YJ1039CL = 1), OR
((R04_YJ1034CL_D > 3 OR (R04_YJ1034CL_D = 0 AND R04_YJ1034CL_C < 50)) AND
R04_YJ1039CL = 2).
DISPLAY: IF R04_YJ1039CL = 1, DISPLAY "box or pack of cigarillos for blunts";
ELSE, IF R04_YJ1039CL = 2, DISPLAY "single cigarillo for blunts".
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PATH ID:
R04_YJ1034FC_LC1
The computer recorded that you paid $[R04_YJ1034FC_D].[R04_YJ1034FC_C] for a [box or pack of
filtered cigars for blunts/single filtered cigar for blunts]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YJ1034FC
2
NEXT
GO TO R04_YJ1047FC
ASK: IF ((R04_YJ1034FC_D > 100 OR R04_YJ1034FC_D < 1) AND R04_YJ1039FC = 1) OR
((R04_YJ1034FC_D > 3 OR (R04_YJ1034FC_D = 0 AND R04_YJ1034FC_C < 50)) AND
R04_YJ1039FC = 2).
DISPLAY: IF R04_YJ1039FC = 1, DISPLAY "box or pack of filtered cigars for blunts";
ELSE, IF R04_YJ1039FC = 2, DISPLAY "single filtered cigar for blunts".
PATH ID:
R04_YJ1047
Do you have a regular brand of [CIGARFILL]s that you usually smoke as blunts?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers.
PATH ID:
R04_YJ1945
Do you know the name of the brand of [CIGARFILL]s you [usually smoke/last smoked] as blunts?
1
Yes
2
No
GO TO BOX R04_YJR08
-8
DON'T KNOW
GO TO BOX R04_YJR08
-7
REFUSED
GO TO BOX R04_YJR08
ASK: Past 12 month blunt-only smokers.
DISPLAY: IF R04_YJ1047[TC/CL/FC] = 1, DISPLAY “usually smoke”.
ELSE, IF R04_YJ1047[TC/CL/FC] = 2, -8, -7, DISPLAY “last smoked”.
UNDERLINE "name of the brand".
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PATH ID:
R04_YJ1048
What brand of [CIGARFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”. ]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers who know the brand name.
DISPLAY: IF R04_YJ1047[TC/CL/FC] =1, DISPLAY “do” AND “usually”.
ELSE, IF R04_YJ1047[TC/CL/FC] = 2, -8, -7, DISPLAY “did” AND “last”.
[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.]
BOX ID:
R04_YJR01
If youth respondent selects "Something else" in R04_YJ1048[TC/CL/FC]_BRAND, go to
R04_YJ1049[TC/CL/FC].
Else, if youth respondent selects brand in R04_YJ1048[TC/CL/FC]_BRAND, go to
R04_YJ1070[TC/CL/FC]_PRODUCT.
Else, go to Box R04_YJR08.
PATH ID:
R04_YJ1049
You said that your brand was not listed. What is it?
1
__________________________
GO TO BOX R04_YJR08
-8
DON'T KNOW
GO TO BOX R04_YJR08
-7
REFUSED
GO TO BOX R04_YJR08
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
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PATH ID:
R04_YJ1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”. ]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected a
brand image.
DISPLAY: IF R04_YJ1047[TC/CL/FC] =1, DISPLAY “do” AND “usually”.
ELSE, IF R04_YJ1047[TC/CL/FC] =2, -8, -7, DISPLAY “did” AND “last”.
[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 R04_YJ1048[TC/CL/FC]]
BOX ID:
R04_YJR02
If youth respondent selects "Something else" in R04_YJ1070[TC/CL/FC]_PRODUCT, go to
R04_YJ1071[TC/CL/FC].
Else, go to Box R04_YJR08.
PATH ID:
R04_YJ1071
You said that the type of [BRANDFILL]s that you smoke as blunts was not listed. What type is it?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected a
brand image, but selected "Something else" for their subbrand image.
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BOX ID:
R04_YJR08
END BLUNT LOOP:
If respondent has loops to complete for other blunt types, return to Box R04_YJT04 and loop through
subsection for any other blunt types.
Else, if respondent has loops to complete for non-blunt cigar types, go to Box R04_YGT04.
Else, if respondent has no more remaining loops to complete, go to Box R04_YPT01.
BOX ID:
R04_YGT04
PROGRAM - DISPLAY THE FOLLOWING TRANSITION TEXT AT THE START OF LOOPS:
IF LOOP=GTRAD Traditional Cigars (non-blunts)
The next questions are about traditional cigars.
Traditional cigars contain tightly rolled tobacco that is wrapped in a tobacco leaf.
As you answer these questions, please think only about your use of traditional cigars like those shown
below. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] There will be a separate
section later about other kinds of cigars.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGAR]
IF LOOP=GRILLO Cigarillos (non-blunts)
The next questions are about cigarillos.
Cigarillos are medium-sized cigars and sometimes come with plastic or wood tips.
As you answer these questions, please think only about your use of cigarillos like those shown below.
[ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] There will be a separate section
later about other kinds of cigars.
[SHOW GENERIC IMAGE OF CIGARILLO].
IF LOOP=GFILTR Filtered Cigars (non-blunts)
The next questions are about filtered cigars.
Filtered cigars are usually brown and have a filter like a cigarette. As you answer these questions,
please think only about your use of filtered cigars like those shown below. [ONLY IF THIS IS NOT THE
LAST TIME THROUGH THE SECTION:] There will be a separate section later about other kinds of
cigars.
[SHOW GENERIC IMAGE OF FILTERED CIGAR].
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BOX ID:
R04_YGR05
New baseline youth respondents who have ever smoked cigars, go to R04_YG1006[TC/CL/FC]_NB.
Else, continuing youth respondents who initiated cigar smoking since the previous wave, go to
R04_YG1108[TC/CL/FC].
Else, continuing youth respondents who had smoked 100 or more cigars in the previous wave, go to
R04_YG9040[TC/CL/FC].
Else, go to R04_YG1005[TC/CL/FC].
PATH ID:
R04_YG1108
Was the first [CIGARFILL] you smoked flavored to taste like menthol, mint, clove, spice, fruit, chocolate,
alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO BOX R04_YGR09
3
I don't know
GO TO BOX R04_YGR09
-8
DON'T KNOW
GO TO BOX R04_YGR09
-7
REFUSED
GO TO BOX R04_YGR09
ASK: Continuing youth respondents who have initiated cigar smoking since the previous wave, and new
baseline youth respondents who have ever smoked cigars.
PATH ID:
R04_YG1011
What flavor was that first [CIGARFILL] you smoked? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first cigar was flavored.
DISPLAY: 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.”
BOX ID:
R04_YGR09
Continuing youth respondents who had smoked 100 or more cigars in the previous wave, go to
R04_YG9040[TC/CL/FC].
Else, go to R04_YG1005[TC/CL/FC].
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PATH ID:
R04_YG1005
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: Aged-up and continuing youth respondents who have ever smoked cigars and had not smoked
100 or more cigars in the previous wave, and new cohort youth respondents who have ever smoked
cigars.
PATH ID:
R04_YG9040
Please look at this picture. Which group is most like the [CIGARFILL] you usually smoke?
[SHOW GENERIC IMAGE OF 4 CIGAR GROUPS]
1
Group 1
2
Group 2
3
Group 3
4
Group 4
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a traditional cigar/cigarillo/filtered cigar.
BOX ID:
R04_YGR18
Continuing youth respondents who have ever smoked cigars and had never smoked fairly regularly in
the previous wave, and new baseline youth respondents who have ever smoked cigars, go to
R04_YG1100[TC/CL/FC].
Else, go to R04_YG1112[TC/CL/FC].
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PATH ID:
R04_YG1100
Have you ever smoked [CIGARFILL]s fairly regularly?
1
Yes
2
No
GO TO R04_YG1112[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1112[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1112[TC/CL/FC]
ASK: Aged-up and continuing youth respondents who have ever smoked a cigar (and had never
smoked fairly regularly in the previous wave), and new cohort youth respondents who have ever
smoked cigars.
PATH ID:
R04_YG1007
How old were you when you first started smoking [CIGARFILL]s fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YG1121[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1121[TC/CL/FC]
ASK: Youth respondents who have ever smoked cigars fairly regularly and did not smoke fairly regularly
in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH ID:
R04_YG1007TC_LC1
The computer recorded that you started smoking traditional cigars fairly regularly at age
[R04_YG1007TC]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007TC
2
NEXT
GO TO R04_YG1112TC
ASK: IF R04_AG1007TC <= 12 OR R04_YG1007TC < R04_YG1006TC_NB.
PATH ID:
R04_YG1007TC_LC2
The computer recorded that you started smoking traditional cigars fairly regularly at age
[R04_YG1007TC]. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007TC
2
NEXT
GO TO R04_YG1112TC
ASK: IF R04_YG1007TC > R04_YOUTHAGE.
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PATH ID:
R04_YG1007CL_LC1
The computer recorded that you started smoking cigarillos fairly regularly at age [R04_YG1007CL]. Is
that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007CL
2
NEXT
GO TO R04_YG1112CL
ASK: IF R04_AG1007CL <= 5 OR R04_YG1007CL < R04_YG1006CL_NB.
PATH ID:
R04_YG1007CL_LC2
The computer recorded that you started smoking cigarillos fairly regularly at age [R04_YG1007CL]. That
is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007CL
2
NEXT
GO TO R04_YG1112CL
ASK: IF R04_YG1007CL > R04_YOUTHAGE.
PATH ID:
R04_YG1007FC_LC1
The computer recorded that you started smoking filtered cigars fairly regularly at age [R04_YG1007FC].
Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007FC
2
NEXT
GO TO R04_YG1112FC
ASK: IF R04_AG1007FC <= 10 OR R04_YG1007FC < R04_YG1006FC_NB.
PATH ID:
R04_YG1007FC_LC2
The computer recorded that you started smoking filtered cigars fairly regularly at age [R04_YG1007FC].
That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1007FC
2
NEXT
GO TO R04_YG1112FC
ASK: IF R04_YG1007FC > R04_YOUTHAGE.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1121
When you first started smoking [CIGARFILL]s fairly regularly, 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: Youth respondents who did not know or refused to report the age when they started smoking
cigars fairly regularly.
PATH ID:
R04_YG1112
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
GO TO BOX R04_YGV02
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YGV02
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YGV02
6
1 to 4 years ago
GO TO BOX R04_YGV02
7
5 or more years ago
GO TO BOX R04_YGV02
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have ever smoked cigars.
PATH ID:
R04_YG0100
When did you last smoke a [CIGARFILL]?
1
In the past hour
GO TO R04_YG0103[TC/CL/FC]
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YGV02
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have smoked cigars in the past 7 days.
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Wave 4 (version 4.0)
PATH ID:
R04_YG0102
When you last smoked a [CIGARFILL] [FILL BASED ON R04_YG0100[TC/CL/FC]], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigar today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YG0100[TC/CL/FC]]:
IF R04_YG0100[TC/CL/FC] = 2, DISPLAY “today”.
ELSE, IF R04_YG0100[TC/CL/FC] = 3, DISPLAY "yesterday".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YG0103
How many [CIGARFILL]s [have/did] you [smoked/smoke] [FILL BASED ON R04_YG0100[TC/CL/FC]]?
(If less than 1, enter 1.)
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have smoked a cigar in the past hour, sometime today, yesterday or the
day before yesterday.
DISPLAY: IF R04_YG0100[TC/CL/FC] = 1, 2, DISPLAY “have” AND “smoked”.
ELSE, IF R04_YG0100[TC/CL/FC] = 3, 4, DISPLAY “did” AND “smoke”.
FOR [FILL BASED ON R04_YG0100[TC/CL/FC]]:
IF R04_YG0100[TC/CL/FC] = 1, 2, DISPLAY “today”.
ELSE, IF R04_YG0100[TC/CL/FC] = 3, DISPLAY "yesterday".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, DISPLAY “the day before yesterday”.
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Wave 4 (version 4.0)
PATH ID:
R04_YG0103TC_LC1
The computer recorded that you smoked [R04_YG0103TC] traditional cigars [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG0103TC
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103TC > 15 OR R04_YG0103TC = 11.
DISPLAY: IF R04_YG0100TC = 1, 2, DISPLAY “today”.
ELSE, IF R04_YG0100TC = 3, DISPLAY “yesterday”.
ELSE, IF R04_YG0100TC = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YG0103CL_LC1
The computer recorded that you smoked [R04_YG0103CL] cigarillos [today/yesterday/the day before
yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG0103CL
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103CL > 15 OR R04_YG0103CL = 11.
DISPLAY: IF R04_YG0100CL = 1, 2, DISPLAY “today”.
ELSE, IF R04_YG0100CL = 3, DISPLAY “yesterday”.
ELSE, IF R04_YG0100CL = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YG0103FC_LC1
The computer recorded that you smoked [R04_YG0103FC] filtered cigars [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG0103FC
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103FC > 15 OR R04_YG0103FC = 11.
DISPLAY: IF R04_YG0100FC = 1, 2, DISPLAY “today”.
ELSE, IF R04_YG0100FC = 3, DISPLAY “yesterday”.
ELSE, IF R04_YG0100FC = 4, DISPLAY “the day before yesterday”.
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Wave 4 (version 4.0)
BOX ID:
R04_YGV02
PROGRAM - CREATE THE FOLLOWING VARIABLES FOR EACH CIGAR TYPE (SEE APPENDIX):
R04_PAST30DAY_GTRAD = 1 (Past 30 day smoker) Youth respondents who have smoked a
traditional cigar in the past 30 days.
R04_PAST30DAY_GTRAD_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a traditional cigar in the past 30 days, and have smoked 10 or less traditional cigars in
their lifetime.
R04_PAST30DAY_GTRAD_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a traditional cigar in the past 30 days, and have smoked more than 10 traditional cigars in
their lifetime.
R04_PAST30DAY_GRILLO = 1 (Past 30 day smoker) Youth respondents who have smoked a cigarillo
in the past 30 days.
R04_PAST30DAY_GRILLO_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a cigarillo in the past 30 days, and have smoked 10 or less cigarillos in their lifetime.
R04_PAST30DAY_GRILLO_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a cigarillo in the past 30 days, and have smoked more than 10 cigarillos in their lifetime.
R04_PAST30DAY_GFILTR = 1 (Past 30 day smoker) Youth respondents who have smoked a filtered
cigar in the past 30 days.
R04_PAST30DAY_GFILTR_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a filtered cigar in the past 30 days, and have smoked 10 or less filtered cigars in their
lifetime.
R04_PAST30DAY_GFILTR_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a filtered cigar in the past 30 days, and have smoked more than 10 filtered cigars in their
lifetime.
BOX ID:
R04_YGR06
Past 30 day cigar smokers, go to R04_YG1022[TC/CL/FC].
Else, go to Box R04_YGR16.
PATH ID:
R04_YG1022
In the past 30 days, on how many days did you smoke a [CIGARFILL]?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1023
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: Past 30 day cigar smokers.
PATH ID:
R04_YG1130
In the past 30 days, were any of the [CIGARFILL]s that you smoked flavored to taste like menthol, mint,
clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YG1142[TC/CL/FC]
3
I don't know
GO TO R04_YG1142[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1142[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1142[TC/CL/FC]
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1131
Which flavors have you smoked in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored cigar smokers.
DISPLAY: 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.”
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Wave 4 (version 4.0)
PATH ID:
R04_YG1147
On the days you smoked [CIGARFILL]s in the past 30 days, how often did you smoke flavored
[CIGARFILL]s?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored cigar smokers.
DISPLAY: UNDERLINE "flavored".
PATH ID:
R04_YG1142
In the past 30 days, did anyone sell you [CIGARFILL]s?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1123
In the past 30 days, did anyone refuse to sell you [CIGARFILL]s because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1118
In the past 30 days, how did you usually get your own [CIGARFILL]s?
1
I gave someone else money to buy them for me
2
I bought them myself from a store (including a cigar bar)
3
I asked someone to give me one
4
Someone offered it to me
5
I bought them from another person
6
I took them from a store or another person
7
I got them some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: 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.”
BOX ID:
R04_YGR07
Past 30 day cigar smokers who usually buy cigars themselves or usually give someone else money to
buy cigars for them, go to R04_YG1030[TC/CL/FC].
Else, past 30 day "not-light" cigar smokers go to R04_YG1047[TC/CL/FC].
Else, past 30 day cigar smokers, go to R04_YG1945[TC/CL/FC]
Else, all other youth respondents, go to Box R04_YGR16.
PATH ID:
R04_YG1030
How do [you/they] usually buy your [CIGARFILL]s?
1
In person (such as at a store or cigar bar)
2
From the internet
GO TO BOX R04_YGR22
3
By telephone
GO TO BOX R04_YGR22
-8
DON'T KNOW
GO TO BOX R04_YGR22
-7
REFUSED
GO TO BOX R04_YGR22
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers (including "very light" smokers) who
buy traditional cigars/cigarillos/filtered cigars for themselves or someone else buys for them.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 1, DISPLAY “they”.
ELSE, IF R04_YG1118[TC/CL/FC] = 2, DISPLAY “you”.
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PATH ID:
R04_YG1033
Where do [you/they] buy your [CIGARFILL]s 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
9
A swap meet or flea market
10
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers (including "very light" smokers) who
buy traditional cigars/cigarillos/filtered cigars for themselves or someone else buys for them in person.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 1, DISPLAY “they”.
ELSE, IF R04_YG1118[TC/CL/FC] = 2, DISPLAY “you”.
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.”
BOX ID:
R04_YGR22
Past 30 day "not-light" cigar smokers who buy cigars for themselves or someone else buys for them, go
to R04_YG1039[TC/CL/FC].
Else, past 30 day "very-light" cigar smokers who buy cigars for themselves or someone else buys for
them, go to R04_YG1945[TC/CL/FC]
PATH ID:
R04_YG1039
Think about the last time you [bought/gave money to someone else to buy you] [CIGARFILL]s. Did you
buy them by the box or pack, or as single [CIGARFILL]s?
1
Box or pack
2
Single [CIGARFILL]s
GO TO R04_YG1034[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1047[TC/CL/FC]
ASK: Past 30 day "not-light" cigar smokers who buy cigars for themselves or someone else buys for
them.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 2, DISPLAY "bought".
ELSE, IF R04_YG1118[TC/CL/FC] = 1, DISPLAY "gave money to someone else to buy you".
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PATH ID:
R04_YG1040
How many [CIGARFILL]s came in the box or pack that you last bought?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigar smokers who last bought cigars by the box or pack.
PATH ID:
R04_YG1034
How much did you pay for a [box or pack of [CIGARFILL]s/single [CIGARFILL]]?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO R04_YG1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1047[TC/CL/FC]
ASK: Past 30 day "not-light" cigar smokers who last bought cigars by the box or pack or as single
cigars.
DISPLAY: DISPLAY AS QUANTITY/QUANTITY. DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents”
AS TITLES.
IF R04_YG1039[TC/CL/FC] = 1, DISPLAY "box or pack of [CIGARFILL]s".
ELSE, IF R04_YG1039[TC/CL/FC] = 2, DISPLAY "single [CIGARFILL]".
PATH ID:
R04_YG1034TC_LC1
The computer recorded that you paid $[R04_YG1034TC_D].[R04_YG1034TC_C] for a [box or pack of
traditional cigars/single traditional cigar]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1034TC
2
NEXT
GO TO R04_YG1047TC
ASK: IF ((R04_YG1034TC_D > 300 OR R04_YG1034TC_D < 10) AND R04_YG1039TC = 1) OR
((R04_YG1034TC_D > 15 OR R04_YG1034TC_D < 1) AND R04_YG1039TC = 2).
DISPLAY: IF R04_YG1039TC = 1, DISPLAY " box or pack of traditional cigars ".
ELSE, IF R04_YG1039TC = 2, DISPLAY " single traditional cigar".
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PATH ID:
R04_YG1034CL_LC1
The computer recorded that you paid $[R04_YG1034CL_D].[R04_YG1034CL_C] for a [box or pack of
cigarillos/single cigarillo]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1034CL
2
NEXT
GO TO R04_YG1047CL
ASK: IF ((R04_YG1034CL_D > 11 OR R04_YG1034CL_D < 1) AND R04_YG1039CL = 1) OR
((R04_YG1034CL_D > 3 OR (R04_YG1034CL_D = 0 AND R04_YG1034CL_C < 50)) AND
R04_YG1039CL = 2).
DISPLAY: IF R04_YG1039CL = 1, DISPLAY "box or pack of cigarillos".
ELSE, IF R04_YG1039CL = 2, DISPLAY "single cigarillo".
PATH ID:
R04_YG1034FC_LC1
The computer recorded that you paid $[R04_YG1034FC_D].[R04_YG1034FC_C] for a [box or pack of
filtered cigars/single filtered cigar]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YG1034FC
2
NEXT
GO TO R04_YG1047FC
ASK: IF ((R04_YG1034FC_D > 100 OR R04_YG1034FC_D < 1) AND R04_YG1039FC = 1) OR
((R04_YG1034FC_D > 3 OR (R04_YG1034FC_D = 0 AND R04_YG1034FC_C < 50)) AND
R04_YG1039FC = 2).
DISPLAY: IF R04_YG1039FC = 1, DISPLAY "box or pack of filtered cigars".
ELSE, IF R04_YG1039FC = 2, DISPLAY "single filtered cigar".
PATH ID:
R04_YG1047
Do you have a regular brand of [CIGARFILL]s that you usually smoke?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigar smokers.
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PATH ID:
R04_YG1945
Do you know the name of the brand of [CIGARFILL]s you [usually smoke/last smoked]?
1
Yes
2
No
GO TO BOX R04_YGR11
-8
DON'T KNOW
GO TO BOX R04_YGR11
-7
REFUSED
GO TO BOX R04_YGR11
ASK: Past 30 day cigar smokers.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY “usually smoke”.
ELSE, DISPLAY “last smoked”.
UNDERLINE "name of the brand".
PATH ID:
R04_YG1048
What brand of [CIGARFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers who know the brand name.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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.]
BOX ID:
R04_YGR10
If youth respondent selects "Something else" in R04_YG1048[TC/CL/FC]_BRAND, go to
R04_YG1049[TC/CL/FC].
Else, if youth respondent selects brand from images in R04_YG1048[TC/CL/FC]_BRAND, go to
R04_YG1070[TC/CL/FC]_PRODUCT.
Else, go to Box R04_YGR11.
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PATH ID:
R04_YG1049
You said that your brand was not listed. What is it?
__________________________
GO TO BOX R04_YGR11
-8
1
DON'T KNOW
GO TO BOX R04_YGR11
-7
REFUSED
GO TO BOX R04_YGR11
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers that know the name of the brand they
smoke who selected "Something else" for their brand.
PATH ID:
R04_YG1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”. ]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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 R04_YG1048[TC/CL/FC]_BRAND]
BOX ID:
R04_YGR21
If youth respondent selects "Something else" in R04_YG1070[TC/CL/FC]_PRODUCT, go to
R04_YG1071[TC/CL/FC].
Else, go to Box R04_YGR11.
PATH ID:
R04_YG1071
You said that the type of [BRANDFILL]s that you smoke was not listed. What type is it?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers that know the name of the brand they
smoke who selected a brand image, but selected "Something else" for their subbrand image.
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BOX ID:
R04_YGR11
Youth respondents who have smoked a cigar today, yesterday or the day before yesterday who know
the name of their brand AND selected a valid brand AND valid product, go to R04_YG0104[TC/CL/FC].
Else, go to Box R04_YGD04.
PATH ID:
R04_YG0104
You said earlier that you smoked a [CIGARFILL] [TIME OF LAST USE].
Think about the very last [CIGARFILL] you smoked. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigar in the past hour, sometime today, yesterday or the
day before yesterday who know the name of their brand AND selected a valid brand AND valid product.
DISPLAY: IF R04_YG0100[TC/CL/FC] = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
ELSE, IF R04_YG0100[TC/CL/FC] = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
ELSE, IF R04_YG0100[TC/CL/FC] = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
ELSE, IF R04_YG0100[TC/CL/FC] = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH RESPONSE TO R04_YG1070[TC/CL/FC]_PRODUCT.
BOX ID:
R04_YGD04
Display question R04_YG1060[TC/CL/FC], R04_YG1085[TC/CL/FC], R04_YG1062[TC/CL/FC],
R04_YG1075[TC/CL/FC], R04_YG1063[TC/CL/FC], R04_YG1064[TC/CL/FC],
R04_YG1066[TC/CL/FC], on one screen. Show the intro/transition text from R04_YG1060[TC/CL/FC]
first, then show each item with a Yes/No response. As each item is answered, show the next one.
Randomize order of R04_YG1060[TC/CL/FC] through R04_YG1066[TC/CL/FC].
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PATH ID:
R04_YG1060
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: Past 30 day cigar smokers.
PATH ID:
R04_YG1085
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: Past 30 day cigar smokers.
PATH ID:
R04_YG1062
They might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1075
They might be less harmful to people around me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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PATH ID:
R04_YG1063
[CIGARFILL]s come in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
BOX ID:
R04_YGR15
Youth respondents who have smoked cigarettes in the past year, go to R04_YG1064[TC/CL/FC].
Else, go to R04_YG1066[TC/CL/FC].
PATH ID:
R04_YG1064
Smoking [CIGARFILL]s helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers who have also smoked cigarettes in the past year.
PATH ID:
R04_YG1066
Smoking a [CIGARFILL] feels like smoking a regular cigarette.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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PATH ID:
R04_YG1139
Please rate your level of agreement for each statement using the following scale: 1 = not true of me at
all to 4 = very true of me.
It is easier to talk and get along with other people when smoking a [CIGARFILL].
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
PATH ID:
R04_YG1140
While smoking a [CIGARFILL], I feel more confident with other people.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
PATH ID:
R04_YG1141
I smoke [CIGARFILL]s much more when I am with other people.
1
Not true of me at all
2
3
4
Very true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
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BOX ID:
R04_YGR16
If youth respondent has remaining loops to complete for non-blunt cigar types, return to R04_YGT04
and repeat section.
Else, if youth respondent has no more remaining loops to complete for cigars, go to Box R04_YPT01.
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PIPE
BOX ID:
R04_YPT01
The next 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 GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
BOX ID:
R04_YPR02
New baseline youth respondents, go to R04_YP1001_NB.
Continuing youth respondents, go to R04_YP1002_12M.
PATH ID:
R04_YP1002_12M
In the past 12 months, have you smoked a pipe filled with tobacco, even one or two puffs?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
BOX ID:
R04_YPV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_PIPE_YOUTH = 1 (Ever user) Youth respondents who have ever smoked pipe
tobacco.
R04_EVER_NEVER_PIPE_YOUTH = 2 (Never user) = Youth respondents who have not ever smoked
pipe tobacco.
R04_INIT_PIPE_YOUTH = 1 (Initiator) Youth respondents who initiated pipe use between Waves or
new baseline youth respondents who have ever smoked a pipe.
BOX ID:
R04_YPR01
Youth respondents who have ever smoked a pipe, go to R04_YP1112.
Else, go to Box R04_YHT01.
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PATH ID:
R04_YP1112
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
GO TO BOX R04_YPV02
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YPV02
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YPV02
6
1 to 4 years ago
GO TO BOX R04_YPV02
7
5 or more years ago
GO TO BOX R04_YPV02
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who have ever smoked a pipe.
PATH ID:
R04_YP0100
When did you last smoke a pipe filled with tobacco?
1
In the past hour
GO TO R04_YP0103
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YPV02
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who smoked a pipe earlier today or in the past 7 days.
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PATH ID:
R04_YP0102
When you last smoked a pipe filled with tobacco [FILL BASED ON R04_YP0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a pipe today, yesterday or the day before yesterday, but not
in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YP0100]:
IF R04_YP0100 = 2, DISPLAY “today”.
ELSE, IF R04_YP0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YP0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YP0103
How many bowls filled with pipe tobacco [have/did] you [smoked/smoke] [FILL BASED ON
R04_YP0100]? (If less than 1, enter 1.)
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who have smoked a pipe in the past hour, today, yesterday or the day before
yesterday.
DISPLAY: IF R04_YP0100 = 1, 2, DISPLAY “have” AND “smoked”.
ELSE, IF R04_YP0100 = 3, 4, DISPLAY “did” AND “smoke”.
FOR [FILL BASED ON R04_YP0100]:
IF R04_YP0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YP0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YP0100 = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YP0103_LC1
The computer recorded that you smoked [R04_YP0103] bowls filled with pipe tobacco
[today/yesterday/the day before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YP0103
2
NEXT
GO TO BOX R04_YPV02
ASK: IF R04_YP0103 > 10.
DISPLAY: IF R04_YP0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YP0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YP0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YPV02
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_PIPE = 1 (Past 30 day pipe smokers) Youth respondents who have smoked a pipe
in the past 30 days.
BOX ID:
R04_YPR04
Past 30 day pipe smokers, go to R04_YP1022.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1022
In the past 30 days, on how many days did you smoke a pipe?
1
I__I__I DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
DISPLAY: DISPLAY "days" AS TITLE.
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PATH ID:
R04_YP1023
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: Past 30 day pipe smokers.
PATH ID:
R04_YP1142
In the past 30 days, did anyone sell you pipe tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
PATH ID:
R04_YP1123
In the past 30 days, did anyone refuse to sell you pipe tobacco because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
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PATH ID:
R04_YP1118
In the past 30 days, how did you usually get your own pipe tobacco?
1
I gave someone else money to buy it for me
2
I bought it myself from a store
3
I asked someone to give me some
4
Someone offered it to me
5
I bought it from another person
6
I took it from a store or another person
7
I got it some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
DISPLAY: 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.”
BOX ID:
R04_YPR03
Past 30 day pipe smokers who usually buy pipe tobacco themselves or give someone else money to
buy pipe tobacco for them, go to R04_YP1030.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1030
[When you give money to someone else, how do they/How do you] usually buy your pipe tobacco?
1
In person
2
From the internet
GO TO R04_YP1034
3
By telephone
GO TO R04_YP1034
-8
DON'T KNOW
GO TO R04_YP1034
-7
REFUSED
GO TO R04_YP1034
ASK: Past 30 day pipe smokers who buy pipe tobacco for themselves or someone else buys it for them.
DISPLAY: IF R04_YP1118 = 1, DISPLAY “When you give money to someone else, how do they”;
ELSE, IF R04_YP1118 = 2, DISPLAY “How do you”.
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PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YP1033
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
8
A swap meet or flea market
9
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 pipe smokers who buy pipe tobacco themselves or someone else buys for them in
person.
DISPLAY: IF R04_YP1118=1, DISPLAY “they”;
ELSE, IF R04_YP1118=2, DISPLAY "you”
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:
R04_YP1034
Think about the last time you [bought/gave money to someone else to buy you] pipe tobacco. How
much did you pay for it?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO R04_YHT01
-7
REFUSED
GO TO R04_YHT01
ASK: Past 30 day pipe smokers who buy pipe tobacco themselves or someone else buys for them.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YP1118 = 1, DISPLAY "gave money to someone else to buy you".
ELSE, IF R04_YP1118 = 2, DISPLAY "bought".
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PATH ID:
R04_YP1034_LC1
The computer recorded that you paid $[R04_YP1034_D].[R04_YP1034_C] for a pouch of pipe tobacco.
Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YP1034
2
NEXT
GO TO BOX R04_YHT01
ASK: IF R04_YP1034_D > 50.
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HOOKAH
BOX ID:
R04_YHT01
The next questions are about smoking tobacco in a hookah, which is a type of water pipe. It is
sometimes also called a "narghile" pipe. From now on, we will use "hookah" to refer to a water pipe or
narghile pipe. There are many types of hookahs. People often smoke tobacco in hookahs in groups at
cafes or in hookah bars.
People smoke shisha or hookah tobacco in a hookah. Shisha comes in many different flavors. Some
types of shisha contain tobacco and some do not.
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
BOX ID:
R04_YHR01
New baseline youth respondents, go to R04_YH1001_NB.
Continuing youth respondents, go to R04_YH1002_12M.
PATH ID:
R04_YH1002_12M
In the past 12 months, have you smoked tobacco in a hookah, even one or two puffs?
[SHOW GENERIC IMAGE OF HOOKAH]
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
BOX ID:
R04_YHV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_HOOK_YOUTH = 1 (Ever user) Youth respondents who have ever smoked
hookah.
R04_EVER_NEVER_HOOK_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
hookah.
R04_INIT_HOOK_YOUTH = 1 (Initiator) Youth respondents who initiated hookah use between Waves
or new baseline youth respondents who have ever smoked a hookah.
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BOX ID:
R04_YHR02
New baseline youth who have never heard of a hookah, go to Box R04_YUT01.
Else, continuing youth who have never smoked hookah, and new baseline youth respondents who have
heard of but never smoked hookah, go to R04_YH1103.
Else, new baseline youth respondents who have ever smoked hookah, go to R04_YH1006_NB.
Else, continuing youth respondents who initiated hookah smoking since the previous wave, go to
R04_YH1108.
Else, continuing youth respondents who have ever smoked hookah and had not smoked 100 or more
times in the previous wave, go to R04_YH1005
Else, continuing youth respondents who have ever smoked hookah and had never smoked fairly
regularly in the previous wave, go to Box R04_YH1100.
Else, go to Box R04_YHV02.
PATH ID:
R04_YH1103
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: Youth respondents who have heard of hookah but have never smoked hookah.
PATH ID:
R04_YH1206
Do you think you will smoke tobacco in a hookah in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but have never smoked hookah.
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PATH ID:
R04_YH1104
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: Youth respondents who have heard of but have never smoked hookah.
PATH ID:
R04_YH1105
If one of your best friends were to offer you a hookah, would you try it?
1
Definitely yes
GO TO R04_YH9041
2
Probably yes
GO TO R04_YH9041
3
Probably not
GO TO R04_YH9041
4
Definitely not
GO TO R04_YH9041
-8
DON'T KNOW
GO TO R04_YH9041
-7
REFUSED
GO TO R04_YH9041
ASK: Youth respondents who have heard of but have never smoked hookah.
PATH ID:
R04_YH1108
Was the first shisha or hookah tobacco you smoked flavored to taste like menthol, mint, clove, spice,
fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO BOX R04_YHR13
3
I don't know
GO TO BOX R04_YHR13
-8
DON'T KNOW
GO TO BOX R04_YHR13
-7
REFUSED
GO TO BOX R04_YHR13
ASK: Continuing youth respondents who have initiated hookah smoking since the previous wave, and
new baseline youth respondents who have ever smoked hookah.
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PATH ID:
R04_YH1011
What flavor was that first shisha or hookah tobacco you smoked? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who initiated smoking with flavored shisha.
DISPLAY: 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.”
BOX ID:
R04_YHR13
Aged-up and continuing youth respondents who have ever smoked hookah (and had not smoked 100 or
more times in the previous wave), and new cohort youth respondents who have ever smoked hookah,
go to R04_YH1005.
Else, go to Box R04_YHR10.
PATH ID:
R04_YH1005
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: Aged-up and continuing youth respondents who have ever smoked hookah and had not smoked
100 or more times in the previous wave, and new cohort youth respondents who have ever smoked
hookah.
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BOX ID:
R04_YHR10
Youth respondents who have ever smoked hookah and had never smoked hookah fairly regularly in the
previous wave, go to R04_YH1100.
Else, go to R04_YH1112.
PATH ID:
R04_YH1100
Have you ever smoked tobacco in a hookah fairly regularly?
1
Yes
2
No
GO TO R04_YH1112
-8
DON'T KNOW
GO TO R04_YH1112
-7
REFUSED
GO TO R04_YH1112
ASK: Youth respondents who have ever smoked hookah (and had never smoked fairly regularly in the
previous wave).
PATH ID:
R04_YH1007
How old were you when you first started smoking tobacco in a hookah fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YH1121
-7
REFUSED
GO TO R04_YH1121
ASK: Youth respondents who have ever smoked hookah fairly regularly and did not smoke fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH ID:
R04_YH1007_LC1
The computer recorded that you first started smoking tobacco in a hookah fairly regularly at age
[R04_YH1007]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH1007
2
NEXT
GO TO R04_YH1112
ASK: IF R04_YH1007< =5 OR If R04_YH1007 < R04_YH1006_NB.
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PATH ID:
R04_YH1007_LC2
The computer recorded that you first started smoking tobacco in a hookah fairly regularly at age
[R04_YH1007]. That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH1007
2
NEXT
GO TO R04_YH1112
ASK: IF R04_YH1007 > R04_YOUTHAGE.
PATH ID:
R04_YH1121
When you first started smoking tobacco in a hookah fairly regularly, 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: Youth respondents who did not know or refused to report the age they first started smoking
hookah fairly regularly.
PATH ID:
R04_YH1112
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: Youth respondents who have ever smoked hookah.
BOX ID:
R04_YHV02
PROGRAM - CREATE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_HOOK = 1 (Past 30 day hookah smokers) Youth respondents who have smoked
hookah in the past 30 days.
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BOX ID:
R04_YHR12
Youth respondents who have smoked hookah in the past 7 days, go to R04_YH0100.
Else, youth respondents who have smoked hookah in the past 12 months, go to R04_YH9003.
Else, youth respondents who have ever smoked hookah, go to R04_YH1090.
Else, go to R04_YH9041.
PATH ID:
R04_YH0100
When did you last smoke tobacco in a hookah?
1
In the past hour
GO TO R04_YH0103
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO R04_YH9003
-8
DON'T KNOW
GO TO R04_YH9003
-7
REFUSED
GO TO R04_YH9003
ASK: Youth respondents who have smoked hookah in the past 7 days.
PATH ID:
R04_YH0102
When you last smoked tobacco in a hookah [FILL BASED ON R04_YH0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked hookah today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YH0100]:
IF R04_YH0100 = 2, DISPLAY “today”.
ELSE, IF R04_YH0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YH0100 = 4, DISPLAY “the day before yesterday”.
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Wave 4 (version 4.0)
PATH ID:
R04_YH0103
How many puffs from a hookah [have/did] you [taken/take] [FILL BASED ON R04_YH0100]?
1
I__I__I
-8
DON'T KNOW
GO TO R04_YH9003
-7
REFUSED
GO TO R04_YH9003
ASK: Youth respondents who have smoked hookah in the past hour, sometime today, yesterday or the
day before yesterday.
DISPLAY: IF R04_YH0100 = 1, 2, DISPLAY “have” AND “taken”.
ELSE, IF R04_YH0100 = 3, 4, DISPLAY “did” AND “take”.
FOR [FILL BASED ON R04_YH0100]:
IF R04_YH0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YH0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YH0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YH0103_LC1
The computer recorded that you took [R04_YH0103] puffs from a hookah [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH0103
2
NEXT
GO TO R04_YH9003
ASK: IF R04_YH0103 > 50 OR R04_YH0103 = 11, 22, 33, 44.
DISPLAY: IF R04_YH0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YH0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YH0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YH9003
Which of the following choices best describes your hookah smoking? Usually I smoke hookah tobacco
in a hookah…
1
Every day
2
Weekly
GO TO R04_YH9005
3
Monthly
GO TO R04_YH9004
4
Every couple of months
GO TO R04_YH1090
5
About once a year
GO TO R04_YH1090
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who have smoked hookah in the past 12 months.
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PATH ID:
R04_YH9006
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___I
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah every day.
PATH ID:
R04_YH9006_LC1
The computer recorded that, on average, you smoke tobacco in a hookah [R04_YH9006] times each
day. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH9006
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9006 > 2.
PATH ID:
R04_YH9005
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
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah weekly.
PATH ID:
R04_YH9005_LC1
The computer recorded that, on average, you smoke tobacco in a hookah [R04_YH9005] times in a
week. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH9005
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9005 > 15.
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PATH ID:
R04_YH9004
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
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah monthly.
PATH ID:
R04_YH9004_LC1
The computer recorded that, on average, you smoke tobacco in a hookah [R04_YH9004] times in a
month. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YH9004
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9004 > 50.
PATH ID:
R04_YH1090
Do you own a hookah?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
PATH ID:
R04_YH9041
Does anyone [else] living in your home own a hookah?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah, and continuing youth respondents.
DISPLAY: IF R04_EVER_NEVER_HOOK_YOUTH = 1, DISPLAY " else".
ELSE, DO NOT DISPLAY THIS TEXT.
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BOX ID:
R04_YHR03
Past 30 day hookah smokers, go to R04_YH9012.
Else, youth respondents who have ever smoked hookah, go to R04_YH9042.
Else, go to R04_YH9031.
PATH ID:
R04_YH9012
Do you usually share a hookah with others when you smoke?
1
Yes
2
No
GO TO R04_YH9014
-8
DON'T KNOW
GO TO R04_YH9014
-7
REFUSED
GO TO R04_YH9014
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9013
How many people do you usually share a hookah with?
1
1 other person
2
2 other people
3
3 other people
4
4 or more other people
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who report sharing with others.
PATH ID:
R04_YH9014
On average, how long is one hookah session for you[ and the people you share it with]?
1
Less than 30 minutes
2
More than 30 minutes up to 1 hour
3
1 to 2 hours
4
More than 2 hours
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH9012=1, DISPLAY “ and the people you share it with”. ELSE, DO NOT DISPLAY
THIS TEXT.
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PATH ID:
R04_YH9015
On average, when you [smoke/share a] hookah, how many times is the hookah refilled with tobacco
during a session?
1
0 times
2
1 time
3
2 to 3 times
4
4 or more times
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH9012 = 1, DISPLAY “share a”. ELSE, DISPLAY "smoke".
PATH ID:
R04_YH9016
How often do you personally set up the hookah?
1
Every time
2
Most of the time
3
Some of the time
4
Rarely
5
Never, someone else always sets it up for me
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9011
Where do you usually smoke hookah? Choose all that apply.
1
In your home
2
In someone else's home
3
In a hookah bar or hookah café
4
In a dance club or lounge
5
Somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: 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.”
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PATH ID:
R04_YH1130
In the past 30 days, was any of the shisha or hookah tobacco you smoked flavored to taste like menthol,
mint, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YH1142
3
I don't know
GO TO R04_YH1142
-8
DON'T KNOW
GO TO R04_YH1142
-7
REFUSED
GO TO R04_YH1142
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1131
Which flavors have you smoked in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored hookah smokers.
DISPLAY: 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:
R04_YH1147
On the days you smoked shisha or hookah tobacco in the past 30 days, how often did you smoke
flavored shisha or hookah tobacco?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored hookah smokers.
DISPLAY: UNDERLINE "flavored".
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PATH ID:
R04_YH1142
In the past 30 days, did anyone sell you shisha or hookah tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1123
In the past 30 days, did anyone refuse to sell you shisha or hookah tobacco because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1118
In the past 30 days, how did you usually get your own shisha or hookah tobacco?
1
I gave someone else money to buy it for me
2
I bought it myself from a store (including a hookah bar or cafe)
3
I asked someone to give me some
4
Someone offered it to me
5
I bought it from another person
6
I took it from a store or another person
7
I got it some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: 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.”
BOX ID:
R04_YHR04
Past 30 day hookah smokers who usually buy shisha or hookah tobacco themselves or usually give
someone else money to buy for them, go to R04_YH1030.
Else, go to R04_YH1047.
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PATH ID:
R04_YH1030
[When you give money to someone else, how do they/How do you] usually buy your shisha or hookah
tobacco?
1
In person (such as at a store or hookah bar)
2
From the internet
GO TO R04_YH1047
3
By telephone
GO TO R04_YH1047
-8
DON'T KNOW
GO TO R04_YH1047
-7
REFUSED
GO TO R04_YH1047
ASK: Past 30 day hookah smokers who buy shisha or hookah tobacco for themselves or someone else
buys for them.
DISPLAY: IF R04_YH1118 = 1, DISPLAY “When you give money to someone else, how do they”.
ELSE, IF R04_YH1118 = 2, DISPLAY “How do you”.
PATH ID:
R04_YH1033
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
9
A swap meet or flea market
10
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who buy shisha or hookah tobacco for themselves or someone else
buys for them in person.
DISPLAY: IF R04_YH1118 = 2, DISPLAY “you”. ELSE, IF R04_YH1118 = 1, DISPLAY “they”.
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.”
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PATH ID:
R04_YH1047
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: Past 30 day hookah smokers.
PATH ID:
R04_YH1945
Do you know the name of the brand of shisha or hookah tobacco you [usually smoke/last smoked]?
1
Yes
2
No
GO TO BOX R04_YHD01
-8
DON'T KNOW
GO TO BOX R04_YHD01
-7
REFUSED
GO TO BOX R04_YHD01
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH1047 = 1, DISPLAY “usually smoke”. IF R04_YH1047 = 2, -8, -7, DISPLAY “last
smoked”.
UNDERLINE "name of the brand".
PATH ID:
R04_YH1048
What brand of shisha or hookah tobacco [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who know the brand name.
DISPLAY: IF R04_YH1047 = 1, DISPLAY “do” AND “usually”. IF R04_YH1047 = 2, -8, -7, DISPLAY
“did” AND “last” .
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”.”
BOX ID:
R04_YHR05
If youth respondent selects brand in R04_YH1048_BRAND, go to R04_YH1070_PRODUCT.
Else, if youth respondent selects "Something else" in R04_YH1048_BRAND, go to R04_YH1049.
Else, go to Box R04_YHD01.
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PATH ID:
R04_YH1049
You said that your brand was not listed. What is it?
__________________________
GO TO R04_YH9108
-8
1
DON'T KNOW
GO TO BOX R04_YHD01
-7
REFUSED
GO TO BOX R04_YHD01
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH ID:
R04_YH1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YH1047=1, DISPLAY “do” AND “usually”. IF R04_YH1047 = 2, -8, -7, DISPLAY “did”
AND “last”.
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”.”
BOX ID:
R04_YHR06
If youth respondent selects "Something else" in R04_YH1070_PRODUCT, go to R04_YH1071.
Else, go to R04_YH9108.
PATH ID:
R04_YH1071
You said that the type of [BRANDFILL]s that you smoke was not listed. What type is it?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected a brand
image, but selected "Something else" for their subbrand image.
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PATH ID:
R04_YH9108
Does this brand of shisha contain tobacco?
1
Yes
2
No
3
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who selected a brand in R04_YH1048_BRAND or entered their
brand in R04_YH1049.
BOX ID:
R04_YHR08
Youth respondents who smoked hookah today, yesterday or the day before yesterday who know the
name of their brand AND selected a valid brand in R04_YH1048_BRAND AND valid product in
R04_YH1070_PRODUCT, go to R04_YH0104.
Else, go to Box R04_YHD01.
PATH ID:
R04_YH0104
You said earlier that you last smoked hookah [TIME OF LAST USE].
Think about the very last puff you took. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who smoked hookah in the past hour, sometime today, yesterday or the day
before yesterday who know the name of their brand AND selected a valid brand in
R04_YH1048_BRAND AND valid product in R04_YH1070_PRODUCT.
DISPLAY: IF R04_YH0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
IF R04_YH0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
IF R04_YH0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
IF R04_YH0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH RESPONSE TO R04_YH1070_PRODUCT.
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BOX ID:
R04_YHD01
Display question R04_YH1060, R04_YH1085, R04_YH1062, R04_YH1075, R04_YH1063,
R04_YH1064, R04_YH1069, and R04_YH1073 on one screen. Show the intro/transition text from
R04_YH1060 first, then show each item with a Yes/No response. As each item is answered, show the
next one.
PROGRAM: Randomize order of R04_YH1060 through R04_YH1073.
PATH ID:
R04_YH1060
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: Past 30 day hookah smokers.
PATH ID:
R04_YH1085
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: Past 30 day hookah smokers.
PATH ID:
R04_YH1062
It might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
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PATH ID:
R04_YH1075
It might be less harmful to people around me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1063
Shisha or hookah tobacco comes in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
BOX ID:
R04_YHR07
Youth respondents who have smoked cigarettes in the past year, go to R04_YH1064.
Else, go to R04_YH1069.
PATH ID:
R04_YH1064
Smoking hookah helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who have also smoked cigarettes in the past year.
PATH ID:
R04_YH1069
I like socializing while smoking hookah.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
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PATH ID:
R04_YH1073
Smoking hookah is part of my cultural tradition.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9042
Have you ever used another liquid besides water in the bowl of the hookah?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
BOX ID:
R04_YHR09
New baseline youth respondents who have heard of hookah, and continuing youth respondents, go to
R04_YH9031.
Else, go to Box R04_YUT01.
PATH ID:
R04_YH9031
Have you ever smoked marijuana in a hookah? (Remember all information you give to the PATH Study
will be kept private.)
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah and continuing youth respondents.
PATH ID:
R04_YH9040
Have you ever smoked herbal or tobacco-free shisha in a hookah?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah, and continuing youth respondents.
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SNUS
BOX ID:
R04_YUT01
Smokeless tobacco is tobacco which you put in your mouth. Smokeless tobacco may be loose or it
may be packaged in small pouches that you place under your lip. Frequently you chew, suck, or spit
while using smokeless tobacco, although for some types you may not need to.
There are many different types of smokeless tobacco which go by lots of different names, so please use
these descriptions and photos to understand what they are.
[SHOW GENERIC IMAGE OF SNUS AND OTHER SMOKELESS TOBACCO]
BOX ID:
R04_YUT03
Snus is a type of smokeless tobacco. Snus usually comes in small pouches, although some snus may
be sold as loose snus. Typically, with most kinds of smokeless tobacco, you spit, but you do not need to
spit when using snus. Common brands of snus include Camel Snus, Marlboro Snus and General Snus.
Please think about snus as you answer the following questions. There will be a separate section later
about other types of smokeless tobacco products (such as dip, spit, chewing tobacco and smokeless
tobacco pouches).
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
BOX ID:
R04_YUR14
New baseline youth respondents, go to R04_YU1001_NB.
Continuing youth respondents, go to R04_YU1002_12M.
PATH ID:
R04_YU1002_12M
In the past 12 months, have you used snus, even one or two times?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
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BOX ID:
R04_YUV03
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_SNUS_YOUTH = 1 (Ever user) Youth respondents who have ever used snus.
R04_EVER_NEVER_SNUS_YOUTH = 2 (Never user) Youth respondents who have not ever used
snus.
R04_INIT_SNUS_YOUTH = 1 (Initiator) Youth respondents who initiated snus use between Waves or
new baseline youth respondents who have ever used snus.
BOX ID:
R04_YUR02
New baseline youth respondents who have never heard of snus, go to Box R04_YST01.
Else, continuing youth respondents who have never used snus and new baseline youth respondents
who have heard of snus but have never used it, go to R04_YU1103.
Else, new baseline youth respondents who have ever used snus, go to R04_YU1006_NB.
Else, continuing youth respondents who initiated snus use since the previous wave, go to R04_YU1108.
Else, go to Box R04_YUR16.
PATH ID:
R04_YU1103
Have you ever been curious about using snus?
1
Very curious
2
Somewhat curious
3
A little curious
4
Not at all curious
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1206
Do you think you will try snus in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
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PATH ID:
R04_YU1104
Do you think you will try snus soon?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1105
If one of your best friends were to offer you snus, would you try it?
1
Definitely yes
GO TO BOX R04_YST01
2
Probably yes
GO TO BOX R04_YST01
3
Probably not
GO TO BOX R04_YST01
4
Definitely not
GO TO BOX R04_YST01
-8
DON'T KNOW
GO TO BOX R04_YST01
-7
REFUSED
GO TO BOX R04_YST01
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1108
Was the first snus you used flavored to taste like menthol, mint, wintergreen, spearmint or frost, clove,
spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO BOX R04_YUR16
3
I don't know
GO TO BOX R04_YUR16
-8
DON'T KNOW
GO TO BOX R04_YUR16
-7
REFUSED
GO TO BOX R04_YUR16
ASK: Continuing youth respondents who have initiated snus use since the previous wave, and new
baseline youth respondents who have ever used snus.
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PATH ID:
R04_YU1011
What flavor was that first snus you used? Choose all that apply.
1
Menthol or mint
2
Wintergreen, spearmint or frost
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
Candy or other sweets
8
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first snus was flavored.
DISPLAY: 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.”
BOX ID:
R04_YUR16
Aged-up and continuing youth respondents who have ever used snus (and had not used 100 or more
times in the previous wave) and new cohort youth respondents who have ever used snus, go to
R04_YU1005.
Else, go to Box R04_YUR06.
PATH ID:
R04_YU1005
How many times have you used snus 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: Aged-up and continuing youth respondents who have ever used snus and had not used 100 or
more times in the previous wave, and new cohort youth respondents who have ever used snus.
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BOX ID:
R04_YUR06
Youth respondents who have ever used snus and had never used snus fairly regularly in the previous
wave, go to R04_YU1100.
Else, go to R04_YU1112.
PATH ID:
R04_YU1100
Have you ever used snus fairly regularly?
1
Yes
2
No
GO TO R04_YU1112
-8
DON'T KNOW
GO TO R04_YU1112
-7
REFUSED
GO TO R04_YU1112
ASK: Youth respondents who have ever used snus (and had never used fairly regularly in the previous
wave).
PATH ID:
R04_YU1007
How old were you when you first started using snus fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YU1121
-7
REFUSED
GO TO R04_YU1121
ASK: Youth respondents who have ever used snus fairly regularly and did not use fairly regularly in the
previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH ID:
R04_YU1007_LC1
The computer recorded that you started using snus fairly regularly at age [R04_YU1007]. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1007
2
NEXT
GO TO R04_YU1112
ASK: IF R04_YU1007< =8 OR R04_YU1007 < R04_YU1006_NB.
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PATH ID:
R04_YU1007_LC2
The computer recorded that you started using snus fairly regularly at age [R04_YU1007]. That is older
than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1007
2
NEXT
GO TO R04_YU1112
ASK: IF R04_YU1007 > R04_YOUTHAGE.
PATH ID:
R04_YU1121
When you first started using snus fairly regularly, 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: Youth respondents who did not know or refused to report the age when they started using snus
fairly regularly.
PATH ID:
R04_YU1112
When did you last use snus 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
GO TO BOX R04_YUV04
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YST01
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YST01
6
1 to 4 years ago
GO TO BOX R04_YST01
7
5 or more years ago
GO TO BOX R04_YST01
-8
DON'T KNOW
GO TO BOX R04_YST01
-7
REFUSED
GO TO BOX R04_YST01
ASK: Youth respondents who have ever used snus.
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PATH ID:
R04_YU0100
When did you last use snus?
1
In the past hour
2
Sometime today
GO TO R04_YU0103
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YUV04
-8
DON'T KNOW
GO TO BOX R04_YUV04
-7
REFUSED
GO TO BOX R04_YUV04
ASK: Youth respondents who have used snus in the past 7 days.
PATH ID:
R04_YU0102
When you last used snus [FILL BASED ON R04_YU0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used snus today, yesterday, or the day before yesterday, but not in
the past hour.
DISPLAY: FOR [FILL BASED ON R04_YU0100]: IF R04_YU0100 = 2, DISPLAY “today”.
ELSE, IF R04_YU0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YU0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YU0103
How many times [have/did] you [used/use] snus [FILL BASED ON R04_YU0100]?
1
I___I___I___I
-8
DON'T KNOW
GO TO BOX R04_YUV04
-7
REFUSED
GO TO BOX R04_YUV04
ASK: Youth respondents who have used snus in the past hour, sometime today, yesterday or the day
before yesterday.
DISPLAY: IF R04_YU0100 = 1, 2, DISPLAY “have” AND “used”.
ELSE, IF R04_YU0100 = 3, 4, DISPLAY “did” AND “use”.
FOR [FILL BASED ON R04_YU0100]:
IF R04_YU0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YU0100 = 3, DISPLAY “yesterday”.
ELSE, IF R04_YU0100 = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YU0103_LC1
The computer recorded that you used snus [R04_YU0103] times [today/yesterday/the day before
yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU0103
2
NEXT
GO TO BOX R04_YUV04
ASK: IF R04_YU0103 > 20 OR R04_YU0103 = 11.
DISPLAY: IF R04_YU0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YU0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YU0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YUV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_SNUS = (Past 30 day snus users) Youth respondents who have used snus in the
past 30 days.
R04_PAST30DAY_SNUS_LEVEL = 1 (Past 30 day "Very Light" users) Youth respondents who have
used snus in the past 30 days, and have used snus 10 or fewer times in their lifetime.
R04_PAST30DAY_SNUS_LEVEL = 2 (Past 30 day "Not Light" users) Youth respondents who have
used snus in the past 30 days, and have used snus more than 10 times in their lifetime.
PATH ID:
R04_YU1022
In the past 30 days, on how many days did you use snus?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
PATH ID:
R04_YU1023
In the past 30 days, on the days you used snus, how many times did you use snus per day?
1
|___|___|
-8
DON'T KNOW
GO TO R04_YU1130
-7
REFUSED
GO TO R04_YU1130
ASK: Past 30 day snus users.
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PATH ID:
R04_YU1023_LC1
The computer recorded that on the days you used in the past 30 days, you used snus (R04_YU1023)
times a day, on average.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1023
2
NEXT
GO TO R04_YU1130
ASK: IF R04_YU1023 > 20.
PATH ID:
R04_YU1130
In the past 30 days, was any of the snus you used flavored to taste like menthol, mint, wintergreen,
spearmint or frost, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YU1142
3
I don't know
GO TO R04_YU1142
-8
DON'T KNOW
GO TO R04_YU1142
-7
REFUSED
GO TO R04_YU1142
ASK: Past 30 day snus users.
PATH ID:
R04_YU1131
Which flavors have you used in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Wintergreen, spearmint or frost
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
Candy or other sweets
8
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored snus users.
DISPLAY: 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.”
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PATH ID:
R04_YU1147
On the days you used snus in the past 30 days, how often did you use flavored snus?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored snus users.
DISPLAY: UNDERLINE "flavored".
PATH ID:
R04_YU1142
In the past 30 days, did anyone sell you snus?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1123
In the past 30 days, did anyone refuse to sell you snus because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
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PATH ID:
R04_YU9041
In the past 30 days, what type of snus have you used?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Snus pouches
GO TO R04_YU1118
2
Loose snus
GO TO R04_YU1118
3
Both snus pouches and loose snus
-8
DON'T KNOW
GO TO R04_YU1118
-7
REFUSED
GO TO R04_YU1118
ASK: Past 30 day snus users.
PATH ID:
R04_YU9042
You mentioned you have used both loose snus and snus pouches. Which type of snus do you use most
often?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Snus pouches
2
Loose snus
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used both loose snus and snus pouches.
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PATH ID:
R04_YU1118
[Please think of the type of snus you use most often when answering these questions.
]In the past 30 days, how did you usually get your own snus?
1
I gave someone else money to buy it for me
2
I bought it myself from a store
3
I asked someone to give me some
4
Someone offered it to me
5
I bought it from another person
6
I took it from a store or another person
7
I got it some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
DISPLAY: IF R04_YU9041 = 3, DISPLAY "Please think of the type of snus you use most often when
answering these questions.".
ELSE, DO NOT DISPLAY THIS TEXT.
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.”
BOX ID:
R04_YUR04
Past 30 day snus users who usually buy themselves or who give someone else money to buy for them,
go to R04_YU1030.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU1030
[When you give money to someone else, how do they/How do you] usually buy your snus?
1
In person
2
From the internet
GO TO BOX R04_YUR20
3
By telephone
GO TO BOX R04_YUR20
-8
DON'T KNOW
GO TO BOX R04_YUR20
-7
REFUSED
GO TO BOX R04_YUR20
ASK: Past 30 day snus users (including "very light" users) who usually buy snus pouches for
themselves or who gives someone else money to buy for them.
DISPLAY: IF R04_YU1118 = 1, DISPLAY “When you give money to someone else, how do they”.
ELSE, DISPLAY “How do you”.
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PATH ID:
R04_YU1033
Where do [you/they] buy your snus 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
8
A swap meet or flea market
9
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users (including "very light" users) who buy snus for themselves or someone
else buys for them in person.
DISPLAY: IF R04_YU1118=1, DISPLAY “they”.
ELSE, IF R04_YU1118=2, display “you”.
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.”
BOX ID:
R04_YUR20
Past 30 day "not-light" snus users who buy snus for themselves or someone else buys for them, go to
R04_YU1034.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU1034
Think about the last time you [bought/gave money to someone else to buy you] snus. How much did you
pay for a container of snus?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YUR18
-7
REFUSED
GO TO BOX R04_YUR18
ASK: Past 30 day "not-light" snus users who buy snus for themselves or someone else buys for them.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YU1118 = 1, DISPLAY "gave money to someone else to buy you".
ELSE, IF YU1118 = 2, DISPLAY "bought".
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PATH ID:
R04_YU1034_LC1
The computer recorded that you paid $[R04_YU1034_D].[R04_YU1034_C] for a container of snus. Is
that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YU1034
2
NEXT
GO TO BOX R04_YUR18
ASK: IF R04_YU1034_D > 6 OR R04_YU1034_D < 1.
BOX ID:
R04_YUR18
Past 30 day "not-light" users of pouched snus who buy for themselves or someone else buys for them,
go to R04_YU9001.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU9001
How many pouches are in the container of snus that you usually buy?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" snus pouch users who buy snus pouches for themselves or someone else
buys for them.
BOX ID:
R04_YUR17
Past 30 day "not light" users, go to R04_YU1047.
Else, past 30 day users, go to R04_YU1945.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1047
Do you have a regular brand of snus that you usually use?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" snus users.
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PATH ID:
R04_YU1945
Do you know the name of the brand of snus you [usually use/last used]?
1
Yes
2
No
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users.
DISPLAY: IF R04_YU1047 = 1, DISPLAY “usually use”.
ELSE, DISPLAY “last used”.
UNDERLINE "name of the brand".
PATH ID:
R04_YU1048
What brand of snus [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who know the brand name.
DISPLAY: IF R04_YU1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YUR09
If youth respondent selects brand in R04_YU1048_BRAND, go to R04_YU1070_PRODUCT.
Else, if youth respondent selects "Something else" in R04_YU1048_BRAND, go to R04_YU1049.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1049
You said that your brand was not listed. What is it?
1
__________________________
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users that know the name of the brand they use who selected "Something else"
for their brand.
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PATH ID:
R04_YU1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users that know the name of the brand they use who selected a brand image.
DISPLAY: IF R04_YU1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YUR10
If youth respondent selects "Something else" in R04_YU1070_PRODUCT, go to R04_YU1071.
Else, youth respondents who have used snus today, yesterday, or the day before yesterday who know
the name of their brand AND selected a valid brand AND valid product, go to R04_YU0104.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1071
You said that the type of [BRANDFILL]s that you use was not listed. What type is it?
1
__________________________
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users that know the name of the brand they use who selected a brand image,
but selected "Something else" for their subbrand image.
BOX ID:
R04_YUR19
Youth respondents who used snus today, yesterday or the day before yesterday who know the name of
their brand AND selected a valid brand in R04_YU1048_BRAND AND valid product in
R04_YU1070_PRODUCT, go to R04_YU0104.
Else, go to Box R04_YUD02.
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PATH ID:
R04_YU0104
You said earlier that you last used snus [TIME OF LAST USE].
Think about the very last time you used it. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used snus in the past hour, sometime today, yesterday, or the day
before yesterday who know the name of their brand AND selected a valid brand AND valid product.
DISPLAY: IF R04_YU0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
ELSE, IF R04_YU0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
ELSE, IF R04_YU0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
ELSE, IF R04_YU0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH RESPONSE TO R04_YU1070_PRODUCT.
BOX ID:
R04_YUD02
Display question R04_YU1060, R04_YU1085, R04_YU1062, R04_YU1075, R04_YU1063,
R04_YU1064, R04_YU1065, R04_YU1067, R04_YU1076, on one screen. Show the intro/transition text
from R04_YU1060 first, then show each item with a Yes/No response. As each item is answered, show
the next one.
PROGRAM: Randomize order of R04_YU1060 through R04_YU1076.
PATH ID:
R04_YU1060
The next questions are about the reasons people use snus. Please select which reasons apply to you.
I use snus because…
It is affordable.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
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PATH ID:
R04_YU1085
I can use snus at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1062
They might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1075
They might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1063
Snus comes in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
BOX ID:
R04_YUR11
Past 30 day snus users who have also smoked cigarettes in the past year, go to R04_YU1064.
Else, go to R04_YU1065.
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PATH ID:
R04_YU1064
Using snus helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who have also smoked cigarettes in the past year.
PATH ID:
R04_YU1065
Snus doesn’t smell.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1067
Snus doesn’t bother non-tobacco users.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1076
No one can tell when I am using snus.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
BOX ID:
R04_YUR12
Past 30 day snus users who have also smoked cigarettes in the past 30 days, go to R04_YU1086.
Else, go to Box R04_YST01.
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PATH ID:
R04_YU1086
In the past 30 days, have you used snus at times when or in places where you could not smoke
cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who have also smoked cigarettes in the past 30 days.
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SMOKELESS TOBACCO
BOX ID:
R04_YST01
The next questions are about smokeless tobacco other than snus.
Smokeless tobacco is a type of tobacco which you put in your mouth and chew, suck, or spit. It may be
loose or packaged in small pouches that you can place directly in your mouth. There are many kinds of
smokeless tobacco, such as dip, spit, moist snuff, pouches and chewing tobacco. Common brands
include Skoal, Copenhagen, Grizzly, Redman, and Levi Garrett.
The questions will use the phrase “smokeless tobacco” to refer to these products. Please think about
smokeless tobacco products, not including snus, as you answer these questions.
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS]
BOX ID:
R04_YSR01
New baseline youth respondents, go to R04_YS1001_NB.
Continuing youth respondents, go to R04_YS1002_12M.
PATH ID:
R04_YS1002_12M
In the past 12 months, have you used smokeless tobacco, such as dip, spit, moist snuff, pouches or
chewing tobacco, even one or two times?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
BOX ID:
R04_YSV03
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_SMKLS_YOUTH = 1 (Ever user) Youth respondents who have ever used
smokeless tobacco.
R04_EVER_NEVER_SMKLS_YOUTH = 2 (Never user) Youth respondents who have not ever used
smokeless tobacco.
R04_INIT_SMKLS_YOUTH = 1 (Initiator) Youth respondents who initiated smokeless tobacco use
between Waves or new baseline youth respondents who have ever used smokeless tobacco.
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BOX ID:
R04_YSR02
New baseline youth respondents who have never heard of smokeless tobacco, go to Box R04_YDT01.
Else, continuing youth respondents who have never used smokeless tobacco and new baseline youth
respondents who have heard of smokeless tobacco but have never used it, go to R04_YS1103.
Else, new baseline youth respondents who have ever used smokeless tobacco, go to R04_YS1006_NB.
Else, continuing youth respondents who initiated smokeless tobacco use since the previous wave, go to
R04_YS1108.
Else, go to Box R04_YSR13.
PATH ID:
R04_YS1103
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: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1206
Do you think you will try smokeless tobacco in the next year?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used smokeless tobacco.
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PATH ID:
R04_YS1104
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: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1105
If one of your best friends were to offer you smokeless tobacco, would you try it?
1
Definitely yes
GO TO BOX R04_YDT01
2
Probably yes
GO TO BOX R04_YDT01
3
Probably not
GO TO BOX R04_YDT01
4
Definitely not
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1108
Was the first smokeless tobacco product you used flavored to taste like menthol, mint, wintergreen,
spearmint or frost, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO BOX R04_YSR13
3
I don't know
GO TO BOX R04_YSR13
-8
DON'T KNOW
GO TO BOX R04_YSR13
-7
REFUSED
GO TO BOX R04_YSR13
ASK: Continuing youth respondents who have initiated use since the previous wave and new baseline
youth respondents who have ever used smokeless tobacco.
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PATH ID:
R04_YS1011
What flavor was that first smokeless tobacco product you used? Choose all that apply.
1
Menthol or mint
2
Wintergreen, spearmint or frost
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
Candy or other sweets
8
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first smokeless tobacco was flavored.
DISPLAY: 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.”
BOX ID:
R04_YSR13
Aged-up and continuing youth respondents who have ever used smokeless tobacco (and had not used
100 or more times in the previous wave) and new cohort youth respondents who have ever used
smokeless tobacco, go to R04_YS1005.
Else, go to Box R04_YSR06.
PATH ID:
R04_YS1005
How many times 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: Aged-up and continuing youth respondents who have ever used smokeless tobacco and had not
used 100 or more times in the previous wave, and new cohort youth respondents who have ever used
smokeless tobacco.
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BOX ID:
R04_YSR06
Youth respondents who have ever used smokeless tobacco and had never used smokeless tobacco
fairly regularly in the previous wave, go to R04_YS1100.
Else, go to R04_YS1112.
PATH ID:
R04_YS1100
Have you ever used smokeless tobacco fairly regularly?
1
Yes
2
No
GO TO R04_YS1112
-8
DON'T KNOW
GO TO R04_YS1112
-7
REFUSED
GO TO R04_YS1112
ASK: Youth respondents who have ever used smokeless tobacco (and had never used fairly regularly in
the previous wave).
PATH ID:
R04_YS1007
How old were you when you first started using smokeless tobacco fairly regularly?
1
|__|__| Years old
-8
DON'T KNOW
GO TO R04_YS1121
-7
REFUSED
GO TO R04_YS1121
ASK: Youth respondents who have ever used smokeless tobacco fairly regularly and did not use fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Years old" AS A TITLE.
PATH ID:
R04_YS1007_LC1
The computer recorded that you started using smokeless tobacco fairly regularly at age [R04_YS1007].
Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1007
2
NEXT
GO TO R04_YS1112
ASK: IF R04_YS1007 < =8 OR R04_YS1007 < R04_YS1006_NB.
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PATH ID:
R04_YS1007_LC2
The computer recorded that you started using smokeless tobacco fairly regularly at age [R04_YS1007].
That is older than you are now.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1007
2
NEXT
GO TO R04_YS1112
ASK: IF R04_YS1007 > R04_YOUTHAGE.
PATH ID:
R04_YS1121
When you first started using smokeless tobacco fairly regularly, 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: Youth respondents who did not know or refused to report the age when they started using
smokeless tobacco fairly regularly.
PATH ID:
R04_YS1112
When did you last use smokeless 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
GO TO BOX R04_YSV04
4
Not in the past 30 days but sometime in the past 6 months
GO TO BOX R04_YDT01
5
Not in the past 6 months but sometime in the past year
GO TO BOX R04_YDT01
6
1 to 4 years ago
GO TO BOX R04_YDT01
7
5 or more years ago
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: Youth respondents who have ever used smokeless tobacco.
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PATH ID:
R04_YS0100
When did you last use smokeless tobacco (not including snus)?
1
In the past hour
2
Sometime today
GO TO R04_YS0103
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YSV04
-8
DON'T KNOW
GO TO BOX R04_YSV04
-7
REFUSED
GO TO BOX R04_YSV04
ASK: Youth respondents who have used smokeless tobacco in the past 7 days.
PATH ID:
R04_YS0102
When you last used smokeless tobacco (not including snus) [FILL BASED ON R04_YS0100], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used smokeless tobacco today, yesterday, or the day before
yesterday, but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YS0100]:
IF R04_YS0100 = 2, DISPLAY “today”.
ELSE, IF R04_YS0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YS0100 = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YS0103
How many times [have/did] you [used/use] smokeless tobacco (not including snus) [FILL BASED ON
R04_YS0100]?
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YSV04
-7
REFUSED
GO TO BOX R04_YSV04
ASK: Youth respondents who have used smokeless tobacco in the past hour, sometime today,
yesterday or the day before yesterday.
DISPLAY: IF R04_YS0100 = 1, 2, DISPLAY “have” AND “used”.
ELSE, IF R04_YS0100 = 3, 4, DISPLAY “did” AND “use”.
FOR [FILL BASED ON R04_YS0100]:
IF R04_YS0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YS0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YS0100 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YS0103_LC1
The computer recorded that you used smokeless tobacco [R04_YS0103] times [today/yesterday/the day
before yesterday]. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS0103
2
NEXT
GO TO BOX R04_YSV04
ASK: IF R04_YS0103 > 20 OR R04_YS0103 = 11.
DISPLAY: IF R04_YS0100 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YS0100 = 3, DISPLAY "yesterday".
ELSE, IF R04_YS0100 = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YSV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_SMKLS = ("Past 30 day users") Youth respondents who have used smokeless
tobacco in the past 30 days.
R04_PAST30DAY_SMKLS_LEVEL = 1 (Past 30 day "Very Light" users) Youth respondents who
have used smokeless tobacco in the past 30 days, and have used 10 times or less in their lifetime.
R04_PAST30DAY_SMKLS_LEVEL = 2 (Past 30 day "Not Light" users) Youth respondents who have
used smokeless tobacco in the past 30 days, and have used more than 10 times in their lifetime.
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PATH ID:
R04_YS1022
In the past 30 days, on how many days did you use smokeless tobacco?
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
PATH ID:
R04_YS1023
In the past 30 days, on the days you used smokeless tobacco, how many times did you use smokeless
tobacco per day?
1
|___|___|
-8
DON'T KNOW
GO TO R04_YS1130
-7
REFUSED
GO TO R04_YS1130
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1023_LC1
The computer recorded that on the days you used in the past 30 days, you used smokeless tobacco
(R04_YS1023) times a day, on average.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1023
2
NEXT
GO TO R04_YS1130
ASK: IF R04_YS1023 > 10.
PATH ID:
R04_YS1130
In the past 30 days, was any of the smokeless tobacco you used flavored to taste like menthol, mint,
wintergreen, spearmint or frost, clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YS1142
3
I don't know
GO TO R04_YS1142
-8
DON'T KNOW
GO TO R04_YS1142
-7
REFUSED
GO TO R04_YS1142
ASK: Past 30 day smokeless tobacco users.
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PATH ID:
R04_YS1131
Which flavors have you used in the past 30 days? Choose all that apply.
1
Menthol or mint
2
Wintergreen, spearmint or frost
3
Clove or spice
4
Fruit
5
Chocolate
6
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
7
Candy or other sweets
8
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored smokeless tobacco users.
DISPLAY: 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:
R04_YS1147
On the days you used smokeless tobacco in the past 30 days, how often did you use flavored
smokeless tobacco?
1
All of the time
2
Most of the time
3
Sometimes
4
Rarely
5
Never
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored smokeless tobacco users.
DISPLAY: UNDERLINE "flavored".
PATH ID:
R04_YS1142
In the past 30 days, did anyone sell you smokeless tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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PATH ID:
R04_YS1123
In the past 30 days, did anyone refuse to sell you smokeless tobacco because of your age?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS9041
In the past 30 days, what type of smokeless tobacco have you used?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Loose smokeless tobacco (such as dip, spit or chewing tobacco)
GO TO R04_YS1118
2
Smokeless tobacco pouches (not including snus)
GO TO R04_YS1118
3
Both loose and pouched smokeless tobacco
-8
DON'T KNOW
GO TO R04_YS1118
-7
REFUSED
GO TO R04_YS1118
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS9042
You mentioned you have used both loose and pouched smokeless tobacco. Which type of smokeless
tobacco do you use most often?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO - BOTH LOOSE AND POUCHES]
1
Loose smokeless tobacco (such as dip, spit or chewing tobacco)
2
Smokeless tobacco pouches (not including snus)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used both loose and pouched smokeless tobacco.
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PATH ID:
R04_YS1118
In the past 30 days, how did you usually get your own smokeless tobacco?
1
I gave someone else money to buy it for me
2
I bought it myself from a store
3
I asked someone to give me some
4
Someone offered it to me
5
I bought it from another person
6
I took it from a store or another person
7
I got it some other way (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
DISPLAY: 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.”
BOX ID:
R04_YSR04
Past 30 day users who usually buy smokeless tobacco themselves or give someone else money to buy
for them, go to R04_YS1030.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS1030
[When you give money to someone else, how do they/How do you] usually buy your smokeless
tobacco?
1
In person
2
From the internet
GO TO BOX R04_YSR20
3
By telephone
GO TO BOX R04_YSR20
-8
DON'T KNOW
GO TO BOX R04_YSR20
-7
REFUSED
GO TO BOX R04_YSR20
ASK: Past 30 day smokeless tobacco users (including "very light" users) who buy smokeless tobacco
for themselves or someone else buys for them.
DISPLAY: IF R04_YS1118=1, DISPLAY “When you give money to someone else, how do they”.
ELSE, IF R04_YS1118=2, DISPLAY “How do you”.
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PATH ID:
R04_YS1033
Where do [you/they] buy your smokeless 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
8
A swap meet or flea market
9
Or from somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users (including "very light" users) who buy smokeless tobacco
for themselves or someone else buys for them in person.
DISPLAY: IF R04_YS1118=1, DISPLAY “they”.
ELSE, IF R04_YS1118=2, DISPLAY “you”
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.”
BOX ID:
R04_YSR20
Past 30 day "not-light" smokeless tobacco users who buy smokeless tobacco for themselves or
someone else buys for them, go to R04_YS1034.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS1034
Think about the last time you [bought/gave money to someone else to buy you] smokeless tobacco.
How much did you pay for a container of smokeless tobacco?
1
$ I___I___I___I Dollars . I___I___I Cents
-8
DON'T KNOW
GO TO BOX R04_YSR18
-7
REFUSED
GO TO BOX R04_YSR18
ASK: Past 30 day "not-light" smokeless tobacco users who buy smokeless tobacco for themselves or
someone else buys for them.
DISPLAY: DISPLAY “$” AS LEFT LABEL; “Dollars” AND “Cents” AS TITLES.
IF R04_YS1118=1, DISPLAY "gave money to someone else to buy you".
ELSE, IF YS1118=2, DISPLAY "bought".
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PATH ID:
R04_YS1034_LC1
The computer recorded that you paid $[R04_YS1034_D].[R04_YS1034_C] for a container of smokeless
tobacco. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YS1034
2
NEXT
GO TO BOX R04_YSR18
ASK: IF R04_YS1034_D > 6 OR R04_YS1034_D < 1.
BOX ID:
R04_YSR18
Past 30 day "not-light" users of pouched smokeless tobacco who buy for themselves or someone else
buys for them, go to R04_YS9001.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS9001
How many pouches are in the container of smokeless tobacco that you usually buy?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" users of pouched smokeless tobacco who buy for themselves or someone
else buys for them.
BOX ID:
R04_YSR16
Past 30 day "not light" users, go to R04_YS1047.
Else, past 30 day users, go to R04_YS1945.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1047
Do you have a regular brand of smokeless tobacco that you usually use?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" smokeless tobacco users.
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PATH ID:
R04_YS1945
Do you know the name of the brand of smokeless tobacco you [usually use/last used]?
1
Yes
2
No
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users.
DISPLAY: IF R04_YS1047 = 1, DISPLAY “usually use”.
ELSE, DISPLAY “last used”.
UNDERLINE "name of the brand".
PATH ID:
R04_YS1048
What brand of smokeless tobacco [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who know the brand name.
DISPLAY: IF R04_YS1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YSR09
If respondent selects brand in R04_YS1048_BRAND, go to R04_YS1070_PRODUCT.
Else, if respondent selects "Something else" in R04_YS1048_BRAND, go to R04_YS1049.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1049
You said that your brand was not listed. What is it?
1
__________________________
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected
"Something else" for their brand.
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PATH ID:
R04_YS1070
You selected [BRANDFILL] as your brand. What kind of [BRANDFILL] [do/did] you [usually/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”./If you do not see it below, touch the box marked “Something else”.]
1
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected a
brand image.
DISPLAY: IF R04_YS1047 = 1, DISPLAY “do” AND “usually”.
ELSE, DISPLAY “did” AND “last”.
[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”.
BOX ID:
R04_YSR10
If youth respondent selects "Something else" in R04_YS1070_PRODUCT, go to R04_YS1071.
Else, youth respondents who have used smokeless tobacco today, yesterday, or the day before
yesterday who know the name of their brand AND selected a valid brand AND valid product, go to
R04_YS0104.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1071
You said that the type of [BRANDFILL]s that you use was not listed. What type is it?
1
__________________________
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected a
brand image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YSR19
Youth respondents who used smokeless tobacco today, yesterday or the day before yesterday who
know the name of their brand AND selected a valid brand in R04_YS1048_BRAND AND valid product in
R04_YS1070_PRODUCT, go to R04_YS0104.
Else, go to Box R04_YSD02.
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PATH ID:
R04_YS0104
You said earlier that you used smokeless tobacco [TIME OF LAST USE].
Think about the very last time you used it. Was the brand [NEQBRAND]?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used smokeless tobacco in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a product AND
valid sub brand.
DISPLAY: IF R04_YS0100 = 1, FILL [TIME OF LAST USE] WITH “in the past hour”.
ELSE, IF R04_YS0100 = 2, FILL [TIME OF LAST USE] WITH “sometime today”.
ELSE, IF R04_YS0100 = 3, FILL [TIME OF LAST USE] WITH “yesterday”.
ELSE, IF R04_YS0100 = 4, FILL [TIME OF LAST USE] WITH “the day before yesterday”.
FILL [NEQBRAND] WITH RESPONSE TO R04_YS1070_PRODUCT.
BOX ID:
R04_YSD02
Display question R04_YS1060, R04_YS1085, R04_YS1062, R04_YS1075, R04_YS1063,
R04_YS1064, R04_YS1065, R04_YS1067 on one screen. Show the intro/transition text from
R04_YS1060 first, then show each item with a Yes/No response. As each item is answered, show the
next one.
PROGRAM: Randomize order of R04_YS1060 through R04_YS1067.
PATH ID:
R04_YS1060
The next questions are about the reasons people use smokeless tobacco. Please select which reasons
apply to you.
I use smokeless tobacco because…
It is affordable.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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PATH ID:
R04_YS1085
I can use smokeless tobacco at times when or in places where smoking cigarettes isn’t allowed.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1062
It might be less harmful to me than smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1075
It might be less harmful to people around me than cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1063
Smokeless tobacco comes in flavors I like.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
BOX ID:
R04_YSR11
Past 30 day smokeless tobacco users who have also smoked cigarettes in the past year, go to
R04_YS1064.
Else, go to R04_YS1065.
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PATH ID:
R04_YS1064
Using smokeless tobacco helps people quit smoking cigarettes.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who have also smoked cigarettes in the past year.
PATH ID:
R04_YS1065
Smokeless tobacco doesn’t smell.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1067
Smokeless tobacco doesn’t bother non-tobacco users.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
BOX ID:
R04_YSR12
Past 30 day smokeless tobacco users who have also smoked cigarettes in the past 30 days, go to
R04_YS1086.
Else, go to Box R04_YDT01.
PATH ID:
R04_YS1086
In the past 30 days, have you used smokeless tobacco at times when or in places where you could not
smoke cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who have also smoked cigarettes in the past 30 days.
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DISSOLVABLE TOBACCO
BOX ID:
R04_YDT01
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 IMAGE OF DISSOLVABLES]
BOX ID:
R04_YDR01
New baseline youth respondents, go to R04_YD1001_NB.
Continuing youth respondents, go to R04_YD1002_12M.
PATH ID:
R04_YD1002_12M
In the past 12 months, have you used dissolvable tobacco products, such as Ariva, Stonewall, or Camel
Orbs, Sticks, or Strips, even one or two times?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Yes
2
No
GO TO BOX R04_YDV01
-8
DON'T KNOW
GO TO BOX R04_YDV01
-7
REFUSED
GO TO BOX R04_YDV01
ASK: Continuing youth respondents and new baseline youth respondents who have ever used
dissolvable tobacco.
PATH ID:
R04_YD1002_30D
In the past 30 days, have you used dissolvable tobacco products, such as Ariva, Stonewall, or Camel
Orbs, Sticks, or Strips, even one or two times?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used dissolvable tobacco in the past 12 months.
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BOX ID:
R04_YDV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_DISSBL_YOUTH = 1 (Ever user) Youth respondents who have ever used
dissolvable tobacco.
R04_EVER_NEVER_DISSBL_YOUTH = 2 (Never user) Youth respondents who have not ever used
dissolvable tobacco.
R04_INIT_DISSBL_YOUTH = 1 (Initiator) Youth respondents who initiated dissolvable tobacco use
between Waves new baseline youth respondents who have ever used dissolvable tobacco.
R04_PAST30DAY_DISS = 1 (Past 30 day dissolvable users) Youth respondents who used
dissolvable tobacco in the past 30 days.
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BIDIS AND KRETEKS
BOX ID:
R04_YBT01
The next questions are about 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]
BOX ID:
R04_YBR01
New baseline youth respondents, go to R04_YB9101_NB.
Continuing youth respondents, go to Box R04_YBR03.
BOX ID:
R04_YBR02
New baseline youth respondents who have heard of bidis and/or kreteks, go to R04_YB9102_NB.
Else, go to Box R04_YBV01.
BOX ID:
R04_YBR03
Continuing youth respondents and new baseline youth respondents who have ever smoked bidis or
kreteks, go to R04_YB9102_12M.
Else, go to Box R04_YBV01.
PATH ID:
R04_YB9102_12M
In the past 12 months, which of the following tobacco products have you tried, even one or two times?
Choose all that apply.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
I have not tried either of these products
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents and new baseline youth respondents who have ever smoked bidis
and/or kreteks
BOX ID:
R04_YBR04
Youth respondents who have smoked bidis and/or kreteks in the past 12 months, go to
R04_YB9102_30D.
Else, go to Box R04_YBV01.
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PATH ID:
R04_YB9102_30D
In the past 30 days, which of the following tobacco products have you tried, even one or two times?
Choose all that apply.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
I have not tried either of these products
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked bidis and/or kreteks in the past 12 months.
BOX ID:
R04_YBV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_BIDI_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a bidi.
R04_EVER_NEVER_BIDI_YOUTH = 2 (Never user) Youth respondents who have not ever smoked a
bidi.
R04_INIT_BIDI_YOUTH = 1 (Initiator) Youth respondents who initiated bidi use between Waves or new
baseline youth respondents who have ever smoked a bidi.
R04_PAST30DAY_BIDI = 1 Youth respondents who used bidis in the past 30 days.
R04_EVER_NEVER_KRETEK_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
kretek.
R04_EVER_NEVER_KRETEK_YOUTH = 2 (Never user) Youth respondents who have not ever
smoked a kretek.
R04_INIT_KRETEK_YOUTH = 1 (Initiator) Youth respondents who initiated kretek use between Waves
or new baseline youth respondents who have ever smoked a kretek.
R04_PAST30DAY_KRETEK = 1 Youth respondents who used kreteks in the past 30 days.
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OTHER TOBACCO
PATH ID:
R04_YZ1002
You were just asked questions about cigarettes, electronic nicotine products, traditional cigars,
cigarillos, filtered cigars, pipes, hookahs, snus, smokeless tobacco, dissolvable tobacco, bidis and
kreteks.
Besides these products, have you ever used any other tobacco products? Please do not include
products such as a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge, or pill.
1
Yes (SPECIFY)
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: 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.”
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NEW PRODUCT - PLACEHOLDER
BOX ID:
R04_YZV01
CREATE THE FOLLOWING VARIABLE AND SET = 2: R04_NEW_PRODUCT_SECTION.
BOX ID:
R04_YZR01
If R04_NEW_PRODUCT_SECTION = 1, continue with R04_YZ1005.
Else, go to Box R04_YYV01.
PATH ID:
R04_YZ1005
How many [units of tobacco product] have you [smoked/used] in your entire life?
1
1 or more [units] but never a whole one
2
1 to 10
3
11 to 20
4
21 to 50
5
51 to 99
6
100 or more
7
I have never [smoked/used] [tobacco product]
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YYV01
ASK: All youth respondents.
PATH ID:
R04_YZ1008
When you first started [smoking/using] [tobacco product], were they flavored to taste like menthol, mint,
clove, spice, fruit, chocolate, alcoholic drinks, candy or other sweets?
1
Yes
2
No
GO TO R04_YZ9029
3
I don't know
GO TO R04_YZ9029
-8
DON'T KNOW
GO TO R04_YZ9029
-7
REFUSED
GO TO R04_YZ9029
ASK: Youth respondents who have ever used [tobacco product].
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PATH ID:
R04_YZ1011
Which flavor did you first start using? Choose all that apply.
1
Menthol or mint
2
Clove or spice
3
Fruit
4
Chocolate
5
An alcoholic drink (such as wine, cognac, margarita or other cocktails)
6
Candy or other sweets
7
Some other flavor (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used flavored [tobacco product].
DISPLAY: 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:
R04_YZ9029
About how long has it been since you last [smoked/used] a [tobacco product]?
1
I___I___I DAYS
2
I___I___I MONTHS
3
I___I___I YEARS
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used [tobacco product].
PATH ID:
R04_YZ1100
Have you ever [smoked/used] a [tobacco product] fairly regularly?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used a [tobacco product].
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FIRST TOBACCO PRODUCT
BOX ID:
R04_YYV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_USE_TOB = Youth respondents who have ever used any type of tobacco product(s) in
lifetime.
R04_EVER_USE_CIGSONLY = Youth respondents who have ever used only cigarettes, and no other
products, in lifetime.
R04_EVER_USE_DUAL = Youth respondents who have ever used cigarettes and at least one other
tobacco product in lifetime.
R04_EVER_USE_TOBXCIGS = Youth respondents who have ever used any tobacco products,
excluding cigarettes, in lifetime.
R04_PAST30DAY_TOB = Youth respondents who have used any tobacco product(s) in the past 30
days.
R04_PASTYEAR_TOB_USE = Youth respondents who have used any tobacco product(s) in the past
12 months.
BOX ID:
R04_YYR01
New baseline youth respondents who started using 2 or more products at the same age, go to
R04_YY0601.
Else, continuing youth respondents who had not used any tobacco products at previous wave and
initiated use of 2 or more products at the same age, go to R04_YY0601.
Else, go to the next section.
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PATH ID:
R04_YY0601
You mentioned that you started using [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST
AGE] [in the past 12 months/at age {EARLIEST AGE}]. Which type of tobacco did you try first?
1
Cigarettes
2
E-cigarettes or other electronic nicotine products
3
Traditional cigars
4
Cigarillos
5
Filtered cigars
7
Shisha or hookah tobacco
9
Snus
8
Smokeless tobacco (other than snus)
14
Other (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who used 2 or more products at the age they first started using
any tobacco and continuing youth respondents who initiated two or more products since the previous
wave (not including pipe, dissolvable tobacco, bidis, and kreteks).
DISPLAY: LIST OF ALL PRODUCTS MAY ONLY INCLUDE CIGARETTES, E-PRODUCTS,
TRADITIONAL CIGARS, CIGARILLOS, FILTERED CIGARS, HOOKAH, SNUS, SMOKELESS
TOBACCO.
IF R04_YOUTHTYPE = 1, DISPLAY "in the past 12 months"; AND [LIST OF ALL PRODUCTS
INITIATED], FOR ALL PRODUCTS FOR WHICH R04_INIT_[PRODUCT]_YOUTH = 1.
(R04_INIT_CIGS_YOUTH, R04_INIT_EPRODS_YOUTH, R04_INIT_GTRAD_YOUTH,
R04_INIT_GRILLO_YOUTH, R04_INIT_GFILTR_YOUTH, R04_INIT_HOOK_YOUTH,
R04_INIT_SNUS_YOUTH, R04_INIT_SMKLS_YOUTH)
IF R04_YOUTHTYPE = 2, 3, DISPLAY "at age {EARLIEST AGE}" AND FILL {EARLIEST AGE} WITH
THE AGE THE RESPONDENT FIRST STARTED USING TOBACCO; FOR [LIST OF ALL PRODUCTS
USED AT EARLIEST AGE], LIST ALL THE PRODUCTS FOR WHICH R04_Y*1006_NB = EARLIEST
AGE OF TOBACCO USE. (R04_YC1006_NB, R04_YV1006_NB, R04_YG1006TC_NB,
R04_YG1006CL_NB, R04_YG1006FC_NB, R04_YH1006_NB, R04_YU1006_NB, R04_YS1006_NB)
IF [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST AGE] HAS TWO PRODUCTS,
CONNECT THE PRODUCTS WITH "and".
IF [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST AGE] HAS THREE OR MORE
PRODUCTS, CONNECT THE PRODUCTS WITH COMMAS AND INCLUDE "and" BEFORE THE
FINAL PRODUCT.
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.”
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NICOTINE DEPENDENCE AND CESSATION / QUITTER
BOX ID:
R04_YNR04E
Youth respondents who have used any e-products in the past 12 months, go to Box R04_YNT03.
Else, youth respondents who have used any other tobacco product(s) in the past 12 months, go to Box
R04_YNT02.
Else, go to Box R04_YRT01.
BOX ID:
R04_YNT03
IF R04_PASTYEAR_TOB_USE = 2, DISPLAY THE FOLLOWING TEXT:
The next questions ask about your experience with electronic nicotine products.
IF R04_PASTYEAR_TOB_USE = 3, DISPLAY THE FOLLOWING TEXT:
The next questions ask about your experience with electronic nicotine products. Please think only about
electronic nicotine products as you answer these questions. We will ask you questions about other
products later.
PATH ID:
R04_YN0703E
How soon after you wake up do you want to use electronic nicotine products?
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 electronic nicotine products
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0704E
Do you ever have strong cravings to use electronic nicotine products?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0705E
Have you ever felt like you really needed to use electronic nicotine products?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0055E
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 electronic nicotine products 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: Youth respondents who have used any e-products in the past 12 months.
BOX ID:
R04_YND02E
PROGRAM: Randomize order of items R04_YN0025E - R04_YN0080E.
PATH ID:
R04_YN0025E
I frequently crave electronic nicotine products.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0045E
My electronic nicotine product 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: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0070E
Using electronic nicotine products 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: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0075E
Using electronic nicotine products 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: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0080E
I would feel alone without my electronic nicotine products.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
BOX ID:
R04_YNR03E
Youth respondents who reported that they rarely want to use e-products after waking up, go to Box
R04_YNR06.
Else, youth respondents who have used any e-products in the past 12 months, go to R04_YN0060E.
PATH ID:
R04_YN0060E
I usually want to use electronic nicotine products 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: Youth respondents who have used any e-products in the past 12 months and did not report that
they rarely want to use e-products after waking up.
BOX ID:
R04_YNR06
Youth respondents who are past 30 day “not light” users of any e-products, go to R04_YN0126E.
Else, youth respondents who have used any e-product and at least one other tobacco product in the
past 12 months, go to Box R04_YNT02.
Else, go to R04_YN0330_12M.
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PATH ID:
R04_YN0126E
Have you tried to completely stop using electronic nicotine products within the past 12 months?
1
Yes
2
No
GO TO R04_YN0127E
-8
DON'T KNOW
GO TO R04_YN0127E
-7
REFUSED
GO TO R04_YN0127E
ASK: Past 30 day "not-light" users of any e-products.
PATH ID:
R04_YN0120E
In the past 12 months, have you stopped using electronic nicotine 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: Past 30 day "not-light" users of any e-products who have tried to quit using e-products in the past
12 months.
PATH ID:
R04_YN0127E
Are you seriously thinking about quitting electronic nicotine 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: Past 30 day "not-light" users of any e-products.
BOX ID:
R04_YNR02E
Youth respondents who have used any e-product and at least one other tobacco product in the past 12
months, go to Box R04_YNT02.
Else, go to R04_YN0330_12M.
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BOX ID:
R04_YNT02
You mentioned that you use [TOBACCO PRODUCT LIST]. Please think about [all of these
products/both of these products/this product] as you answer the following questions.
PATH ID:
R04_YN0703
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0704
Do you ever have strong cravings to use tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0705
Have you ever felt like you really needed to use tobacco?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH ID:
R04_YN0055
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
BOX ID:
R04_YND04
PROGRAM: Randomize order of items R04_YN0025 - R04_YN0080.
PATH ID:
R04_YN0025
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH ID:
R04_YN0045
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0070
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0075
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH ID:
R04_YN0080
I would feel alone without my tobacco.
1
Not true of me at all
2
3
4
5
Extremely true of me
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
BOX ID:
R04_YNR03
Youth respondents who reported that they rarely want to use tobacco after waking up, go to Box
R04_YNR05.
Else, youth respondents who have used tobacco in the past 12 months, go to R04_YN0060.
PATH ID:
R04_YN0060
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: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product, and did not report that they
rarely want to use tobacco after waking up.
BOX ID:
R04_YNR05
Youth respondents who have used any tobacco products in the past 30 days, excluding cigarette only
users and e-product only users, go to R04_YN0126.
Else, youth respondents who are past 30 day “not light” users of cigarettes, go to R04_YN0127.
Else, go to R04_YN0330_12M.
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PATH ID:
R04_YN0126
Have you tried to completely stop using all tobacco products within the past 12 months?
1
Yes
2
No
GO TO R04_YN0127
-8
DON'T KNOW
GO TO R04_YN0127
-7
REFUSED
GO TO R04_YN0127
ASK: Youth respondents who have used any tobacco products in the past 30 days, excluding cigarette
only users and e-product only users.
PATH ID:
R04_YN0120
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: Youth respondents who have tried to quit using all tobacco in the past 12 months, excluding
cigarette only users and e-product only users.
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PATH ID:
R04_YN0127
Are you seriously thinking about quitting [cigarettes/all tobacco products/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: Youth respondents who have used any tobacco (excluding e-products) in the past 30 days.
DISPLAY: IF CIGARETTE SMOKER ONLY (R04_PAST30DAY_CIGS_LEVEL = 2 AND
(R04_PAST30DAY_GTRAD = 2 AND R04_PAST30DAY_GRILLO = 2 AND R04_PAST30DAY_GFILTR
= 2 AND R04_PAST30DAY_PIPE = 2 AND R04_PAST30DAY_HOOK = 2 AND
R04_PAST30DAY_SNUS = 2 AND R04_PAST30DAY_SMKLS = 2 AND R04_PAST30DAY_DISS = 2
AND R04_PAST30DAY_BIDI = 2 AND R04_PAST30DAY_KRETEK = 2)), DISPLAY “cigarettes”.
IF NON-CIGARETTE TOBACCO USER (R04_PAST30DAY_CIGS = 2 OR
R04_PAST30DAY_CIGS_LEVEL = 1) AND R04_PAST30DAY_TOB = 1, DISPLAY “ all tobacco
products”.
IF CIGARETTE AND OTHER TOBACCO PRODUCT USER (R04_PAST30DAY_CIGS_LEVEL = 2 AND
(R04_PAST30DAY_GTRAD_LEVEL = 2 OR R04_PAST30DAY_GRILLO_LEVEL = 2 OR
R04_PAST30DAY_GFILTR_LEVEL = 2 OR R04_PAST30DAY_PIPE = 1 OR
R04_PAST30DAY_HOOK = 1 OR R04_PAST30DAY_SNUS_LEVEL = 2 OR
R04_PAST30DAY_SMKLS_LEVEL = 2 OR R04_PAST30DAY_DISS = 1 OR R04_PAST30DAY_BIDI =
1 OR R04_PAST30DAY_KRETEK = 1)) DISPLAY “cigarettes and tobacco products”.
BOX ID:
R04_YNR02
Youth respondents who are past 30 day "not-light" cigarette smokers who have used any other tobacco
products (excluding e-products) in the past 30 days, go to Box R04_YNT05.
Else, youth respondents who are past 30 day “not-light” cigarette smokers and have not used any other
products, go to R04_YC1210.
Else, go to R04_YN0330_12M.
BOX ID:
R04_YNT05
The next questions ask about your experience with cigarettes. Please think only about cigarettes as you
answer these questions.
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PATH ID:
R04_YC1210
Do you want to completely stop smoking cigarettes?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
BOX ID:
R04_YNR01
Past 30 day "not-light" cigarette smokers who have not tried to quit using all tobacco in the past 12
months, go to R04_YC1215.
Else, past 30 day “not-light” cigarette smokers who tried to quit using all tobacco in the past 12 months,
go to R04_YC1220.
PATH ID:
R04_YC1215
In the past 12 months, have you tried to completely stop smoking cigarettes?
1
Yes
2
No
GO TO R04_YC1230
-8
DON'T KNOW
GO TO R04_YC1230
-7
REFUSED
GO TO R04_YC1230
ASK: Past 30 day "not-light" cigarette smokers who have not tried to quit using all tobacco in the past 12
months.
PATH ID:
R04_YC1220
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__I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have tried to quit smoking in the past 12 months.
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Wave 4 (version 4.0)
PATH ID:
R04_YC1220_LC1
The computer recorded that you stopped smoking for one day or longer [R04_YC1220] times in the past
12 months because you were trying to quit smoking cigarettes for good. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YC1220
2
NEXT
GO TO R04_YC1225
ASK: IF R04_YC1220 > 100.
PATH ID:
R04_YC1225
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: Past 30 day "not-light" cigarette smokers who have tried to quit smoking in the past 12 months.
PATH ID:
R04_YC1230
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: Past 30 day "not-light" cigarette smokers.
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Wave 4 (version 4.0)
PATH ID:
R04_YN0330_12M
In the past 12 months, have you used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal
spray, lozenge or pill?
1
Yes
2
No
GO TO R04_YN0331_12M
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months.
PATH ID:
R04_YN0307
When did you last use a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or
pill?
1
In the past hour
GO TO R04_YN0309
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO R04_YN0331_12M
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who has used NRT in the past 12 months.
PATH ID:
R04_YN0308
When you last used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill
[FILL BASED ON R04_YN0307], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
used NRT today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307]:
IF R04_YN0307 = 2, DISPLAY "sometime today".
ELSE, IF R04_YN0307 = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0307 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – Extended Interview
196
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0309
When you last used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill
[FILL BASED ON R04_YN0307], how many did you use?
1
I___I___I
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
used NRT in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307]:
IF R04_YN0307 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YN0307 = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0307 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0309_LC1
The computer recorded that [today/yesterday/the day before yesterday], you used a nicotine patch,
nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill [R04_YN0309] times.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YN0309
2
NEXT
GO TO R04_YN0331_12M
ASK: IF R04_YN0309 = 0 OR R04_YN0309 > 5.
DISPLAY: IF R04_YN0307 = 1, 2, DISPLAY “today”.
IF R04_YN0307 = 3, DISPLAY “yesterday”.
IF R04_YN0307 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0331_12M
In the past 12 months, have you used any of the following prescription drugs: Chantix, varenicline,
Wellbutrin, Zyban, or bupropion?
1
Yes
2
No
GO TO BOX R04_YRT01
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months.
PATH – Wave 4
Youth Questionnaire – Extended Interview
197
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0327
When did you last use Chantix, varenicline, Wellbutrin, Zyban, or bupropion?
1
In the past hour
2
Sometime today
GO TO R04_YN0329
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YRT01
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug in the past 12 months.
PATH ID:
R04_YN0328
When you last used Chantix, varenicline, Wellbutrin, Zyban, or bupropion [FILL BASED ON
R04_YN0327], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327]:
IF R04_YN0327 = 2, DISPLAY "today".
ELSE, IF R04_YN0327 = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0327 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – Extended Interview
198
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0329
When you used Chantix, varenicline, Wellbutrin, Zyban, or bupropion [FILL BASED ON R04_YN0327],
how many did you take?
1
I___I___I
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327]:
IF R04_YN0327 = 1, 2, DISPLAY “today”.
ELSE, IF R04_YN0327 = 3, DISPLAY "yesterday"
ELSE, IF R04_YN0327 = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0329_LC1
The computer recorded that [today/yesterday/the day before yesterday], you used Chantix, varenicline,
Wellbutrin, Zyban, or bupropion [R04_YN0329] times.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YN0329
2
NEXT
GO TO BOX R04_YRT01
ASK: IF R04_YN0329 = 0 OR IF R04_YN0329 > 5.
DISPLAY: IF R04_YN0327 = 1, 2, DISPLAY “today”.
IF R04_YN0327 = 3, DISPLAY “yesterday”.
IF R04_YN0327 = 4, DISPLAY “the day before yesterday”.
PATH – Wave 4
Youth Questionnaire – Extended Interview
199
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PACKAGING AND HEALTH WARNINGS
BOX ID:
R04_YRT01
The next questions ask about things you may have seen or read about tobacco products.
PATH ID:
R04_YR0142
In the past 12 months, how often have you thought about the chemicals contained in tobacco products?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YR0005
In the past 30 days, how often, if at all, have you noticed the health warnings on cigarette packs?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR01
If youth respondent has ever smoked cigarettes and has noticed health warnings in the past 30 days, go
to R04_YR0202.
Else, if youth respondent has never smoked cigarettes and has noticed health warnings in the past 30
days, go to R04_YR0055.
Else, go to R04_YR0110.
PATH – Wave 4
Youth Questionnaire – Extended Interview
200
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0202
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
cigarette packs?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0010
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: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0015
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: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH – Wave 4
Youth Questionnaire – Extended Interview
201
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0025
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: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0035
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: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0203
To what extent, if at all, do the health warnings on cigarette packs make you never want to smoke
again?
1
Not at all
GO TO R04_YR0110
2
A little
GO TO R04_YR0110
3
Somewhat
GO TO R04_YR0110
4
A lot
GO TO R04_YR0110
-8
DON'T KNOW
GO TO R04_YR0110
-7
REFUSED
GO TO R04_YR0110
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH – Wave 4
Youth Questionnaire – Extended Interview
202
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0055
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: Youth respondents who have never smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0110
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of ecigarettes, e-liquid or other electronic nicotine products?
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR16
If youth respondent has ever used e-products and has noticed health warnings in the past 30 days, go
to R04_YR0222.
Else, go to R04_YR0115.
PATH – Wave 4
Youth Questionnaire – Extended Interview
203
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0222
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of e-cigarettes, e-liquid or other electronic nicotine products?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0226
To what extent, if at all, do the health warnings on packages of e-cigarettes, e-liquid or other electronic
nicotine products make you think about the health risks of using them?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0115
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of traditional
cigars?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
204
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YRR17
If youth respondent has ever smoked traditional cigars and has noticed health warnings in the past 30
days, go to R04_YR0229.
Else, go to R04_YR0120.
PATH ID:
R04_YR0229
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of traditional cigars?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked traditional cigars and have noticed health warnings in
the past 30 days.
PATH ID:
R04_YR0233
To what extent, if at all, do the health warnings on packages of traditional cigars 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: Youth respondents who have ever smoked traditional cigars and have noticed health warnings in
the past 30 days.
PATH – Wave 4
Youth Questionnaire – Extended Interview
205
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0120
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of cigarillos?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR18
If youth respondent has ever smoked cigarillos and has noticed health warnings in the past 30 days, go
to R04_YR0236.
Else, go to R04_YR0125.
PATH ID:
R04_YR0236
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of cigarillos?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked cigarillos and have noticed health warnings in the past
30 days.
PATH – Wave 4
Youth Questionnaire – Extended Interview
206
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0240
To what extent, if at all, do the health warnings on packages of cigarillos 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: Youth respondents who have ever smoked cigarillos and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0125
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of filtered
cigars?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR19
If youth respondent has ever smoked filtered cigars and has noticed health warnings in the past 30
days, go to R04_YR0243.
Else, go to R04_YR0130.
PATH – Wave 4
Youth Questionnaire – Extended Interview
207
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0243
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of filtered cigars?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked filtered cigars and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0247
To what extent, if at all, do the health warnings on packages of filtered cigars 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: Youth respondents who have ever smoked filtered cigars and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0130
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of pipe
tobacco?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
208
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0135
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of shisha or
hookah tobacco?
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR20
If youth respondent has ever smoked hookah and has noticed health warnings in the past 30 days, go to
R04_YR0250.
Else, go to R04_YR0206.
PATH ID:
R04_YR0250
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on
packages of shisha or hookah tobacco?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah and have noticed health warnings in the past
30 days.
PATH – Wave 4
Youth Questionnaire – Extended Interview
209
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0254
To what extent, if at all, do the health warnings on packages of shisha or hookah tobacco 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: Youth respondents who have ever smoked hookah and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0206
In the past 30 days, how often, if at all, have you noticed the health warnings on snus containers?
[SHOW GENERIC IMAGE OF SNUS]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR15
If youth respondent has ever used snus and has noticed health warnings in the past 30 days, go to
R04_YR0207.
Else, go to R04_YR0060.
PATH – Wave 4
Youth Questionnaire – Extended Interview
210
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0207
In the past 30 days, how often, if at all, have you read or looked closely at the health warnings on snus
containers?
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used snus and have noticed health warnings in the past 30
days.
PATH ID:
R04_YR0211
To what extent, if at all, do the health warnings on snus containers make you think about the health risks
of using snus?
1
Not at all
2
A little
3
Somewhat
4
A lot
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used snus and have noticed health warnings in the past 30
days.
PATH ID:
R04_YR0060
In the past 30 days, how often, if at all, have you noticed the health warnings on packages of other
smokeless tobacco products like dip, spit and chew?
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS (EXCLUDING SNUS)]
1
Never
2
Rarely
3
Sometimes
4
Often
5
Very often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
211
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YRR04
If youth respondent has ever used smokeless tobacco and noticed health warnings in the past 30 days,
go to R04_YR0205.
Else, go to Box R04_YXT30.
PATH ID:
R04_YR0205
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: Youth respondents who have ever used smokeless tobacco and have noticed health warnings in
the past 30 days.
PATH ID:
R04_YR0085
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: Youth respondents who have ever used smokeless tobacco and have noticed health warnings in
the past 30 days.
PATH – Wave 4
Youth Questionnaire – Extended Interview
212
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
RISK PERCEPTIONS AND ATTITUDES
BOX ID:
R04_YXT30
The next questions ask about your opinions on using tobacco, including e-cigarettes and other
electronic nicotine products.
PATH ID:
R04_YN0250
Do you believe nicotine is the main substance in tobacco that makes people want to use tobacco
products?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0667
Please tell me how much you agree or disagree with the following statement.
Some tobacco products are safer than others.
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
213
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0723
Do you think a tobacco product described as additive-free is less harmful, about the same, or more
harmful than a regular tobacco product?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "additive-free".
PATH ID:
R04_YX0724
Do you think a tobacco product described as organic is less harmful, about the same, or more harmful
than a regular tobacco product?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "organic".
PATH ID:
R04_YC9050
How harmful do you think cigarettes are to health?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
214
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1149
How harmful do you think the nicotine in cigarettes is to health?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotine".
PATH ID:
R04_YC1125
How much do you think people harm themselves when they smoke cigarettes?
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC1170
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 youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
215
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1180
How long do you think someone has to smoke cigarettes before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9047
In your opinion, do you think that cigarettes with lower amounts of nicotine are less harmful, about the
same, or more harmful to a person's health than regular cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9040
Do you think cigarettes flavored like menthol or mint are less harmful, no different, or more harmful than
regular cigarettes?
1
Less harmful
2
No different
3
More harmful
4
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
216
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9118
Do you think cigarettes flavored like menthol or mint are easier to smoke, about the same, or harder to
smoke than regular cigarettes?
1
Easier to smoke
2
About the same
3
Harder to smoke
4
I don't know
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC1124
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 youth respondents.
PATH ID:
R04_YC9043
How likely are you 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 youth respondents.
DISPLAY: BOLD AND UNDERLINE "you".
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PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9120
Do you believe nicotine is the chemical that causes most of the cancer caused by smoking cigarettes?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1125
How much do you think people harm themselves when they use e-cigarettes or other electronic nicotine
products?
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1149
How harmful do you think the nicotine in e-cigarettes or other electronic nicotine products is to health?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotine".
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218
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1180
How long do you think someone has to use e-cigarettes or other electronic nicotine products before it
harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1099
Do you think using e-cigarettes or other electronic nicotine products is 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: All youth respondents.
DISPLAY: UNDERLINE "e-cigarettes or other electronic nicotine products" AND "cigarettes".
PATH ID:
R04_YV1153
Do you think flavored e-cigarettes (other than menthol or mint) are easier to use, about the same, or
harder to use than tobacco-flavored or unflavored e-cigarettes?
1
Easier to use
2
About the same
3
Harder to use
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "flavored", "other than menthol or mint","tobacco-flavored" AND "unflavored".
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219
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1148
Do you think using menthol or mint flavored e-cigarettes is less harmful, about the same, or more
harmful than using tobacco-flavored or unflavored e-cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "menthol", "mint", "tobacco-flavored" AND "unflavored".
PATH ID:
R04_YV1152
Do you think using flavored e-cigarettes (other than menthol or mint) is less harmful, about the same, or
more harmful than using tobacco-flavored or unflavored e-cigarettes?
1
Less harmful
2
About the same
3
More harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "flavored", "other than menthol or mint","tobacco-flavored" AND "unflavored".
PATH ID:
R04_YV1124
How likely is someone to become addicted to e-cigarettes or other electronic nicotine products?
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 youth respondents.
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Youth Questionnaire – Extended Interview
220
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9025
How much do you think people harm themselves when they smoke traditional cigars?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG1180
How long do you think someone has to smoke traditional cigars before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9097
Do you think smoking traditional cigars is 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: All youth respondents.
DISPLAY: UNDERLINE "traditional cigars" AND "cigarettes".
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221
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9026
How much do you think people harm themselves when they smoke cigarillos?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9047
How much do you think people harm themselves when they smoke cigarillos 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 youth respondents.
PATH ID:
R04_YG9048
How long do you think someone has to smoke cigarillos before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Youth Questionnaire – Extended Interview
222
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9098
Do you think smoking cigarillos is 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: All youth respondents.
DISPLAY: UNDERLINE "cigarillos" AND "cigarettes".
PATH ID:
R04_YG9125
How likely is someone to become addicted to cigarillos?
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 youth respondents.
PATH ID:
R04_YG9027
How much do you think people harm themselves when they smoke filtered cigars?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
223
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9054
How much do you think people harm themselves when they smoke filtered cigars 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 youth respondents.
PATH ID:
R04_YG9055
How long do you think someone has to smoke filtered cigars before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9099
Do you think smoking filtered cigars is 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: All youth respondents.
DISPLAY: UNDERLINE "filtered cigars" AND "cigarettes".
PATH – Wave 4
Youth Questionnaire – Extended Interview
224
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9126
How likely is someone to become addicted to 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: All youth respondents.
PATH ID:
R04_YH1125
How much do you think people harm themselves when they smoke shisha or hookah tobacco?
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH9044
How harmful is it to be around people who are smoking shisha or hookah tobacco?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
225
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YH9110
Do you think shisha that does not contain tobacco is 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: All youth respondents.
DISPLAY: UNDERLINE "does not contain tobacco" AND "does contain tobacco".
PATH ID:
R04_YH1180
How long do you think someone has to smoke shisha or hookah tobacco before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1099
Do you think smoking hookah is 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: All youth respondents.
DISPLAY: UNDERLINE "hookah" AND "cigarettes".
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PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YH1124
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: All youth respondents.
PATH ID:
R04_YU1125
How much do you think people harm themselves when they use snus?
[SHOW GENERIC IMAGE OF SNUS]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1170
How much do you think people harm themselves when they use snus 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 youth respondents.
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Youth Questionnaire – Extended Interview
227
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YU1180
How long do you think someone has to use snus before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1099
Do you think using snus is 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: All youth respondents.
DISPLAY: UNDERLINE "snus" AND "cigarettes".
PATH ID:
R04_YU1124
How likely is someone to become addicted to snus?
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 youth respondents.
PATH – Wave 4
Youth Questionnaire – Extended Interview
228
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YS1125
How much do you think people harm themselves when they use smokeless tobacco? (Smokeless
tobacco includes dip, spit or chew.)
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
No harm
2
A little harm
3
Some harm
4
A lot of harm
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YS1170
How much do you think people harm themselves when they use smokeless tobacco 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 youth respondents.
PATH ID:
R04_YS1180
How long do you think someone has to use smokeless tobacco before it harms their health?
1
It will never harm their health
2
Less than a year
3
1 year
4
5 years
5
10 years
6
20 years or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Youth Questionnaire – Extended Interview
229
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YS1099
Do you think using smokeless tobacco is 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: All youth respondents.
DISPLAY: UNDERLINE "smokeless tobacco" AND "cigarettes".
PATH ID:
R04_YS1124
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: All youth respondents.
PATH ID:
R04_YX0759
Sometimes people who are trying to quit using tobacco use nicotine replacement products such as a
nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge, or pill.
How harmful do you think the nicotine in these products is to health?
1
Not at all harmful
2
Slightly harmful
3
Somewhat harmful
4
Very harmful
5
Extremely harmful
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotine".
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PATH
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Wave 4 (version 4.0)
BOX ID:
R04_YXV01
CREATE AN ARRAY USEPROD WITH 12 ELEMENTS - ONE FOR EACH TOBACCO TYPE THAT
IDENTIFIES WHETHER THE RESPONDENT IS A PAST 30 DAY USER OF THE SPECIFIC
TOBACCO TYPE.
USEPROD(1-12): Past 30 day users of: (1) cigarettes; (2) electronic nicotine products; (3) traditional
cigars; (4) cigarillos; (5) filtered cigars; (6) pipe tobacco (7) shisha or hookah tobacco; (8) snus (9)
smokeless tobacco; (10) dissolvable tobacco; (11) bidis; (12) kreteks.
DISPLAY: If [USEPROD(1-12)] is a list and contains two products, connect the products with "and". If it
has three or more products, connect the products with commas and include "and" before the final
product in the list. Display all products bold with lowercase letters.
BOX ID:
R04_YYR02
Youth respondents who have ever smoked cigarettes and are past 30 day users of any other product,
go to R04_YX0300.
Else, youth respondents who have ever used e-products and are past 30 day users of any other
product, go to R04_YX0301.
Else, youth respondents who are past 30 day users of any product, go to R04_YX0307.
Else, go to Box R04_YXT05.
PATH ID:
R04_YX0300
How much do you agree or disagree with this statement?
I have considered switching completely from using [USEPROD(2-12)] 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: Ever cigarette smokers who are past 30 days users of at least one non-cigarette tobacco product
[USEPROD(2-12) = 1]. (This question is asked one time about the product(s) the respondent has used
in the past 30 days (USEPROD list), excluding cigarettes, and asks about switching completely from
those product(s) to cigarettes.)
DISPLAY: UNDERLINE "completely". BOLD "USEPROD(2-12)".
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PATH
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Wave 4 (version 4.0)
BOX ID:
R04_YXR11
Youth respondents who have ever used e-products and are past 30 day users of any other product, go
to R04_YX0301.
Else, go to Box R04_YXR10.
PATH ID:
R04_YX0301
How much do you agree or disagree with this statement?
I have considered switching completely from using [USEPROD(1, 3-12)] to using e-cigarettes or other
electronic nicotine products.
1
Strongly agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
-8
DON'T KNOW
-7
REFUSED
ASK: Ever e-product users who are past 30 days users of at least one tobacco product [USEPROD(1,
3-12) = 1]. (This question is asked one time about the product(s) the respondent has used in the past
30 days, excluding e-products, and asks about switching completely from those product(s) to eproducts.)
DISPLAY: UNDERLINE "completely". BOLD "USEPROD(1, 3-12)".
BOX ID:
R04_YXR10
Youth respondents who are past 30 day users of any product, go to R04_YX0307.
Else, go to Box R04_YXT05.
PATH – Wave 4
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232
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0307
Have you considered switching from [USEPROD(1-12)] to any of the following products? Choose all
that apply.
1
I have not considered switching to another product
2
Cigarettes
3
E-cigarettes or other electronic nicotine products
4
Traditional cigars
5
Cigarillos
6
Filtered cigars
10
Pipes
7
Hookahs
8
Snus
9
[Other smokeless/Smokeless] tobacco such as moist snuff, dip, spit, or chewing tobacco
13
Dissolvable tobacco
11
Bidis
12
Kreteks
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day users of [USEPROD(1-12)]. (This question is repeated for each product the
respondent has used in the past 30 days. The response options are the products the respondent has
not used in the past 30 days. If the respondent has used every product in the past 30 days, resulting in
no options presented, this question is not asked.)
DISPLAY: UNDERLINE "switching". BOLD [USEPROD(1-12)].
IF R04_PAST30DAY_SNUS = 1 AND R04_PAST30DAY_SMKLS != 1, DISPLAY option 9 as "Other
smokeless tobacco such as moist snuff, dip, spit, or chewing tobacco".
ELSE, IF R04_PAST30DAY_SMKLS != 1, DISPLAY "Smokeless tobacco such as moist snuff, dip, spit,
or chewing tobacco".
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233
PATH
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Wave 4 (version 4.0)
MEDIA USE
BOX ID:
R04_YXT05
The next questions ask about your TV, radio, internet and cell phone use.
PATH ID:
R04_YX0494
On an average weekday, about how much time do you spend watching television and streaming videos
that include commercials?
1
None
2
Half hour or less
3
About 1 hour
4
About 2 hours
5
About 3 hours
6
About 4 hours
7
About 5 hours
8
About 6 hours
9
7 hours or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "weekday".
PATH ID:
R04_YX0495
On an average weekend day, how much time do you spend watching television and streaming videos
that include commercials?
1
None
2
Less than 1 hour
3
1 to 2 hours
4
3 to 4 hours
5
5 to 6 hours
6
7 to 8 hours
7
9 to 10 hours
8
11 hours or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "weekend".
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234
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0060
On an average weekday, how much time do you spend listening to the radio or online radio stations that
include commercials?
1
None
2
Half hour or less
3
About 1 hour
4
About 2 hours
5
About 3 hours
6
About 4 hours
7
About 5 hours
8
About 6 hours
9
7 hours or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "weekday".
PATH ID:
R04_YX0061
On an average weekend day, how much time do you spend listening to the radio or online radio stations
that include commercials?
1
None
2
Less than 1 hour
3
1 to 2 hours
4
3 to 4 hours
5
5 to 6 hours
6
7 to 8 hours
7
9 to 10 hours
8
11 hours or more
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "weekend".
PATH – Wave 4
Youth Questionnaire – Extended Interview
235
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0062
Sometimes people use the internet to connect with other people online through social networks like
Facebook, Google Plus, YouTube, LinkedIn, Twitter, Tumblr, Instagram, Pinterest, or Snapchat. This is
often called social media.
Do you have a social media account?
1
Yes
2
No
GO TO BOX R04_YXR12
-8
DON'T KNOW
GO TO BOX R04_YXR12
-7
REFUSED
GO TO BOX R04_YXR12
ASK: All youth respondents.
PATH ID:
R04_YX0317
About how often do you visit your social media accounts?
1
More than once 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
Never
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YXR12
ASK: Youth respondents who have a social media account.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0686
In the past 12 months, have you liked or followed any of the following tobacco product, e-cigarette, or
other electronic nicotine product brands on Facebook, Twitter or other social media sites? Choose all
that apply.
0
I have not liked or followed any brands on social media sites
1
Camel
2
Marlboro
3
Newport
4
American Spirit
5
Vuse
6
Blu
7
Logic
8
MarkTen
9
NJOY
10
eGo
11
iTaste
12
Black & Mild
13
Swisher Sweets
14
Dutch Masters
15
Phillies Blunts
16
Zig Zag
17
Skoal
18
Redman
19
Grizzly
20
Copenhagen
21
Some other brand (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have a social media account (excluding those who never visit their social
media account).
DISPLAY: 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.”
BOX ID:
R04_YXR12
New baseline youth respondents, go to R04_YX0496_NB.
Else, go to Box R04_YXT02.
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PATH
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Wave 4 (version 4.0)
SECONDHAND SMOKE EXPOSURE
BOX ID:
R04_YXT02
The next questions ask about the rules of using tobacco inside your home.
PATH ID:
R04_YX0671
Not including yourself, does anyone who lives with you now do any of the following? Choose all that
apply.
1
Smoke cigarettes
2
Use e-cigarettes or other electronic nicotine products
3
Use snus
4
Use other types of smokeless tobacco such as dip, spit or chew
5
Smoke traditional cigars, cigarillos, or filtered cigars
6
Smoke hookah
7
Use any other form of tobacco
8
No one who lives with me now uses any form of tobacco
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "now".
PATH ID:
R04_YX0068
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 Number of hours
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "others".
IF R04_PAST30DAY_CIGS = 1 OR R04_PAST30DAY_GTRAD= 1 OR R04_PAST30DAY_GRILLO = 1
OR R04_PAST30DAY_GFILTR= 1 OR R04_PAST30DAY_PIPE = 1 OR R04_PAST30DAY_HOOK = 1
OR R04_PAST30DAY_BIDI = 1 OR R04_PAST30DAY_KRETEK = 1, DISPLAY, ", whether or not you
were smoking yourself".
DISPLAY "Number of hours" AS A TITLE.
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PATH ID:
R04_YX0068_LC1
The computer recorded that, during the last seven days, you were in close contact with others while
they were smoking for [R04_YX0068] hours. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0068
2
NEXT
GO TO BOX R04_YXT01
ASK: IF R04_YX0068 > 120 OR R04_YX0068 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
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HEALTH
BOX ID:
R04_YXT01
The next questions ask about some basic medical information that is important for the study.
BOX ID:
R04_YMD06
Display questions R04_YX0090 through R04_YX0088 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0090 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YX0090
In general, how would you rate your...
physical health?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0091
mental health, which includes stress, depression, and problems with emotions?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0088
overall health?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YMD05
Display questions R04_YX0090_12M through R04_YX0088_12M using the expanded WVB stem-leaf
screen. The introduction text from R04_YX0090_12M is the stem. Show all leaves on the screen at
once.
PATH ID:
R04_YX0090_12M
Compared with 12 months ago, would you say...
your physical health is now...
1
Better
2
Worse
3
About the same
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0091_12M
your mental health is now...
1
Better
2
Worse
3
About the same
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0088_12M
your overall health is now...
1
Better
2
Worse
3
About the same
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0726
Overall, how would you rate the health of your teeth and gums?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0310
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
GO TO R04_YX0311
ASK: All youth respondents.
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PATH ID:
R04_YT0007
About how tall are you without shoes?
1
I___I Feet
2
I__I__I Inches
-8
DON'T KNOW
GO TO R04_YT0008
-7
REFUSED
GO TO R04_YT0008
ASK: Youth respondents who prefer to answer height in feet and inches or did not choose a system of
measurement.
DISPLAY: DISPLAY “Feet” AND “Inches” AS TITLES.
PATH ID:
R04_YT0007_LC1
The computer recorded that you are [R04_YT0007_FT] feet [and R04_YT0007_IN inches] tall. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YT0007
2
NEXT
GO TO R04_YT0008
ASK: IF R04_YT0007_FT < 5 OR (R04_YT0007_FT = 6 AND R04_YT0007_IN > 0) OR
R04_YT0007_FT > 6.
PATH ID:
R04_YX0311
About how tall are you without shoes?
1
I__I__I.I__I__I Meters
-8
DON'T KNOW
GO TO R04_YX0312
-7
REFUSED
GO TO R04_YX0312
ASK: Youth respondents who prefer to answer height in meters.
DISPLAY: DISPLAY “Meters” AS A TITLE.
PATH ID:
R04_YX0311_LC1
The computer recorded that you are [R04_YX0311] meters tall. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0311
2
NEXT
GO TO R04_YX0312
ASK: IF R04_YX0311 < 1.5 OR R04_YX0311 > 1.8.
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PATH ID:
R04_YT0008
About how much do you weigh without clothes or shoes?
1
I___I___I___I Pounds
-8
DON'T KNOW
GO TO R04_YX0241
-7
REFUSED
GO TO R04_YX0241
ASK: Youth respondents who prefer to answer weight in pounds or did not choose a system of
measurement.
DISPLAY: DISPLAY “Pounds” AS A TITLE.
PATH ID:
R04_YT0008_LC1
The computer recorded that you weigh [R04_YT0008] pounds. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YT0008
2
NEXT
GO TO R04_YX0241
ASK: IF (R04_YOUTHAGE < 15 AND (R04_YT0008 < 85 OR R04_YT0008 > 170)) OR
(R04_YOUTHAGE >= 15 AND (R04_YT0008 < 105 OR R04_YT0008 > 200)).
PATH ID:
R04_YX0312
About how much do you weigh without clothes or shoes?
1
I___I___I___I Kilograms
-8
DON'T KNOW
GO TO R04_YX0241
-7
REFUSED
GO TO R04_YX0241
ASK: Youth respondents who prefer to answer weight in kilograms.
DISPLAY: DISPLAY “Kilograms” AS A TITLE.
PATH ID:
R04_YX0312_LC1
The computer recorded that you weigh [R04_YX0312] kilograms. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0312
2
NEXT
GO TO R04_YX0241
ASK: IF (R04_YOUTHAGE < 15 AND (R04_YX0312 < 38.6 OR R04_YX0312 > 77.1)) OR
(R04_YOUTHAGE >= 15 AND (R04_YX0312 < 47.6 OR R04_YX0312 > 90.7)).
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PATH ID:
R04_YX0241
During the past 7 days, on how many days were you physically active for a total of at least 60 minutes
per day? (Add up all the time you spent in any kind of physical activity that increased your heart rate
and made you breathe hard some of the time.)
1
0 days
2
1 day
3
2 days
4
3 days
5
4 days
6
5 days
7
6 days
8
7 days
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "past 7 days"; BOLD "at least 60 minutes per day".
PATH ID:
R04_YX0242
On how many of the past 7 days did you exercise or participate in physical activity for at least 20
minutes that made you sweat and breathe hard, such as basketball, soccer, running, swimming laps,
fast bicycling, fast dancing, or similar aerobic activities?
1
0 days
2
1 day
3
2 days
4
3 days
5
4 days
6
5 days
7
6 days
8
7 days
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "at least 20 minutes that made you sweat and breathe hard".
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PATH ID:
R04_YX0243
On how many of the past 7 days did you do exercises to strengthen or tone your muscles, such as
push-ups, sit-ups, or weight lifting?
1
0 days
2
1 day
3
2 days
4
3 days
5
4 days
6
5 days
7
6 days
8
7 days
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR43
New baseline youth respondents, go to R04_YX0046_NB.
Else,continuing youth respondents, go to R04_YX0047_12M.
PATH ID:
R04_YX0047_12M
Have you had wheezing or whistling in the chest in the past 12 months?
1
Yes
2
No
GO TO R04_YX0052
-8
DON'T KNOW
GO TO R04_YX0052
-7
REFUSED
GO TO R04_YX0052
ASK: New baseline youth respondents who had wheezing or whistling in the chest at any time in the
past and continuing youth respondents.
DISPLAY: UNDERLINE "past 12 months".
PATH ID:
R04_YX0048
How many attacks of wheezing have you had in the past 12 months?
1
None
2
1 to 3
3
4 to 12
4
More than 12
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
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PATH ID:
R04_YX0049
In the past 12 months how often, on average, has your sleep been disturbed due to wheezing?
1
Never woken with wheezing
2
Less than one night per week
3
One or more nights per week
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0050
In the past 12 months, has wheezing ever been severe enough to limit your speech to only one or two
words between breaths?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0052
In the past 12 months, has your chest sounded wheezy during or after exercise?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0053
A dry cough is a cough without phlegm or mucus. In the past 12 months, have you had a dry cough at
night?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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BOX ID:
R04_YXR18
Continuing youth respondents, go to R04_YT0031_12M.
Else, go to R04_YT0031_NB.
PATH ID:
R04_YT0031_12M
In the past 12 months, have you been told by a doctor, nurse or other health professional that you have
asthma?
1
Yes
GO TO BOX R04_YXV03
2
No
GO TO BOX R04_YXV03
-8
DON'T KNOW
GO TO BOX R04_YXV03
-7
REFUSED
GO TO BOX R04_YXV03
ASK: Continuing youth respondents.
BOX ID:
R04_YXV03
PROGRAM: CREATE DERIVED VARIABLE (SEE APPENDIX)
R04_YOUTH_ASTHMA = All youth respondents who have ever had asthma.
BOX ID:
R04_YXR09
New baseline youth respondents that have asthma, go to R04_YT0038_NB.
Else, continuing youth respondents that have asthma, go to R04_YX0227.
Else, go to Box R04_YXD06.
PATH ID:
R04_YX0227
In the past 30 days, how much of the time did your asthma keep you from getting as much done at
work, school or at home?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "past 30 days".
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PATH ID:
R04_YX0228
In the past 30 days, how often have you had shortness of breath?
1
More than once a day
2
Once a day
3
3-6 times a week
4
Once or twice a week
5
None at all
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
PATH ID:
R04_YX0229
In the past 30 days, how often did your asthma symptoms (such as wheezing, coughing, shortness of
breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?
1
4 or more nights a week
2
2 or 3 nights
3
Once a week
4
Once or twice
5
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
PATH ID:
R04_YT0022
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 R04_YT0127
-8
DON'T KNOW
GO TO R04_YT0127
-7
REFUSED
GO TO R04_YT0127
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "past 12 months".
BOX ID:
R04_YMD01
DISPLAY INSTRUCTION:
For R04_YT0036, display as a stem and leaf question. For each leaf, display a yes/no response.
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PATH ID:
R04_YT0036
In the past 12 months, which of the following medications did you regularly take for asthma?
1
Quick-relief inhaler - for example: albuterol (ProAir, Ventolin, Xopenex), ipratropium
(Atrovent), or a combination inhaler (Combivent)
2
Controller or long-acting inhaler including steroid inhaler – for example: beclomethasone
(Qvar), fluticasone (Flovent), salmeterol (Serevent), tiotropium (Spiriva), or a combination
inhaler (Advair)
3
Other controlling medication – for example: montelukast (Singulair), zafirlukast (Accolate),
theophylline, roflumilast (Daliresp)
4
Other asthma medication
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma that have taken medications regularly in the past 12 months.
PATH ID:
R04_YT0125
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 R04_YT0127
-8
DON'T KNOW
GO TO R04_YT0127
-7
REFUSED
GO TO R04_YT0127
ASK: Youth respondents who have asthma that have taken medications regularly in the past 12 months.
PATH ID:
R04_YT0039
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: Youth respondents who had an asthma attack in the past 12 months that needed oral or injected
steroid medication.
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PATH ID:
R04_YT0127
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 R04_YX0230
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who have asthma.
PATH ID:
R04_YT0282
In the past 12 months, how many times have you had to visit an emergency room or urgent care center
because of asthma?
1
|___|___|___|
-8
DON'T KNOW
GO TO BOX R04_YXR42
-7
REFUSED
GO TO BOX R04_YXR42
ASK: Youth respondents who had to go to the emergency room for asthma in the past 12 months.
PATH ID:
R04_YT0282_LC1
The computer recorded that you have visited an emergency room or urgent care center [R04_YT0282]
times in the past 12 months because of asthma. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YT0282
2
NEXT
GO TO BOX R04_YXR42
ASK: IF R04_YT0282 > 20.
BOX ID:
R04_YXR42
Youth respondents who had to go to the emergency room for asthma once in the past 12 months, go to
R04_YX0695.
Else, youth respondents who had to go to the emergency room for asthma multiple times in the past 12
months, go to R04_YX0720.
Else, youth respondents who have asthma, go to R04_YX0230.
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PATH ID:
R04_YX0695
Was that visit due to an asthma attack?
1
Yes
GO TO R04_YX0230
2
No
GO TO R04_YX0230
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who had to go to the emergency room for asthma once in the past 12 months.
PATH ID:
R04_YX0720
How many of those visits were due to an asthma attack?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who had to go to the emergency room for asthma multiple times in the past 12
months.
PATH ID:
R04_YX0720_LC1
The computer recorded that you have visited an emergency room or urgent care center [R04_YX0720]
times in the past 12 months because of an asthma attack. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0720
2
NEXT
GO TO R04_YX0230
ASK: IF R04_YX0720 > R04_YT0282.
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PATH ID:
R04_YX0230
In the past 30 days, how often have you used a rescue inhaler, nebulizer treatment, or other controlling
medication (such as albuterol)?
1
3 or more times per day
2
1 or 2 times per day
3
2 or 3 times per week
4
Once a week or less
5
Not at all
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "past 30 days".
PATH ID:
R04_YX0231
How would you rate your asthma control during the past 30 days?
1
Not controlled at all
2
Poorly controlled
3
Somewhat controlled
4
Well controlled
5
Completely controlled
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
BOX ID:
R04_YXD06
DISPLAY INSTRUCTION:
For R04_YX0158, display a ‘Yes’ and ‘No’ column with options for each response category.
PATH ID:
R04_YX0158
In the past 12 months, did you take any of the following medications, even once?
1
Ibuprofen (Motrin, Advil, Naprosyn, or Aleve)
2
Acetaminophen (Tylenol)
3
Aspirin
4
Cox-2 inhibitors (Celebrex)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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BOX ID:
R04_YXR50
If youth respondent has not used any tobacco or e-product in the past 12 months, go to
R04_YN0330_12MH.
Else, go to Box R04_YXR19.
PATH ID:
R04_YN0330_12MH
In the past 12 months, have you used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal
spray, lozenge or pill?
1
Yes
2
No
GO TO R04_YN0331_12MH
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth respondents who have not used any tobacco or e-product in the past 12 months.
PATH ID:
R04_YN0307H
When did you last use a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or
pill?
1
In the past hour
2
Sometime today
GO TO R04_YN0309H
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO R04_YN0331_12MH
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth respondents who have used NRT in the past 12 months.
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PATH ID:
R04_YN0308H
When you last used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill
[FILL BASED ON R04_YN0307H], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used NRT today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307H]:
IF R04_YN0307H = 2, DISPLAY "sometime today".
ELSE, IF R04_YN0307H = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0307H = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0309H
When you last used a nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill
[FILL BASED ON R04_YN0307H], how many did you use?
1
I___I___I
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth who have used NRT in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307H]:
IF R04_YN0307H = 1, 2, DISPLAY “today”.
ELSE, IF R04_YN0307H = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0307H = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0309H_LC1
The computer recorded that [today/yesterday/the day before yesterday], you used a nicotine patch,
nicotine gum, nicotine inhaler, nicotine nasal spray, lozenge or pill [R04_YN0309H] times.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YN0309H
2
NEXT
GO TO R04_YN0331_12MH
ASK: IF R04_YN0309H = 0 OR R04_YN0309H > 5.
DISPLAY: IF R04_YN0307H = 1, 2, DISPLAY “today”.
IF R04_YN0307H = 3, DISPLAY “yesterday”.
IF R04_YN0307H = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YN0331_12MH
In the past 12 months, have you used any of the following prescription drugs: Chantix, varenicline,
Wellbutrin, Zyban, or bupropion?
1
Yes
2
No
GO TO BOX R04_YXR19
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have not used any tobacco or e-product in the past 12 months.
PATH ID:
R04_YN0327H
When did you last use Chantix, varenicline, Wellbutrin, Zyban, or bupropion?
1
In the past hour
GO TO R04_YN0329H
2
Sometime today
3
Yesterday
4
Day before yesterday
5
Three or more days ago
GO TO BOX R04_YXR19
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have used a prescription drug in the past 12 months.
PATH ID:
R04_YN0328H
When you last used Chantix, varenicline, Wellbutrin, Zyban, or bupropion [FILL BASED ON
R04_YN0327H], was it…
1
Between midnight and 6AM
2
After 6AM but before noon
3
Between noon and 6PM
4
After 6PM but before midnight
-8
DON'T KNOW
-7
REFUSED
ASK: Youth who have used a prescription drug today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327H]:
IF R04_YN0327H = 2, DISPLAY "today".
ELSE, IF R04_YN0327H = 3, DISPLAY "yesterday".
ELSE, IF R04_YN0327H = 4, DISPLAY “the day before yesterday”.
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PATH ID:
R04_YN0329H
When you used Chantix, varenicline, Wellbutrin, Zyban, or bupropion [FILL BASED ON R04_YN0327H],
how many did you take?
1
I___I___I
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have used a prescription drug in the past hour, today, yesterday or the
day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327H]:
IF R04_YN0327H = 1, 2, DISPLAY “today”.
ELSE, IF R04_YN0327H = 3, DISPLAY "yesterday"
ELSE, IF R04_YN0327H = 4, DISPLAY “the day before yesterday”.
PATH ID:
R04_YN0329H_LC1
The computer recorded that [today/yesterday/the day before yesterday], you used Chantix, varenicline,
Wellbutrin, Zyban, or bupropion [R04_YN0329H] times.
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
2
NEXT
GO TO R04_YN0329H
ASK: IF R04_YN0329H = 0 OR R04_YN0329H > 5.
DISPLAY: IF R04_YN0327H = 1, 2, DISPLAY “today”.
IF R04_YN0327H = 3, DISPLAY “yesterday”.
IF R04_YN0327H = 4, DISPLAY “the day before yesterday”.
BOX ID:
R04_YXR19
Female youth respondents aged 15 or older, go to R04_YX0136.
Else, go to Box R04_YXT03.
PATH ID:
R04_YX0136
Are you currently pregnant?
1
Yes
2
No
GO TO BOX R04_YXT03
-8
DON'T KNOW
GO TO BOX R04_YXT03
-7
REFUSED
GO TO BOX R04_YXT03
ASK: Female youth respondents aged 15 years or older.
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PATH ID:
R04_YX0137
How many months or weeks pregnant are you? Please enter number of months or weeks.
1
I__I__I Months
2
I__I__I Weeks
-8
DON'T KNOW
-7
REFUSED
ASK: Female youth respondents aged 15 years or older who are currently pregnant.
PATH ID:
R04_YX0137_LC1
The computer recorded that you have been pregnant for [R04_YX0137_NN] [months/weeks]. Is that
correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0137
2
NEXT
GO TO BOX R04_YXT03
ASK: IF (R04_YX0134_NN > 10 AND R04_YX0137_UN = 1) OR (R04_YX0134_NN > 42 AND
R04_YX0137_UN = 2).
DISPLAY: IF R04_YX0137_UN = 1, DISPLAY "months".
ELSE, IF R04_YX0137_UN = 2, DISPLAY "weeks".
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MARKETING, ADVERTISING AND PROMOTION
BOX ID:
R04_YXT03
The next questions ask about tobacco advertising that you may have seen or received.
PATH ID:
R04_YX0708
In the past 12 months, have you received discounts or coupons for any of the following products?
Choose all that apply.
1
Cigarettes
2
E-cigarettes or other electronic nicotine products (including e-liquid)
3
Cigars
4
Shisha or hookah tobacco
5
Snus
6
Other types of smokeless tobacco (such as dip, spit or chew)
7
Some other type of tobacco product
8
None of the above
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0678
In the past 30 days, have you gotten a free sample of an e-cigarette or other electronic nicotine
product (including e-liquid)?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "e-cigarette or other electronic nicotine product".
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PATH ID:
R04_YX0182
In the past 30 days, how often did you visit a convenience store, small market, or liquor store?
1
Not at all
2
Once in the past 30 days
3
2-3 times in the past 30 days
4
Once a week
5
2-3 times per week
6
Almost every day
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YX0203
ASK: All youth respondents.
PATH ID:
R04_YX0183
In the past 30 days, when you visited convenience stores, small markets, or liquor stores, how often did
you see ads for e-cigarettes or other electronic nicotine products?
1
Never
2
Rarely
3
Sometimes
4
Often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have visited a store or market in the past 30 days.
DISPLAY: BOLD AND UNDERLINE "e-cigarettes or other electronic nicotine products".
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PATH ID:
R04_YX0203
In the past 30 days, have you noticed e-cigarettes or other electronic nicotine products being
advertised in any of the following places? Choose all that apply.
1
I haven't seen any advertisements in the past 30 days
2
At gas stations, convenience stores, or other retail stores
3
On billboards
4
In newspapers or magazines
5
On radio
6
On television
7
At events such as fairs, festivals, or sporting events
8
At nightclubs, bars, or music concerts
9
On websites or social media sites
10
Somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "e-cigarettes or other electronic nicotine products".
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:
R04_YX0709
Do you have a favorite e-cigarette or electronic nicotine product advertisement?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0481
In the past 30 days, have you gotten a free sample of a tobacco product (not including e-cigarettes
or electronic nicotine products)?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "tobacco product (not including e-cigarettes or electronic nicotine
products)"
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BOX ID:
R04_YXR24
Youth respondents who have visited a store or market in the past 30 days, go to R04_YX0178.
Else, go to R04_YX0677.
PATH ID:
R04_YX0178
In the past 30 days, when you visited convenience stores, small markets, or liquor stores, how often did
you see ads for cigarettes or other tobacco products (not including e-cigarettes or electronic nicotine
products)?
1
Never
2
Rarely
3
Sometimes
4
Often
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have visited a store or market in the past 30 days.
DISPLAY: BOLD AND UNDERLINE "cigarettes or other tobacco products".
PATH ID:
R04_YX0677
In the past 30 days, have you noticed cigarettes or other tobacco products (not including e-cigarettes
or electronic nicotine products) being advertised in any of the following places? Choose all that apply.
1
I haven't seen any advertisements in the past 30 days
2
At gas stations, convenience stores, or other retail stores
3
On billboards
4
In newspapers or magazines
5
On radio
6
On television
7
At events such as fairs, festivals, or sporting events
8
At nightclubs, bars, or music concerts
9
On websites or social media sites
10
Somewhere else (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "cigarettes or other tobacco products".
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.”
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PATH ID:
R04_YX0710
Do you have a favorite tobacco advertisement?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0777
In the past 12 months, how often did you see an anti-tobacco advertising campaign?
1
Never
2
Rarely
3
Sometimes
4
Often
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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SOCIAL NORMS, PEER AND FAMILY INFLUENCES
PATH ID:
R04_YX0008
In general, do you think most people disapprove of smoking cigarettes?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "cigarettes".
PATH ID:
R04_YX0012
In general, do you think most people disapprove of using e-cigarettes or other electronic nicotine
products?
1
Definitely yes
2
Probably yes
3
Probably not
4
Definitely not
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "e-cigarettes or other electronic nicotine products".
PATH ID:
R04_YX0071
Thinking about the people who are important to you, how would you describe their views on using
tobacco in general?
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "people who are important to you"; BOLD "tobacco in general".
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BOX ID:
R04_YXD89
Display questions R04_YC1143 through R04_YS1143 using the expanded WVB stem-leaf screen. The
introduction text from R04_YC1143 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YC1143
Thinking about the people who are important to you, how would you describe their views on the
following?
Smoking cigarettes
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "people who are important to you"; BOLD "their".
PATH ID:
R04_YV1143
Using e-cigarettes or other electronic nicotine products
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YG1143
Smoking traditional cigars, cigarillos, or filtered cigars
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1143
Smoking shisha or hookah tobacco
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1143
Using snus
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YS1143
Using other types of smokeless tobacco (such as dip, spit, or chew)
1
Very positive
2
Positive
3
Neither positive nor negative
4
Negative
5
Very negative
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0741
Thinking about the people who are important to you, do any of them use any of the following products?
Choose all that apply.
1
Cigarettes
2
E-cigarettes or other electronic nicotine products
3
Traditional cigars
4
Cigarillos
5
Filtered cigars
6
Pipe tobacco
7
Shisha or hookah tobacco
8
Snus
9
Other types of smokeless tobacco (such as dip, spit or chew)
10
None of the above
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "people who are important to you".
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PATH ID:
R04_YX0680
How many of your best friends smoke cigarettes?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0681
How many of your best friends use e-cigarettes or other electronic nicotine products?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0683
How many of your best friends smoke cigarillos?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0693
How many of your best friends use snus?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0685
How many of your best friends use other types of smokeless tobacco (such as dip, spit, or chew)?
1
None
2
A few
3
Some
4
Most
5
All
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PASTYEAR_TOB_USE_LEVEL = 2 (Past year "not light" tobacco users) Youth respondents
who are "not light" users of any tobacco product and have used in the past year.
R04_PASTYEAR_TOB_USE_LEVEL = 1 (Past year "very light" tobacco users) Youth respondents
who have used any tobacco product in the last year, and are not "not light" users of any product.
BOX ID:
R04_YXR40
Past year "not light" tobacco users, go to R04_YX0742.
Else, past year "very light" tobacco users, go to R04_YX0743.
Else, go to R04_YX0714.
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PATH ID:
R04_YX0742
In the past 12 months, to what extent, if at all, has the disapproval of close friends and family led you to
think about quitting?
1
Not at all
GO TO R04_YX0714
2
Somewhat
GO TO R04_YX0714
3
Very much
GO TO R04_YX0714
-8
DON'T KNOW
GO TO R04_YX0714
-7
REFUSED
GO TO R04_YX0714
ASK: Past year "not light" tobacco users.
DISPLAY: UNDERLINE "close friends and family".
PATH ID:
R04_YX0743
In the past 12 months, to what extent, if at all, has the disapproval of close friends and family led you to
think about not using?
1
Not at all
2
Somewhat
3
Very much
-8
DON'T KNOW
-7
REFUSED
ASK: Past year "very light" tobacco users.
DISPLAY: UNDERLINE "close friends and family".
PATH ID:
R04_YX0714
In the past 12 months, have your parents or guardians talked with you, even once, about not using ecigarettes or other electronic nicotine products?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0694
If your parents or guardians found you using e-cigarettes or other electronic nicotine products, 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 youth respondents.
PATH ID:
R04_YX0500
In the past 12 months, have your parents or guardians talked with you, even once, about not using any
other type of tobacco product?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0200
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 youth respondents.
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ACCESSIBILITY
PATH ID:
R04_YX0715
How easy do you think it is for people your age to buy e-cigarettes or other electronic nicotine products
in a store?
1
Very easy
2
Somewhat easy
3
Somewhat difficult
4
Very difficult
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0716
How likely is it that you will try to purchase an e-cigarette or other electronic nicotine products within the
next 30 days?
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 youth respondents.
PATH ID:
R04_YX0499
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 youth respondents.
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PATH ID:
R04_YX0501
How likely is it that you will try to purchase cigarettes within the next 30 days?
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 youth respondents.
PATH ID:
R04_YX0502
How likely is it that you will try to purchase tobacco products other than cigarettes within the next 30
days?
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 youth respondents.
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PSYCHOSOCIAL
PATH ID:
R04_YX0488
The next 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.
1
NEXT
ASK: All youth respondents.
DISPLAY: UNDERLINE "significant".
BOX ID:
R04_YXD07
Display questions R04_YX0161 through R04_YX0164 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0161 is the stem. As each question is answered, show the next one.
PATH ID:
R04_YX0161
When was the last time that you had significant problems with...
feeling very trapped, lonely, sad, blue, depressed, or hopeless about the future?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "significant problems".
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PATH ID:
R04_YX0162
sleep trouble, such as bad dreams, sleeping restlessly, or falling asleep during the day?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0163
feeling very anxious, nervous, tense, scared, panicked, or like something bad was going to happen?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0164
becoming very distressed and upset when something reminded you of the past?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXD08
Display questions R04_YX0165 through R04_YX0251 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0165 is the stem. As each question is answered, show the next one.
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PATH ID:
R04_YX0165
When was the last time that you did any of the following things two or more times...
lied or conned to get things you wanted or to avoid having to do something?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "two or more times".
PATH ID:
R04_YX0166
had a hard time paying attention at school, work, or home?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0167
had a hard time listening to instructions at school, work, or home?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0168
were a bully or threatened 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: All youth respondents.
PATH ID:
R04_YX0169
started physical fights 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: All youth respondents.
PATH ID:
R04_YX0250
felt restless or the need to run around or climb on things?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0251
gave answers before the other person finished asking the question?
1
Past month
2
2 to 12 months ago
3
Over a year ago
4
Never
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR34
If new baseline youth respondent, go to Box R04_YXD90.
Else, go to Box R04_YXR05.
BOX ID:
R04_YXD90
Display questions R04_YX0510_NB through R04_YX0520_NB using the expanded WVB stem-leaf
screen. The introduction text from R04_YX0510_NB is the stem. Show all leaves on the screen at once.
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SUBSTANCE USE
BOX ID:
R04_YXR05
Continuing youth respondents, go to R04_YX0084_12M.
New baseline youth respondents, go to R04_YX0084_NB.
BOX ID:
R04_YXR26
If new baseline youth respondent has ever used any form of tobacco and reported valid age of first drink
and onset of tobacco use precedes onset of alcohol use, go to R04_YX0077_NB.
Else, go to R04_YX0084_12M.
PATH ID:
R04_YX0084_12M
[The next questions ask about your use of alcohol and other drugs. Remember all information you give
to the PATH Study will be kept private.
]In the past 12 months, have you used any alcohol, including small sips or tastes?
1
Yes
2
No
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: New baseline youth respondents who have ever used alcohol and continuing youth respondents.
DISPLAY: IF R04_YOUTHTYPE = 1, DISPLAY "The next questions ask about your use of alcohol and
other drugs. Remember all information you give to the PATH Study will be kept private."
ELSE, DO NOT DISPLAY THIS TEXT.
PATH ID:
R04_YX0673
Have you used alcohol in the past 30 days?
1
Yes
2
No
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: Youth respondents who have used alcohol in the past 12 months.
DISPLAY: UNDERLINE "past 30 days".
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PATH ID:
R04_YX0075
In the past 30 days, on how many days did you have one or more alcoholic drinks?
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.
1
|___|___| DAYS
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used alcohol in the past 30 days.
DISPLAY: DISPLAY 'DAYS' AS A TITLE.
BOX ID:
R04_YXR46
Youth respondents who have used alcohol on none of the past 30 days or did not know or refused to
report on how many days they have used alcohol in the past 30 days, go to Box R04_YXR06.
Else, go to R04_YX0076.
PATH ID:
R04_YX0076
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.
1
|___|___|
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: Youth respondents who have used alcohol one day or more in the past 30 days.
PATH ID:
R04_YX0076_LC1
The computer recorded that you usually drank [R04_YX0076] alcoholic beverages on the days that you
drank during the last 30 days. Is that correct?
If this is correct, please press the NEXT button to continue. If this is NOT correct, please press the
BACK button and re-enter.
1
BACK
GO TO R04_YX0076
2
NEXT
GO TO BOX R04_YXR06
ASK: IF R04_YX0076 > 30.
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BOX ID:
R04_YXR06
New baseline youth respondents who have never smoked a blunt, smoked marijuana from a hookah, or
used marijuana in an e-product, go to R04_YX0085_NB.
Else, new baseline youth respondents who have ever smoked a blunt, smoked marijuana from a
hookah, or used marijuana in an e-product, go to R04_YX0079_NB.
Else, continuing youth respondents who have not smoked a blunt in the past 12 months, go to
R04_YX0085_12M.
Else, continuing youth respondents who have smoked a blunt in the past 30 days, go to Box
R04_YXR28.
Else, continuing youth respondents who have smoked a blunt in the past 12 months, go to
R04_YX0675.
BOX ID:
R04_YXR27
If new baseline youth respondent reported valid age of first marijuana use and has ever used any form
of tobacco, and onset of tobacco use precedes onset of marijuana use, go to R04_YX0080_NB.
Else, youth respondents who have smoked a blunt in the past 30 days, go to Box R04_YXR28.
Else, new baseline youth who have ever used marijuana, go to R04_YX0085_12M.
Else, go to Box R04_YXR41.
BOX ID:
R04_YXR41
Youth respondents who have smoked a blunt in the past 30 days, go to Box R04_YXR28.
Else, youth respondents who have smoked a blunt in the past 12 months, go to R03_YX0675.
Else, go to R04_YX0085_12M.
PATH ID:
R04_YX0085_12M
In the past 12 months, have you used marijuana, hash, THC, grass, pot or weed?
1
Yes
2
No
GO TO BOX R04_YXR28
-8
DON'T KNOW
GO TO BOX R04_YXR28
-7
REFUSED
GO TO BOX R04_YXR28
ASK: Continuing youth respondents who did not previously report smoking a blunt in the past 12 months
and new baseline youth respondents who ever used marijuana and did not previously report smoking a
blunt in the past 12 months.
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PATH ID:
R04_YX0675
Have you used marijuana, hash, THC, grass, pot or weed in the past 30 days?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used marijuana in the past 12 months and did not report smoking
blunts in the past 30 days.
DISPLAY: UNDERLINE "past 30 days".
BOX ID:
R04_YXR28
New baseline youth respondents, go to Box R04_YXD02.
Continuing youth respondents, go to Box R04_YXD03.
BOX ID:
R04_YXD02
DISPLAY INSTRUCTION:
For R04_YX0089_NB and R04_YX0220_NB, display a “Yes” and “No” column with options for each
response category.
BOX ID:
R04_YXR07
PROGRAM: Items R04_YX0082_NB[_01/.../_05], R04_YX0272_NB[_01/.../_05],
R04_YX0083_NB[_01/.../_05], and R04_YX0676[_01/.../_05] are asked for each substance the
respondent uses in R04_YX0089_NB[_01/_02] and R04_YX0220_NB[_01/_02/_03]. If respondent uses
more than one substance, repeat items in a loop.
If no substances are selected in R04_YX0089_NB[_01/_02] or R04_YX0220_NB[_01/_02/_03], go to
Box R04_YXV02.
BOX ID:
R04_YXD05
PROGRAM: CREATE [SUBSTANCEFILL] If R04_YX0089_NB_01 = 1, display "Ritalin® or Adderall®”.
If R04_YX0089_NB_02 = 1, display “painkillers, sedatives, or tranquilizers”.
If R04_YX0220_NB_01 = 1, display “cocaine or crack”.
If R04_YX0220_NB_02 = 1, display “stimulants like methamphetamine or speed”.
If R04_YX0220_NB_03 = 1, display “other drugs like heroin, inhalants, solvents, or hallucinogens”.
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BOX ID:
R04_YXR30
If new baseline youth respondent reported valid age of first use and has ever used any form of tobacco,
and onset of tobacco use precedes onset of substance use, go to R04_YX0083_NB.
Else, go to Box R04_YXR47.
BOX ID:
R04_YXR47
New baseline youth respondents who have remaining substance loops to complete, go back to
R04_YX0082_NB and repeat for remaining substances.
Else, if new baseline youth respondent has no remaining substance loops to complete, go to Box
R04_YXD03.
BOX ID:
R04_YXD03
DISPLAY INSTRUCTIONS
For R04_YX0089_12M and R04_YX0220_12M, display a “Yes” and “No” column with options for each
response category.
BOX ID:
R04_YXR48
New baseline youth respondents who have ever used Ritalin® or Adderall®, or painkillers, sedatives, or
tranquilizers and continuing youth respondents, go to R04_YX0089_12M.
Else, new baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs,
go to R04_YX0220_12M.
PATH ID:
R04_YX0089_12M
In the past 12 months, have you 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: New baseline youth respondents who have ever used Ritalin® or Adderall®, or painkillers,
sedatives, or tranquilizers and continuing youth respondents.
DISPLAY: UNDERLINE "not" AND "only".
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0089_NB_01 = 1, DISPLAY OPTION 1; ELSE, DO NOT
DISPLAY OPTION 1.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0089_NB_02 = 1, DISPLAY OPTION 2; ELSE, DO NOT
DISPLAY OPTION 2.
IF R04_YOUTHTYPE = 1, DISPLAY ALL RESPONSE OPTIONS.
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BOX ID:
R04_YXR49
New baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs and
continuing youth respondents, go to R04_YX0220_12M.
Else, go to Box R04_YXR08.
PATH ID:
R04_YX0220_12M
In the past 12 months, have you 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: New baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs
and continuing youth respondents.
DISPLAY: IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_01 = 1, DISPLAY RESPONSE OPTION
1; ELSE, DO NOT DISPLAY OPTION 1.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_02 = 1, DISPLAY RESPONSE OPTION 2; ELSE,
DO NOT DISPLAY OPTION 2.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_03 = 1, DISPLAY RESPONSE OPTION 3; ELSE,
DO NOT DISPLAY OPTION 3.
IF R04_YOUTHTYPE = 1, DISPLAY ALL RESPONSE OPTIONS.
BOX ID:
R04_YXR08
PROGRAM: Repeat R04_YX0676[_01/.../_05] for each substance selected in
R04_YX0089_12M[_01/_02] and R04_YX0220_12M[_01/_02/_03].
If no substances are selected in R04_YX0089_12M[_01/_02] and R04_YX0220_12M[_01/_02/_03], go
to Box R04_YXV02.
PATH ID:
R04_YX0676
Have you used [SUBSTANCEFILL] in the past 30 days?
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used a substance in the past 12 months.
DISPLAY: UNDERLINE "past 30 days".
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BOX ID:
R04_YXR01
Youth respondents who have remaining substance loops to complete, go back to R04_YX0676 and
repeat for remaining substances.
Else, if youth respondent has no remaining substance loops to complete, go to Box R04_YXV02.
BOX ID:
R04_YXV02
PROGRAM: CREATE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
R04_EVER_USER_ALC = Has ever used alcohol
R04_EVER_USER_MJ = Has ever used marijuana
R04_EVER_USER_RIT = Has ever used Ritalin® or Adderall®
R04_EVER_USER_PK = Has ever used painkillers, sedatives, or tranquilizers
R04_EVER_USER_COC = Has ever used cocaine or crack
R04_EVER_USER_STIM = Has ever used stimulants like methamphetamine or speed
R04_EVER_USER_OTH = Has ever used other drugs like heroin, inhalants, solvents, or hallucinogens
R04_SUBSTANCE_COUNT = Count of the number of substances ever used
BOX ID:
R04_YXR02
If youth respondent has used at least one substance, go to R04_YX0170.
Else, go to Box R04_YMT01.
PATH ID:
R04_YX0170
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: Youth respondents who report ever using alcohol or ever using drugs.
BOX ID:
R04_YXR03
If youth respondent has used two or more substances and has used alcohol or drugs weekly or more
often, go to R04_YX0175.
Else, go to R04_YX0171.
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PATH ID:
R04_YX0175
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: Youth respondents who used alcohol or other drugs weekly or more often AND report ever using
two or more substances.
PATH ID:
R04_YX0171
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: Youth respondents who report ever using alcohol or ever using drugs.
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PATH ID:
R04_YX0172
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: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0173
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: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0193
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: Youth respondents who report ever using alcohol or ever using drugs.
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PATH ID:
R04_YX0174
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: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0194
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: Youth respondents who report ever using alcohol or ever using drugs.
BOX ID:
R04_YXR31
Youth respondents who use two or more substances and who indicated alcohol or drugs caused
problems for them, go to R04_YX0176.
Else, go to Box R04_YMT01.
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PATH ID:
R04_YX0176
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: Youth respondents who use two or more substances and who indicated alcohol or drugs caused
problems for them.
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ADDITIONAL DEMOGRAPHICS
BOX ID:
R04_YMT01
Finally, we have a few additional questions to ask about you.
PATH ID:
R04_YM0019
Have you been going to school at any time during the past 12 months?
1
Yes
2
No
GO TO R04_YM0020
-8
DON'T KNOW
GO TO R04_YM0020
-7
REFUSED
GO TO R04_YM0020
ASK: All youth respondents.
PATH ID:
R04_YM0018
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.
1
4th grade or below
GO TO R04_YM0032
2
5th
GO TO R04_YM0032
3
6th
GO TO R04_YM0032
4
7th
GO TO R04_YM0032
5
8th
GO TO R04_YM0032
6
9th
GO TO R04_YM0032
7
10th
GO TO R04_YM0032
8
11th
GO TO R04_YM0032
9
12th grade
GO TO R04_YM0032
10
College, vocational or technical school
GO TO R04_YM0032
11
Not enrolled
GO TO R04_YM0032
12
I am home-schooled
GO TO R04_YM0032
13
My school is ungraded
GO TO R04_YM0032
-8
DON'T KNOW
GO TO R04_YM0032
-7
REFUSED
GO TO R04_YM0032
ASK: Youth respondents who went to school in the past 12 months.
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PATH ID:
R04_YM0020
What grade or year in school did you last complete?
1
4th grade or below
2
5th
3
6th
4
7th
5
8th
6
9th
7
10th
8
11th
9
12th grade
10
College, vocational or technical school
11
I am home-schooled
12
My school is ungraded
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not go to school in the past 12 months.
PATH ID:
R04_YM0032
In the past 30 days, did you work for pay for anyone outside your home? This includes both regular jobs
and things like baby-sitting or yard work.
1
Yes
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YM0008
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 youth respondents.
BOX ID:
R04_YMR04
Youth respondents aged 17 and older, go to R04_YM0007.
Else, youth respondents aged 14 and older, go to R04_YM0021.
Else, go to R04_YX00769.
PATH ID:
R04_YM0007
Have you ever served on active duty in the U.S. Armed Forces, Military Reserves, or National Guard?
Note: Active duty for the Military Reserves or National Guard does not include regular training for the
Military Reserves or National Guard. It does include being activated for deployment, such as for the
Iraq War.
1
Yes, now on active duty
2
Yes, on active duty in the past, but not now
3
No, training for Reserves or National Guard only
GO TO R04_YM0021
4
No, never served in the military
GO TO R04_YM0021
-8
DON'T KNOW
GO TO R04_YM0021
-7
REFUSED
GO TO R04_YM0021
ASK: Youth respondents aged 17 and older.
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PATH ID:
R04_YM0011
In which branch or branches [do/did] you serve on active duty? Choose all that apply.
1
Army
2
Navy
3
Air Force
4
Marine Corps
5
Coast Guard
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 17 and older who have been on active duty, both currently or in the past.
DISPLAY: IF R04_YM0007 = 1, DISPLAY "do".
ELSE, IF R04_YM0007 = 2, DISPLAY "did".
PATH ID:
R04_YM0021
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
Only to females, never to males
2
Mostly to females, and at least once to a male
3
About equally often to females and to males
4
Mostly to males, and at least once to a female
5
Only to males, never to females
6
I have never felt sexually attracted to anyone at all
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older.
DISPLAY: FOR MALE RESPONDENTS, DISPLAY RESPONSE OPTIONS 1-5 IN THE SPECIFIED
ORDER. FOR FEMALE RESPONDENTS, DISPLAY RESPONSE OPTIONS 1-5 IN REVERSE
ORDER, WHERE RESPONSE OPTION 5 IS PRESENTED FIRST, OPTION 4 SECOND, ETC. IF SEX
IS UNKNOWN, DEFAULT TO ORDER SHOWN FOR MALE RESPONDENTS.
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PATH ID:
R04_YM0063
Do you consider yourself to be…
1
Straight
2
Lesbian or gay
3
Bisexual
4
Something else
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older.
PATH ID:
R04_YM0061
Some people describe themselves as transgender when they experience a different gender identity from
their sex at birth. For example, a person born into a male body, but who feels female or lives as a
woman would be transgender.
Do you consider yourself to be transgender?
1
Yes
2
No
GO TO R04_YX0769
-8
DON'T KNOW
GO TO R04_YX0769
-7
REFUSED
GO TO R04_YX0769
ASK: Youth respondents aged 14 and older.
PATH ID:
R04_YM0062
Do you consider yourself to be male-to-female, female-to-male, or non-conforming?
1
Yes, Transgender, male to female
2
Yes, Transgender, female to male
3
Yes, Transgender, gender nonconforming
4
No
5
Not sure
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older who are transgender.
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PATH ID:
R04_YX0769
In the future, the PATH questionnaire may be available to take online on your personal desktop, laptop,
or tablet. Due to its length, the questionnaire will not be available on smart phones.
You would be able to complete the questionnaire at your convenience, without an interviewer present.
The incentive would arrive in the mail a few days after the questionnaire is completed.
How interested would you be in taking the PATH questionnaire online on your personal desktop, laptop,
or tablet?
1
Very interested
GO TO R04_YL3000
2
Somewhat interested
GO TO R04_YL3000
3
Not at all interested
4
Unsure
GO TO R04_YL3000
-8
DON'T KNOW
GO TO R04_YL3000
-7
REFUSED
GO TO R04_YL3000
ASK: All youth respondents.
PATH ID:
R04_YX0770
Why not? Choose all that apply.
1
I do not have a personal desktop, laptop, or tablet with internet access
2
I am concerned about technical difficulties
3
I prefer to have an interviewer present
4
I am concerned about the confidentiality of my information
5
I am concerned that I might not receive my incentive
6
Other (SPECIFY)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who would not be interested in doing PATH questionnaires online in the future.
DISPLAY: 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:
R04_YL3000
You have finished[ this part of] the questionnaire. Please hand the computer to the interviewer.
1
CONTINUE
ASK: All youth respondents.
DISPLAY: IF R04_E_YOUTH = 1, DISPLAY “this part of ”;
ELSE, DO NOT DISPLAY THIS TEXT.
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PATH ID:
R04_YL3001
The interviewer must now enter the Monitor Password into the computer.
1
I__I__I__I__I MONITOR PASSWORD
ASK: All youth respondents.
PATH ID:
R04_ERR_YL3001
The password you entered was incorrect.
Please press the BACK button and re-enter. Don’t forget to press the ERASE button before you re-enter
your answer.
1
BACK
GO TO R04_YL3001
ASK: If interviewer entered monitor password incorrectly.
BOX ID:
R04_YLR04
Emancipated youth respondents, go to R04_YL3002.
Else, go to R04_LCYS01.
PATH ID:
R04_YL3002
YOU MUST COLLECT CONTACT INFORMATION FROM THE RESPONDENT.
THE RESPONDENT IS AN EMANCIPATED YOUTH.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: Interviewers
DISPLAY: Display interviewer instructions in blue font.
BOLD "MUST".
BOX ID:
R04_YLR05
Emancipated youth, go to contact information section R04_YXT04.
Else, go to R04_LCYS01
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CONTACT INFORMATION – EMANCIPATED YOUTH
BOX ID:
R04_YXT04
CONTACT INFORMATION SECTION IS ASKED OF EMANCIPATED YOUTH ONLY.
PATH ID:
R04_YL0041
Since your continued participation in the PATH Study is important to the study’s success, I’d like to take
a brief moment to confirm your contact information for my records. We’ll only use this information to
contact you about your participation in the study.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR01
Emancipated youth respondents who have a valid Wave 4 physical address, go to R04_YL0001.
Else, go to R04_YL0037.
PATH ID:
R04_YL0001
I have your address as…
READ ADDRESS ALOUD.
ADDRESS
APT #
CITY, STATE ZIP CODE
Is that correct?
1
YES
2
NO
GO TO R04_YL0002
ASK: Emancipated youth respondents who have a valid physical address on file.
DISPLAY: DISPLAY ADDRESS IN EASY TO READ FORMAT. DISPLAY INSTRUCTIONAL TEXT IN
BLUE.
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PATH ID:
R04_YL0037
What is your address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
GO TO R04_YL0035
-7
REFUSED
GO TO R04_YL0035
ASK: Emancipated youth respondents who need to correct their physical address or who do not have a
valid physical address on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0002
Do you receive mail at this address?
1
YES
2
NO
GO TO R04_YL0035
-8
DON'T KNOW
GO TO R04_YL0035
-7
REFUSED
GO TO R04_YL0035
ASK: Emancipated youth respondents who confirmed or provided their physical address.
PATH ID:
R04_YL0003
Can I please have your mailing address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who do not receive mail at their physical address.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0035
Do you have a second home where you live during the year?
1
YES
2
NO
GO TO BOX R04_YLR02
-8
DON'T KNOW
GO TO BOX R04_YLR02
-7
REFUSED
GO TO BOX R04_YLR02
ASK: Emancipated youth respondents.
PATH ID:
R04_YL0036
What is the address of the second home?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who have a second home.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR02
Emancipated youth respondents who have a valid telephone number on file, go to R04_YL0004_12M.
Else, go to R04_YL0004.
PATH ID:
R04_YL0004_12M
I have your telephone number as [(XXX) XXX-XXXX].
Is that correct?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YL0038
GO TO R04_YL0012
ASK: Emancipated youth respondents who have a valid telephone number on file.
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PATH ID:
R04_YL0004
What is the best telephone number to reach you?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who need to correct their telephone number, who don't know if
the telephone number provided is correct, or who do not have a valid telephone number on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR14
Emancipated youth respondents who provided their telephone number, go to R04_YL0038.
Else, emancipated youth respondents who did not provide, did not know, or refused to report a valid
telephone number, go to R04_YL0012.
PATH ID:
R04_YL0038
Is this a cell phone number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YLR03
ASK: Emancipated youth respondents who confirmed or provided their telephone number.
PATH ID:
R04_YL0032
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 telephone number is a cell phone or did not know
or refused to report whether it is a cell phone.
BOX ID:
R04_YLR03
Emancipated youth respondents who have a valid second telephone number on file, go to R04_YL0005.
Else, go to R04_YL0006.
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PATH ID:
R04_YL0005
I have your second telephone number as [(XXX) XXX-XXXX].
Is that correct?
IF SP DOES NOT WANT TO PROVIDE A SECOND PHONE NUMBER, ENTER REFUSED.
1
YES
2
NO
GO TO R04_YL0039
-8
DON'T KNOW
GO TO R04_YL0012
-7
REFUSED
GO TO R04_YL0012
ASK: Emancipated youth respondents who have a valid second telephone number on file.
PATH ID:
R04_YL0006
What is a second telephone number where you can be reached?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who need to correct their second telehone number or who do not
have a valid second telephone number on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR15
Emancipated youth respondents who provided their second phone number, go to R04_YL0039.
Else, emancipated youth respondents who did not provide, did not know, or refused to report a valid
second phone number, go to R04_YL0012.
PATH ID:
R04_YL0039
Is this a cell phone number?
1
YES
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YL0012
ASK: Emancipated youth respondents who confirmed their phone number in R04_YL0005 or provided a
phone number in R04_YL0006.
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PATH ID:
R04_YL0033
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 or did not know or
refused to report whether it is a cell phone.
PATH ID:
R04_YL0012
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.
1
EMAIL NAME
2
EMAIL PROVIDER
-8
DON'T KNOW
-7
REFUSE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR09
Emancipated youth respondents who provided more than one mode of contact information, go to
R04_YL0017.
Else, go to R04_YL0018.
PATH ID:
R04_YL0017
What is the best way to reach you?
1
PHONE
2
TEXT MESSAGE
3
E-MAIL
-8
DON’T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided more than one mode of contact information.
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PATH ID:
R04_YL0018
Do you anticipate moving or relocating either permanently or temporarily in the next 12 months?
1
YES
2
NO
3
MAYBE
GO TO R04_YL0020
-8
DON'T KNOW
GO TO R04_YL0020
-7
REFUSED
GO TO R04_YL0020
ASK: Emancipated youth respondents.
PATH ID:
R04_YL0019
Can you tell me more about your plans to move?
IF NEEDED: [For example, your new street address or the city or state to which you plan to move?]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who plan to move in the next 12 months.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0020
Since we would like to interview you again, it is important that we are able to contact you in about a
year. In case we cannot reach you, is there a relative or friend who does not live in this household, who
will know how to reach you?
IF NEEDED: [Rest assured, we will only use this information if we have lost contact with you.]
What is the person’s name?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE AND BOLD "FIRST NAME".
BOX ID:
R04_YLR10
If FIRST NAME is don’t know or refused, go to R04_YL3003.
Else, go to R04_YL0022.
PATH ID:
R04_YL0022
What is their address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0023
What is their telephone number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0021
How are they 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 who provided a first name for a proxy contact in
R04_YL0020.
DISPLAY: 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.”
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PATH ID:
R04_YL0025
Could you provide me with the name of a second relative or friend who will know how to reach you?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE AND BOLD "FIRST NAME".
BOX ID:
R04_YLR11
If FIRST NAME is don’t know or refused, go to R04_YL3003.
Else, go to R04_YL0027
PATH ID:
R04_YL0027
What is their address?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0028
What is their telephone number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0026
How are they 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 first name for a proxy contact in R04_YL0025.
DISPLAY: 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:
R04_YL3003
If you do move or change your phone numbers please update your contact information on the PATH
Study website or by calling our toll free number. Each year you may receive a $5 thank you on your
debit card for updating your contact information.
Thank you for taking the time to answer these questions.
ENTER 1 TO CONTINUE.
1
CONTINUE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_LCYS01
INTERVIEWER: IN WHAT LANGUAGE DID YOU MOSTLY CONDUCT THE CAPI PORTIONS OF
THIS INTERVIEW?
1
ENGLISH
END INTERVIEW AND RETURN TO IMS
2
SPANISH
END INTERVIEW AND RETURN TO IMS
ASK: All youth respondents (asked of Interviewer).
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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APPENDIX: USER GROUPS
Variable Name
Variable Description
User Group Definition
Ever or Never users - Cigarettes
R04_EVER_NEVER_CIGS_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a cigarette.
(2) Never user = Youth respondents who have
not ever smoked a cigarette.
IF (R04_YC1002_NB = 1 OR
R04_YC1002_12M = 1 OR
R03_EVER_NEVER_CIGS = 1), THEN
R04_EVER_NEVER_CIGS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_CIGS_YOUTH !=
1, THEN R04_EVER_NEVER_CIGS_YOUTH =
2.
Initiators - Cigarettes
R04_INIT_CIGS_YOUTH
(1) Initiator = Youth respondents who initiated
cigarette use between Waves or new baseline
youth respondents who have ever smoked a
cigarette.
(2) Non-initiator = Youth respondents who did
not initiate cigarette use between Waves or new
baseline youth respondent who have not ever
smoked a cigarette.
IF R03_EVER_NEVER_CIGS ! = 1 AND
R04_EVER_NEVER_CIGS_YOUTH = 1, THEN
R04_INIT_CIGS_YOUTH = 1.
ELSE, R04_INIT_CIGS_YOUTH = 2.
Past 30 Day Users - Cigarettes
R04_PAST30DAY_CIGS
(1) Past 30 day user = Youth respondents who
have smoked a cigarette in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarette in the past 30
days.
IF R04_YC1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_CIGS = 1.
ELSE, R04_PAST30DAY_CIGS = 2.
Past 30 Day "Very Light" or "Not Light" Cigarettes
R04_PAST30DAY_CIGS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a cigarette in the
past 30 days, and have smoked 10 or less
cigarettes in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a cigarette in the
past 30 days, and have smoked more than 10
cigarettes in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YC1005 = 1 OR 2 OR 3 AND
R03_NUMLIFE_CIGS != 1) AND (R04_YC1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_CIGS_LEVEL = 1.
ELSE, IF (R04_YC1005 > 3 OR R04_YC1005 =
-8, -7 OR R03_NUMLIFE_CIGS = 1) AND
(R04_YC1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_CIGS_LEVEL= 2.
ELSE, R04_PAST30DAY_CIGS_LEVEL = 8.
CIGARETTES
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Electronic Nicotine
Products
R04_EVER_NEVER_EPRODS_YOUTH
(1) Ever user = Youth respondents who have
ever used an electronic nicotine product.
(2) Never user = Youth respondents who have
not ever used an electronic nicotine product.
IF (R03_EVER_NEVER_EPRODS = 1 OR
(R04_YV1001_NB = 1 AND R04_YV1002_NB =
1) OR R04_YV1002_12M = 1), THEN
R04_EVER_NEVER_EPRODS_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_EPRODS_YOUTH != 1,
THEN R04_EVER_NEVER_EPRODS_YOUTH
= 2.
Initiators - E-Products
R04_INIT_EPRODS_YOUTH
(1) Initiator = Youth respondents who initiated eproduct use between Waves or new baseline
youth respondents who have ever used an eproduct.
(2) Non-initiator = Youth respondents who have
not initiated e-product use between Waves or
new baseline youth respondents who have not
ever used an e-product.
IF R03_EVER_NEVER_EPRODS != 1 AND
R04_EVER_NEVER_EPRODS = 1, THEN
R04_INIT_EPRODS_YOUTH = 1.
ELSE, R04_INIT_EPRODS_YOUTH = 2.
Past 30 Day Users - E-Products
R04_PAST30DAY_EPRODS
(1) Past 30 day user = Youth respondents who
have used an e-product in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not used an e-product in the past 30
days.
IF R04_YV1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_EPRODS = 1.
ELSE, R04_PAST30DAY_EPRODS = 2.
Past 30 Day "Very Light" or "Not Light
Users - E-Products
R04_PAST30DAY_EPRODS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used an e-product in the
past 30 days, and have used an e-product only
once in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used an e-product in the
past 30 days, and have used e-products more
than once in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YV1005 = 1 AND
R03_NUMLIFE_EPROD != 1) AND
(R04_YV1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_EPRODS_LEVEL = 1.
ELSE, IF (R04_YV1005 > 1 OR R04_YV1005 =
-8, -7 OR R03_NUMLIFE_EPROD = 1) AND
(R04_YV1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_EPRODS_LEVEL= 2.
ELSE, R04_PAST30DAY_EPRODS_LEVEL =
8.
ENDS
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Variable Name
Variable Description
User Group Definition
Ever or Never Smokers – Traditional
Cigars
R04_EVER_NEVER_GTRAD_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a traditional cigar.
(2) Never user = Youth respondents who have
not ever smoked a traditional cigar.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_01 = 1) OR
R04_YG9104_12M_01 = 1 OR
R03_EVER_NEVER_GTRAD = 1, THEN
R04_EVER_NEVER_GTRAD_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_GTRAD_YOUTH
!= 1, THEN
R04_EVER_NEVER_GTRAD_YOUTH = 2.
Initiators – Traditional Cigars
R04_INIT_GTRAD_YOUTH
(1) Initiator = Youth respondents who initiated
traditional cigar use between Waves or new
baseline youth respondents who have ever
smoked a traditional cigar.
(2) Non-initiator = Youth respondents who did
not initiate traditional cigar use between Waves
or new baseline youth respondents who have
not ever smoked a traditional cigar.
IF R03_EVER_NEVER_GTRAD != 1 AND
R04_EVER_NEVER_GTRAD_YOUTH = 1,
THEN R04_INIT_GTRAD_YOUTH = 1.
ELSE, R04_INIT_GTRAD_YOUTH = 2.
Past 30 Day Smokers - Traditional
Cigars
R04_PAST30DAY_GTRAD
(1) Past 30 day user = Youth respondents who
have smoked a traditional cigar in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a traditional cigar in the
past 30 days.
IF R04_YG1112TC = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GTRAD = 1.
ELSE, R04_PAST30DAY_GTRAD = 2.
Past 30 Day "Very Light" or "Not Light"
Smokers - Traditional Cigars
R04_PAST30DAY_GTRAD_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a traditional
cigar in the past 30 days, and have smoked 10
or less traditional cigars in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a traditional
cigar in the past 30 days, and have smoked
more than 10 traditional cigars in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005TC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GTRAD != 1) AND
(R04_YG1112TC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GTRAD_LEVEL = 1.
ELSE, IF (R04_YG1005TC > 3 OR
R04_YG1005TC = -8, -7 OR
R03_NUMLIFE_GTRAD = 1) AND
(R04_YG1112TC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GTRAD_LEVEL = 2.
ELSE, R04_PAST30DAY_GTRAD_LEVEL = 8.
CIGARS
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Variable Name
Variable Description
User Group Definition
Past 12 Month Blunt-Only Smokers –
Traditional Cigars
R04_12MBLUNT_ONLY_BTRAD
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke traditional cigars as
blunts every time when smoked in the past 12
months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke traditional cigars
as blunts every time when smoked in the past
12 months.
IF R04_YG9106_01 = 1 AND R04_YG1095_01
= 1, THEN R04_12MBLUNT_ONLY_BTRAD =
1.
ELSE, R04_12MBLUNT_ONLY_BTRAD = 2.
Past 30 Day Blunt-Only Smokers –
Traditional Cigars
R04_30DBLUNT_ONLY_BTRAD
(1) Past 30 day user = Youth respondents who
have smoked a traditional cigar as a blunt in the
past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a traditional cigar as a
blunt in the past 30 days.
IF R04_12MBLUNT_ONLY_BTRAD = 1 AND
R04_YJ1112TC = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BTRAD = 1.
ELSE, R04_30DBLUNT_ONLY_BTRAD = 2.
Initiators – Traditional Cigars as Blunts
R04_INIT_BLUNT_BTRAD_YOUTH
(1) Initiator = Youth respondents who initiated
smoking traditional cigars as blunts between
Waves or new baseline youth respondents who
have ever used traditional cigars as blunts every
time in the past 12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking traditional cigars as blunts
between Waves or new baseline youth
respondents who have not ever used traditional
cigars as blunts.
IF R03_EVER_NEVER_BTRAD != 1 AND
R04_YG1095_01 = 1 AND R04_YG9106_01 =
1, THEN R04_INIT_BLUNT_BTRAD_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BTRAD_YOUTH = 2.
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Variable Name
Variable Description
User Group Definition
Ever or Never Smokers – Cigarillos
R04_EVER_NEVER_GRILLO_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a cigarillo.
(2) Never user = Youth respondents who have
not ever smoked a cigarillo.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_02 = 1 AND
(R04_YG9009_NB_01= 1 OR
R04_YG9009_NB_03 = 1)) OR
R04_YG9009_12M_01 = 1 OR
R04_YG9009_12M_03 = 1 OR
R03_EVER_NEVER_GRILLO = 1, THEN
R04_EVER_NEVER_GRILLO_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_GRILLO_YOUTH != 1,
THEN R04_EVER_NEVER_GRILLO_YOUTH =
2.
Initiators – Cigarillos
R04_INIT_GRILLO_YOUTH
(1) Initiator = Youth respondents who initiated
cigarillo use between Waves or new baseline
youth respondents who have ever smoked a
cigarillo.
(2) Non-initiator = Youth respondents who did
not initiate cigarillo use between Waves or new
baseline youth respondents who have not ever
smoked a cigarillo.
IF R03_EVER_NEVER_GRILLO != 1 AND
R04_EVER_NEVER_GRILLO_YOUTH = 1,
THEN R04_INIT_GRILLO_YOUTH = 1.
ELSE, R04_INIT_GRILLO_YOUTH = 2.
Past 30 Day Smokers - Cigarillos
R04_PAST30DAY_GRILLO
(1) Past 30 day user = Youth respondents who
have smoked a cigarillo in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarillo in the past 30
days.
IF R04_YG1112CL = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GRILLO = 1.
ELSE, R04_PAST30DAY_GRILLO = 2.
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Variable Name
Variable Description
User Group Definition
Past 30 Day "Very Light" or "Not Light"
Smokers - Cigarillos
R04_PAST30DAY_GRILLO_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a cigarillo in the
past 30 days, and have smoked 10 or less
cigarillos in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a cigarillo in the
past 30 days, and have smoked more than 10
cigarillos in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005CL = 1 OR 2 OR 3 AND
R03_NUMLIFE_GRILLO != 1) AND
(R04_YG1112CL = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GRILLO_LEVEL = 1.
ELSE, IF (R04_YG1005CL > 3 OR
R04_YG1005CL = -8, -7 OR
R03_NUMLIFE_GRILLO = 1) AND
(R04_YG1112CL = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GRILLO_LEVEL = 2.
ELSE, R04_PAST30DAY_GRILLO_LEVEL = 8.
Past 12 Month Blunt-Only Smokers –
Cigarillos
R04_12MBLUNT_ONLY_BRILLO
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke cigarillos as blunts
every time when smoked in the past 12 months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke cigarillos as
blunts every time when smoked in the past 12
months.
IF R04_YG9106_02 = 1 AND R04_YG1095_02
= 1, THEN R04_12MBLUNT_ONLY_BRILLO =
1.
ELSE, R04_12MBLUNT_ONLY_BRILLO = 2.
Past 30 Day Blunt-Only Smokers –
Cigarillos
R04_30DBLUNT_ONLY_BRILLO
(1) Past 30 day user = Youth respondents who
have smoked a cigarillo as a blunt in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarillo as a blunt in the
past 30 days.
IF R04_12MBLUNT_ONLY_BRILLO = 1 AND
R04_YJ1112CG = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BRILLO = 1.
ELSE, R04_30DBLUNT_ONLY_BRILLO = 2.
Initiators – Cigarillos as Blunts
R04_INIT_BLUNT_BRILLO_YOUTH
(1) Initiator = Youth respondents who initiated
smoking cigarillos as blunts between Waves or
new baseline youth respondents who have ever
used cigarillos as blunts every time in the past
12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking cigarillos as blunts between
Waves or new baseline youth respondents who
have not ever used cigarillos as blunts.
IF R03_EVER_NEVER_BRILLO != 1 AND
R04_YG1095_02 = 1 AND R04_YG9106_02 =
1, THEN R04_INIT_BLUNT_BRILLO_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BRILLO_YOUTH = 2.
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Variable Name
Variable Description
User Group Definition
Ever or Never Smokers – Filtered Cigars
R04_EVER_NEVER_GFILTR_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a filtered cigar.
(2) Never user = Youth respondents who have
not ever smoked a filtered cigar.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_02 = 1 AND
R04_YG9009_NB_02 = 1) OR
R04_YG9009_12M_02 = 1 OR
R03_EVER_NEVER_GFILTR = 1, THEN
R04_EVER_NEVER_GFILTR_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_GFILTR_YOUTH
!= 1, THEN
R04_EVER_NEVER_GFILTR_YOUTH = 2.
Initiators – Filtered Cigars
R04_INIT_GFILTR_YOUTH
(1) Initiator = Youth respondents who initiated
filtered cigar use between Waves or new
baseline youth respondents who ever smoked a
filtered cigar.
(2) Non-initiator = Youth respondents who did
not initiate filtered cigar use between Waves or
new baseline youth respondents who have not
ever smoked a filtered cigar.
IF R03_EVER_NEVER_GFILTR != 1 AND
R04_EVER_NEVER_GFILTR_YOUTH = 1,
THEN R04_INIT_GFILTR_YOUTH = 1.
ELSE, R04_INIT_GFILTR_YOUTH = 2.
Past 30 Day Users – Filtered Cigars
R04_PAST30DAY_GFILTR
(1) Past 30 day user = Youth respondents who
have smoked a filtered cigar in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a filtered cigar in the past
30 days.
IF R04_YG1112FC = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GFILTR = 1.
ELSE, R04_PAST30DAY_GFILTR = 2.
Past 30 Day "Very Light" or "Not light"
Smokers - Filtered Cigars
R04_PAST30DAY_GFILTR_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a filtered cigar in
the past 30 days, and have smoked 10 or less
filtered cigars in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a filtered cigar in
the past 30 days, and have smoked more than
10 filtered cigars in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005FC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GFILTR != 1) AND
(R04_YG1112FC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GFILTR_LEVEL = 1.
ELSE, IF (R04_YG1005FC > 3 OR
R04_YG1005FC = -8, -7 OR
R03_NUMLIFE_GFILTR = 1) AND
(R04_YG1112FC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GFILTR_LEVEL = 2.
ELSE, R04_PAST30DAY_GFILTR_LEVEL = 8.
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Variable Name
Variable Description
User Group Definition
Past 12 Month Blunt-Only Smokers –
Filtered Cigars
R04_12MBLUNT_ONLY_BFILTR
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke filtered cigars as blunts
every time when smoked in the past 12 months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke filtered cigars as
blunts every time when smoked in the past 12
months.
IF R04_YG9106_03 = 1 AND R04_YG1095_03
= 1, THEN R04_12MBLUNT_ONLY_BFILTR =
1.
ELSE, R04_12MBLUNT_ONLY_BFILTR = 2.
Past 30 Day Blunt-Only Smokers –
Filtered Cigars
R04_30DBLUNT_ONLY_BFILTR
(1) Past 30 day user = Youth respondents who
have smoked a filtered cigar as a blunt in the
past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a filtered cigar as a blunt
in the past 30 days.
IF R04_12MBLUNT_ONLY_BFILTR = 1 AND
R04_YJ1112FC = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BFILTR = 1.
ELSE, R04_30DBLUNT_ONLY_BFILTR = 2.
Initiators – Filtered Cigars as Blunts
R04_INIT_BLUNT_BFILTR_YOUTH
(1) Initiator = Youth respondents who initiated
smoking filtered cigars as blunts between
Waves or new baseline youth respondents who
have ever used filtered cigars as blunts every
time in the past 12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking filtered cigars as blunts
between Waves or new baseline youth
respondents who have not ever used filtered
cigars as blunts.
IF R03_EVER_NEVER_BFILTR != 1 AND
R04_YG9106_03 = 1 AND R04_YG1095_03 =
1, THEN R04_INIT_BLUNT_BFILTR_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BFILTR_YOUTH = 2.
(1) Ever user = Youth respondents who have
ever smoked pipe tobacco.
(2) Never user = Youth respondents who have
not ever smoked pipe tobacco.
IF (R04_YP1001_NB = 1 AND
R04_YP1002_NB = 1) OR R04_YP1002_12M =
1 OR R03_EVER_NEVER_PIPE = 1, THEN
R04_EVER_NEVER_PIPE_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_PIPE_YOUTH !=
1, THEN R04_EVER_NEVER_PIPE_YOUTH =
2.
PIPES
Ever or Never Users - Pipe
R04_EVER_NEVER_PIPE_YOUTH
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Variable Name
Variable Description
User Group Definition
Initiator - Pipe
R04_INIT_PIPE_YOUTH
(1) Initiator = Youth respondents who initiated
pipe use between Waves or new baseline youth
respondents who have ever smoked a pipe.
(2) Non-initiator = Youth respondents who did
not initiate pipe use between Waves or new
baseline youth respondents who have not ever
smoked a pipe.
IF R03_EVER_NEVER_PIPE != 1 AND
R04_EVER_NEVER_PIPE_YOUTH = 1, THEN
R04_INIT_PIPE_YOUTH = 1.
ELSE, R04_INIT_PIPE_YOUTH = 2.
Past 30 Day Users - Pipe
R04_PAST30DAY_PIPE
(1) Past 30 day user = Youth respondents who
have smoked a pipe in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a pipe in the past 30
days.
IF R04_YP1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_PIPE = 1.
ELSE, R04_PAST30DAY_PIPE = 2.
Ever or Never Users - Hookah
R04_EVER_NEVER_HOOK_YOUTH
(1) Ever user = Youth respondents who have
ever smoked hookah.
(2) Never user = Youth respondents who have
not ever smoked hookah.
IF (R04_YH1001_NB = 1 AND
R04_YH1002_NB = 1) OR R04_YH1002_12M =
1 OR R03_EVER_NEVER_HOOK = 1, THEN
R04_EVER_NEVER_HOOK_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_HOOK_YOUTH
!= 1, THEN
R04_EVER_NEVER_HOOK_YOUTH = 2.
Initiator - Hookah
R04_INIT_HOOK_YOUTH
(1) Initiator = Youth respondents who initiated
hookah use between Waves or new baseline
youth respondents who have ever smoked a
hookah.
(2) Non-initiator = Youth respondents who have
did not initiate hookah use between Waves or
new baseline youth respondents who have not
ever smoked a hookah.
IF R03_EVER_NEVER_HOOK != 1 AND
R04_EVER_NEVER_HOOK_YOUTH = 1,
THEN R04_INIT_HOOK_YOUTH = 1.
ELSE, R04_INIT_HOOK_YOUTH = 2.
Past 30 Day Users - Hookah
R04_PAST30DAY_HOOK
(1) Past 30 day user = Youth respondents who
have smoked hookah in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked hookah in the past 30
days.
IF R04_YH1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_HOOK = 1.
ELSE, R04_PAST30DAY_HOOK = 2.
HOOKAH
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Snus
R04_EVER_NEVER_SNUS_YOUTH
(1) Ever user = Youth respondents who have
ever used snus.
(2) Never user = Youth respondents who have
not ever used snus.
IF (R04_YU1001_NB = 1 AND
R04_YU1002_NB = 1) OR R04_YU1002_12M =
1 OR R03_EVER_NEVER_SNUS = 1, THEN
R04_EVER_NEVER_SNUS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_SNUS_YOUTH
!= 1, THEN
R04_EVER_NEVER_SNUS_YOUTH = 2.
Initiator - Snus
R04_INIT_SNUS_YOUTH
(1) Initiator = Youth respondents who initiated
snus use between Waves or new baseline youth
respondents who have ever used snus.
(2) Non-initiator = Youth respondents who did
not initiate snus use between Waves or new
baseline youth respondents who have not ever
used snus.
IF R03_EVER_NEVER_SNUS != 1 AND
R04_EVER_NEVER_SNUS_YOUTH = 1, THEN
R04_INIT_SNUS_YOUTH = 1.
ELSE, R04_INIT_SNUS_YOUTH = 2.
Past 30 Day Users - Snus
R04_PAST30DAY_SNUS
(1) Past 30 day user = Youth respondents who
have used snus in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not used snus in the past 30 days.
IF R04_YU1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SNUS = 1.
ELSE, R04_PAST30DAY_SNUS = 2.
Past 30 Day "Very Light" or "Not Light"
Users - Snus
R04_PAST30DAY_SNUS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used snus in the past 30
days, and have used snus 10 or fewer times in
their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used snus in the past 30
days, and have used snus more than 10 times in
their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YU1005 = 1 OR 2) AND (R04_YU1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_SNUS_LEVEL = 1.
ELSE, IF (R04_YU1005> 2 OR R04_YU1005 = 8, -7 OR R03_NUMLIFE_SNUS = 1) AND
(R04_YU1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_SNUS_LEVEL = 2.
ELSE, R04_PAST30DAY_SNUS_LEVEL = 8.
SNUS
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Smokeless
Tobacco
R04_EVER_NEVER_SMKLS_YOUTH
(1) Ever user = Youth respondents who have
ever used smokeless tobacco.
(2) Never user = Youth respondents who have
not ever used smokeless tobacco.
IF (R04_YS1001_NB = 1 AND
R04_YS1002_NB = 1) OR R04_YS1002_12M =
1 OR R03_EVER_NEVER_SMKLS = 1, THEN
R04_EVER_NEVER_SMKLS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_SMKLS_YOUTH
!= 1, THEN
R04_EVER_NEVER_SMKLS_YOUTH = 2.
Initiator - Smokeless Tobacco
R04_INIT_SMKLS_YOUTH
(1) Initiator = Youth respondents who initiated
smokeless tobacco use between Waves or new
baseline youth respondents who have ever used
smokeless tobacco.
(2) Non-initiator = Youth respondents who did
not initiate smokeless tobacco use between
Waves or new baseline youth respondents who
have not ever used smokeless tobacco.
IF R03_EVER_NEVER_SMKLS != 1 AND
R04_EVER_NEVER_SMKLS_YOUTH = 1,
THEN R04_INIT_SMKLS_YOUTH = 1.
ELSE, R04_INIT_SMKLS_YOUTH = 2.
Past 30 Day Users – Smokeless
Tobacco
R04_PAST30DAY_SMKLS
(1) Past 30 day user = Youth respondents who
have used smokeless tobacco in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not used smokeless tobacco in the
past 30 days.
IF R04_YS1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SMKLS = 1.
ELSE, R04_PAST30DAY_SMKLS = 2.
Past 30 Day "Very Light" or "Not Light"
Users - Smokeless Tobacco
R04_PAST30DAY_SMKLS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used smokeless tobacco
in the past 30 days, and have used 10 times or
less in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used smokeless tobacco
in the past 30 days, and have used more than
10 times in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YS1005 = 1 OR 2) AND (R04_YS1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_SMKLS_LEVEL = 1.
ELSE, IF (R04_YS1005 > 2 OR R04_YS1005 =
-8, -7 OR R03_NUMLIFE_SMKLS = 1) AND
R04_YS1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SMKLS_LEVEL = 2.
ELSE, R04_PAST30DAY_SMKLS_LEVEL = 8.
SMOKELESS TOBACCO
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Dissolvable
Tobacco
R04_EVER_NEVER_DISSBL_YOUTH
(1) Ever user = Youth respondents who have
ever used dissolvable tobacco.
(2) Never user = Youth respondents who have
not ever used dissolvable tobacco.
IF (R04_YD1001_NB = 1 AND
R04_YD1002_NB = 1) OR R04_YD1002_12M =
1 OR R03_EVER_NEVER_DISSBL = 1, THEN
R04_EVER_NEVER_DISSBL_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_DISSBL_YOUTH
!= 1, THEN
R04_EVER_NEVER_DISSBL_YOUTH = 2.
Initiator - Dissolvable Tobacco
R04_INIT_DISSBL_YOUTH
(1) Initiator = Youth respondents who initiated
dissolvable tobacco use between Waves new
baseline youth respondents who have ever used
dissolvable tobacco.
(2) Non-initiator = Youth respondents who did
not initiate dissolvable tobacco use between
Waves or new baseline youth respondents who
have not ever used dissolvable tobacco.
IF R03_EVER_NEVER_DISSBL != 1 AND
R04_EVER_NEVER_DISSBL_YOUTH = 1,
THEN R04_INIT_DISSBL_YOUTH = 1.
ELSE, R04_INIT_DISSBL_YOUTH = 2.
Past 30 Day Users - Dissolvable
Tobacco
R04_PAST30DAY_DISS
(1) Past 30 day user = Youth respondents who
have used dissolvable tobacco in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not used dissolvable tobacco in the
past 30 days.
IF R04_YD1002_30D = 1, THEN
R04_PAST30DAY_DISS = 1.
ELSE, R04_PAST30DAY_DISS = 2.
(1) Ever user = Youth respondents who have
ever smoked a bidi.
(2) Never user = Youth respondents who have
not ever smoked a bidi.
IF ((R04_YB9101_NB_01 = 1 OR
R04_YB9101_NB_02 = 1) AND
R04_YB9102_NB_01 = 1) OR
R04_YB9102_12M_01 = 1 OR
R03_EVER_NEVER_BIDI = 1, THEN
R04_EVER_NEVER_BIDI_YOUTH= 1.
ELSE, IF R04_EVER_NEVER_BIDI_YOUTH !=
1, THEN R04_EVER_NEVER_BIDI_YOUTH =
2.
DISSOLVABLE TOBACCO
BIDIS AND KRETEKS
Ever or Never Users - Bidis
R04_EVER_NEVER_BIDI_YOUTH
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Variable Name
Variable Description
User Group Definition
Initiator - Bidis
R04_INIT_BIDI_YOUTH
(1) Initiator = Youth respondents who initiated
bidi use between Waves or new baseline youth
respondents who have ever smoked a bidi.
(2) Non-initiator = Youth respondents who did
not initiate bidi use between Waves or new
baseline youth respondents who have not ever
smoked a bidi.
IF R03_EVER_NEVER_BIDI != 1 AND
R04_EVER_NEVER_BIDI_YOUTH = 1, THEN
R04_INIT_BIDI_YOUTH = 1.
ELSE, R04_INIT_BIDI_YOUTH = 2.
Past 30 Day Users - Bidis
R04_PAST30DAY_BIDI
(1) Past 30 day user = Youth respondents who
have smoked a bidi in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have never smoked a bidi in the past 30
days.
IF R04_YB9102_30D_01 = 1, THEN
R04_PAST30DAY_BIDI = 1.
ELSE, R04_PAST30DAY_BIDI = 2.
Ever or Never Users - Kreteks
R04_EVER_NEVER_KRETEK_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a kretek.
(2) Never user = Youth respondents who have
not ever smoked a kretek.
IF ((R04_YB9101_NB_01 = 1 OR
R04_YB9101_NB_02 = 1) AND
R04_YB9102_NB_02 = 1) OR
R04_YB9102_12M_02 = 1 OR
R03_EVER_NEVER_KRETEK = 1, THEN
R04_EVER_NEVER_KRETEK_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_KRETEK_YOUTH != 1,
THEN R04_EVER_NEVER_KRETEK_YOUTH =
2.
Initiator - Kreteks
R04_INIT_KRETEK_YOUTH
(1) Initiator = Youth respondents who initiated
kretek use between Waves or new baseline
youth respondents who have ever smoked a
kretek.
(2) Non-initiator = Youth respondents who did
not initiate smokeless tobacco use between
Waves or new baseline youth respondents who
have not ever smoked a kretek.
IF R03_EVER_NEVER_KRETEK != 1 AND
R04_EVER_NEVER_KRETEK_YOUTH = 1,
THEN R04_INIT_KRETEK_YOUTH = 1.
ELSE, R04_INIT_KRETEK_YOUTH = 2.
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Variable Name
Variable Description
User Group Definition
Past 30 Day Users - Kreteks
R04_PAST30DAY_KRETEK
(1) Past 30 day user = Youth respondents who
have smoked a kretek in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have never smoked a kretek in the past 30
days.
IF R04_YB9102_30D_02 = 1, THEN
R04_PAST30DAY_KRETEK = 1.
ELSE, R04_PAST30DAY_KRETEK = 2.
(1) Ever user = Youth respondents who have
ever used any type of tobacco product(s) in
lifetime.
(2) Never user = Youth respondents who have
not ever used any type of tobacco product(s) in
lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 OR
R04_EVER_NEVER_EPRODS_YOUTH = 1 OR
(R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
R04_EVER_NEVER_PIPE_YOUTH = 1 OR
R04_EVER_NEVER_HOOK_YOUTH = 1 OR
R04_EVER_NEVER_SMKLS_YOUTH = 1 OR
R04_EVER_NEVER_SNUS_YOUTH = 1 OR
R04_EVER_NEVER_DISSBL_YOUTH = 1 OR
R04_EVER_NEVER_BIDI_YOUTH = 1 OR
R04_EVER_NEVER_KRETEK_YOUTH = 1,
THEN R04_EVER_USE_TOB=1.
ELSE, R04_EVER_USE_TOB=2.
TOBACCO (GENERAL)
Ever Users - Tobacco
R04_EVER_USE_TOB
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Variable Name
Variable Description
User Group Definition
Ever Users – Cigarettes Only
R04_EVER_USE_CIGSONLY
(1) Ever user = Youth respondents who have
ever used only cigarettes, and no other
products, in lifetime.
(2) Never user = Youth respondents who have
not ever used only cigarettes, and no other
products, in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 AND
R04_EVER_NEVER_EPRODS_YOUTH != 1
AND R04_EVER_NEVER_GTRAD_YOUTH != 1
AND R04_EVER_NEVER_GRILLO_YOUTH !=
1 AND R04_EVER_NEVER_GFILTR_YOUTH
!= 1 AND R04_EVER_NEVER_PIPE_YOUTH !=
1 AND R04_EVER_NEVER_HOOK_YOUTH !=
1 AND R04_EVER_NEVER_SMKLS_YOUTH !=
1 AND R04_EVER_NEVER_SNUS_YOUTH !=
1 AND R04_EVER_NEVER_DISSBL_YOUTH
!= 1 AND R04_EVER_NEVER_BIDI_YOUTH !=
1 AND R04_EVER_NEVER_KRETEK_YOUTH
!= 1, THEN R04_EVER_USE_CIGSONLY= 1.
ELSE, R04_EVER_USE_CIGSONLY= 2.
Ever Users - Dual
R04_EVER_USE_DUAL
(1) Ever user = Youth respondents who have
ever used cigarettes and at least one other
tobacco product in lifetime.
(2) Never user = Youth respondents who have
not ever used cigarettes and at least one other
tobacco product in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 AND
((R04_EVER_NEVER_EPRODS_YOUTH = 1)
OR (R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
(R04_EVER_NEVER_PIPE_YOUTH = 1) OR
(R04_EVER_NEVER_HOOK_YOUTH = 1) OR
(R04_EVER_NEVER_SMKLS_YOUTH = 1) OR
(R04_EVER_NEVER_SNUS_YOUTH = 1) OR
(R04_EVER_NEVER_DISSBL_YOUTH = 1) OR
(R04_EVER_NEVER_BIDI_YOUTH = 1) OR
(R04_EVER_NEVER_KRETEK_YOUTH = 1)),
THEN R04_EVER_USE_DUAL= 1.
ELSE, R04_EVER_USE_DUAL= 2.
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Variable Name
Variable Description
User Group Definition
Ever Users – Tobacco (Excluding
Cigarettes)
R04_EVER_USE_TOBXCIGS
(1) Ever user = Youth respondents who have
ever used any tobacco products, excluding
cigarettes, in lifetime.
(2) Never user = Youth respondents who have
not ever used any tobacco products, excluding
cigarettes, in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 2 AND
(R04_EVER_NEVER_EPRODS_YOUTH = 1
OR (R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
(R04_EVER_NEVER_PIPE_YOUTH = 1) OR
(R04_EVER_NEVER_HOOK_YOUTH = 1) OR
(R04_EVER_NEVER_SMKLS_YOUTH = 1) OR
(R04_EVER_NEVER_SNUS_YOUTH = 1) OR
(R04_EVER_NEVER_DISSBL_YOUTH = 1) OR
(R04_EVER_NEVER_BIDI_YOUTH = 1) OR
(R04_EVER_NEVER_KRETEK_YOUTH = 1)),
THEN R04_EVER_USE_TOBXCIGS = 1.
ELSE, R04_EVER_USE_TOBXCIGS = 2.
Past 30 Day Users - Tobacco
R04_PAST30DAY_TOB
(1) Past 30 day user = Youth respondents who
have used any tobacco product(s) in the past 30
days.
(2) Not past 30 day user = Youth respondents
who have not ever used any tobacco product(s)
in the past 30 days.
IF R04_PAST30DAY_CIGS = 1 OR
R04_PAST30DAY_EPRODS = 1 OR
R04_PAST30DAY_GTRAD = 1 OR
R04_PAST30DAY_GRILLO = 1 OR
R04_PAST30DAY_GFILTR = 1 OR
R04_PAST30DAY_PIPE = 1 OR
R04_PAST30DAY_HOOK = 1 OR
R04_PAST30DAY_SMKLS = 1 OR
R04_PAST30DAY_SNUS = 1 OR
R04_PAST30DAY_DISS = 1 OR
R04_PAST30DAY_BIDI = 1 OR
R04_PAST30DAY_KRETEK = 1,
THEN R04_PAST30DAY_TOB = 1.
ELSE, R04_PAST30DAY_TOB = 2.
Past Year Level - Tobacco
R04_PASTYEAR_TOB_USE_LEVEL
(1) Very light = Youth respondents who have
used any tobacco product in the last year, and
are not "not light" users of any product.
(2) Not light = Youth respondents who are not
IF R04_EVER_USE_TOB = 1 AND
(((R04_YC1005 = 1 OR 2 OR 3 AND
R03_NUMLIFE_CIGS != 1) AND (R04_YC1112
= 1, 2, 3, 4, OR 5)) OR ((R04_YV1005 = 1 AND
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Variable Name
PATH – Wave 4
Youth Questionnaire – Extended Interview
Variable Description
User Group Definition
light users of any tobacco product and have
used in the past year.
R03_NUMLIFE_ECIG != 1) AND (R04_YV1112
= 1, 2, 3, 4, OR 5)) OR ((R04_YG1005TC = 1
OR 2 OR 3 AND R03_NUMLIFE_GTRAD != 1)
AND (R04_YG1112TC = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005CL = 1 OR 2 OR 3 AND
R03_NUMLIFE_GRILLO != 1) AND
(R04_YG1112CL = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005FC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GFILTR != 1) AND
(R04_YG1112FC = 1, 2, 3, 4, OR 5)) OR
(R04_YP1112 = 1, 2, 3, 4, OR 5) OR
(R04_YH1112 = 1, 2, 3, 4, OR 5) OR
((R04_YU1005 = 1 OR 2) AND (R04_YU1112 =
1, 2, 3, 4, OR 5)) AND ((R04_YS1005 = 1 OR 2)
AND (R04_YS1112 = 1, 2, 3, 4, OR 5)) OR
R04_YD1002_12M = 1 OR R04_YB9102_01 = 1
OR R04_YB9102_02 = 1), THEN
R04_PASTYEAR_TOB_USE_LEVEL = 1.
IF ((R04_YC1005 > 3 OR R04_YC1005 = -8, -7
OR R03_NUMLIFE_CIGS = 1) AND
(R04_YC1112 = 1 OR 2 OR 3 OR 4 OR 5)) OR
((R04_YV1005 > 1 OR R04_YV1005 = -8, -7 OR
R03_NUMLIFE_ECIG = 1) AND (R04_YV1112 =
1, 2, 3, 4, OR 5)) OR ((R04_YG1005TC > 3 OR
R04_YG1005TC = -8, -7 OR
R03_NUMLIFE_GTRAD = 1) AND
(R04_YG1112TC = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005CL > 3 OR R04_YG1005CL = -8,
-7 OR R03_NUMLIFE_GRILLO = 1) AND
(R04_YG1112CL = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005FC > 3 OR R04_YG1005FC = -8,
-7 OR R03_NUMLIFE_GFILTR = 1) AND
(R04_YG1112FC = 1, 2, 3, 4, OR 5)) OR
((R04_YU1005 > 2 OR R04_YU1005 = -8, -7
OR R03_NUMLIFE_SNUS = 1) AND
(R04_YU1112 = 1, 2, 3, 4, OR 5)) OR
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Wave 4 (version 4.0)
Variable Name
Variable Description
User Group Definition
((R04_YS1005 > 2 OR R04_YS1005 = -8, -7 OR
R03_NUMLIFE_SMKLS = 1) AND
(R04_YS1112 = 1, 2, 3, 4, OR 5)), THEN
R04_PASTYEAR_TOB_USE_LEVEL = 2.
Past Year Users - Tobacco
R04_PASTYEAR_TOB_USE
PATH – Wave 4
Youth Questionnaire – Extended Interview
(1) Past year tobacco = (Past year users of
tobacco only) Youth respondents who have
used any tobacco product(s) in the past 12
months, but have not used any e-products in the
past 12 months.
(2) Past year e-product = (Past year users of eproducts only) Youth respondents who have
used any e-product in the past 12 months, but
have not used any other tobacco product(s) in
the past 12 months.
(3) Past year both = (Past year users of tobacco
and e-products) Youth respondents who have
used any e-product in the past 12 months and
have used at least one other tobacco product in
the past 12 months.
(4) Past year non-user = (Past year non-users of
any tobacco or e-product) Youth respondents
who have not used any e-product in the past 12
months and have not used any other tobacco
product in the past 12 months.
326
IF [R04_YV1112 != 1, 2, 3, 4, 5] AND
[(R04_YC1112 = 1, 2, 3, 4, 5) OR
(R04_YG1112TC = 1, 2, 3, 4, 5) OR
(R04_YG1112CL = 1, 2, 3, 4, 5) OR
(R04_YG1112FC = 1, 2, 3, 4, 5) OR
(R04_YP1112 = 1, 2, 3, 4, 5) OR (R04_YH1112
= 1, 2, 3, 4, 5) OR (R04_YU1112 = 1, 2, 3, 4, 5)
OR (R04_YS1112 = 1, 2, 3, 4, 5) OR
R04_YB9102_12M_01 = 1 OR
R04_YB9102_12M_02 = 1 OR
R04_YD1002_12M = 1], THEN
R04_PASTYEAR_TOB_USE = 1.
ELSE, IF [R04_YV1112 = 1, 2, 3, 4, 5] AND
[(R04_YC1112 != 1, 2, 3, 4, 5) AND
(R04_YG1112TC != 1, 2, 3, 4, 5) AND
(R04_YG1112CL != 1, 2, 3, 4, 5) AND
(R04_YG1112FC != 1, 2, 3, 4, 5) AND
(R04_YP1112 != 1, 2, 3, 4, 5) AND
(R04_YH1112 != 1, 2, 3, 4, 5) AND
(R04_YU1112 != 1, 2, 3, 4, 5) AND
(R04_YS1112 != 1, 2, 3, 4, 5) AND
R04_YB9102_12M_01 != 1 AND
R04_YB9102_12M_02 != 1 AND
R04_YD1002_12M != 1], THEN
R04_PASTYEAR_TOB_USE = 2.
ELSE, IF [R04_YV1112 = 1, 2, 3, 4, 5] AND
[(R04_YC1112=1, 2, 3, 4, 5) OR
(R04_YG1112TC = 1, 2, 3, 4, 5) OR
(R04_YG1112CL = 1, 2, 3, 4, 5) OR
(R04_YG1112FC = 1, 2, 3, 4, 5) OR
(R04_YP1112 = 1, 2, 3, 4, 5) OR (R04_YH1112
= 1, 2, 3, 4, 5) OR (R04_YU1112 = 1, 2, 3, 4, 5)
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
User Group Definition
OR (R04_YS1112 = 1, 2, 3, 4, 5) OR
R04_YB9102_12M_01 = 1 OR
R04_YB9102_12M_02 = 1 OR
R04_YD1002_12M = 1], THEN
R04_PASTYEAR_TOB_USE = 3.
ELSE, IF [R04_YV1112 != 1, 2, 3, 4, 5] AND
[(R04_YC1112 != 1, 2, 3, 4, 5) AND
(R04_YG1112TC != 1, 2, 3, 4, 5) AND
(R04_YG1112CL != 1, 2, 3, 4, 5) AND
(R04_YG1112FC != 1, 2, 3, 4, 5) AND
(R04_YP1112 != 1, 2, 3, 4, 5) AND
(R04_YH1112 != 1, 2, 3, 4, 5) AND
(R04_YU1112 != 1, 2, 3, 4, 5) AND
(R04_YS1112 != 1, 2, 3, 4, 5) AND
R04_YB9102_12M_01 != 1 AND
R04_YB9102_12M_02 != 1 AND
R04_YD1002_12M != 1], THEN
R04_PASTYEAR_TOB_USE = 4.
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APPENDIX: DERIVED VARIABLES
Variable Name
Variable Description
Variable Definition
R04_YOUTHAGE
Youth respondent age.
IF R04_E_YOUTH = 1, THEN R04_YOUTHAGE
= R04_CURRENT_AGE_LD.
ELSE, R04_YOUTHAGE = R04_PARYTHAGE.
R04_EPRODCOUNT
The number of different electronic nicotine
products used.
R04_EPRODCOUNT = 0;
IF R04_YV9035_01 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_02 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_03 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_04 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_05 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1.
DERIVED VARIABLES
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Variable Name
Variable Description
Variable Definition
R04_EDEVICETYPE
Electronic nicotine product device type.
IF R04_YV9005 = 2, -8 OR -7 AND
R04_YV9008 = 2, -8 OR -7 AND R04_YV9038 =
2, 3, -8 OR -7 AND R04_YV9009 = 2, -8 OR -7,
THEN R04_EDEVICETYPE = 1 (Disposable).
ELSE, IF R04_YV9005 = 1 AND R04_YV9008 =
1 AND R04_YV9038 = 2, 3, -8 OR -7 AND
R04_YV9009 = 2, -8 OR -7, THEN
R04_EDEVICETYPE = 2 (Non-Refillable
Cartridge).
ELSE, IF R04_YV9005 = 1 AND R04_YV9008 =
1 AND R04_YV9038 != 1 AND R04_YV9009 =
1, THEN R04_EDEVICETYPE = 3 (Refillable
Cartridge).
ELSE, IF R04_YV9005 = 1 AND R04_YV9038 =
1 AND R04_YV9009 = 1, THEN
R04_EDEVICETYPE = 4 (Refillable Tank
System).
ELSE, IF R04_YV9005 = 1, 2, -8 OR -7 AND
R04_YV9008 = 2, -8 OR -7 AND R04_YV9038 =
2, 3, -8 OR -7 AND R04_YV9009 = 1, THEN
R04_EDEVICETYPE = 5 (Refillable Mod
System).
ELSE, R04_EDEVICETYPE = 6 (Unknown).
CIGARFILL
Fill to be shown in question text to indicate the
cigar type.
Fill with "traditional cigar" for traditional
cigar/blunt smokers
Fill with "cigarillo" for cigarillo/blunt smokers
Fill with "filtered cigar" for filtered cigar/blunt
smokers
IF R04_EVER_NEVER_GTRAD = 1 OR
R04_12MBLUNT_ONLY_GTRAD = 1, THEN
CIGARFILL = "traditional cigar".
IF R04_EVER_NEVER_GRILLO = 1 OR
R04_12MBLUNT_ONLY_GRILLO = 1, THEN
CIGARFILL = "cigarillo".
IF R04_EVER_NEVER_GFILTR = 1 OR
R04_12MBLUNT_ONLY_GFILTR = 1, THEN
CIGARFILL = "filtered cigar".
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Wave 4 (version 4.0)
Variable Name
Variable Description
Variable Definition
CIGARLOOP
Cigars as Non-Blunts:
GTRAD = Youth respondents who have ever
smoked traditional cigars and have not smoked
traditional cigars as blunts every time when
smoked in the past 12 months.
GRILLO = Youth respondents who have ever
smoked cigarillos and have not smoked
cigarillos as blunts every time when smoked in
the past 12 months.
GFILTR = Youth respondents who have ever
smoked filtered cigars and have not smoked
filtered cigars as blunts every time when smoked
in the past 12 months.
Cigars as Non-Blunts:
GTRAD: IF R04_EVER_NEVER_GTRAD = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2,
THEN LOOP = GTRAD.
GRILLO: IF R04_EVER_NEVER_GRILLO = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2,
THEN LOOP = GRILLO.
GFILTR: IF R04_EVER_NEVER_GFILTR = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2,
THEN LOOP = GFILTR.
Cigars as Blunts-Only:
BTRAD = Youth respondents who smoke
traditional cigars as blunts every time when
smoked in the past 12 months.
BRILLO = Youth respondents who smoke
cigarillos as blunts every time when smoked in
the past 12 months.
BFILTR = Youth respondents who smoke filtered
cigars as blunts every time when smoked in the
past 12 months.
R04_YOUTH_ASTHMA
PATH – Wave 4
Youth Questionnaire – Extended Interview
(1) Asthma = Youth respondent has ever had
asthma.
(2) No asthma = Youth respondent has never
had asthma.
330
Cigars as Blunts-Only:
BTRAD: IF R04_12MBLUNT_ONLY_BTRAD =
1, THEN LOOP = BTRAD.
BRILLO: IF R04_12MBLUNT_ONLY_BRILLO =
1, THEN LOOP = BRILLO.
BFILTR: IF R04_12MBLUNT_ONLY_BFILTR =
1, THEN LOOP = BFILTR.
IF R03_ASTHMA = 1 OR R04_YT0031_NB = 1
OR R04_YT0031_12M = 1, THEN
R04_YOUTH_ASTHMA = 1.
ELSE, R04_YOUTH_ASTHMA = 2.
PATH
Youth Questionnaire - Extended Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
Variable Definition
R04_SUBSTANCE_COUNT
Number of substances the youth respondent has
ever used.
R04_SUBSTANCE_COUNT = 0;
IF R04_EVER_USER_ALC = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_MJ = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_RIT = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_PK = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_COC = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_STIM = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_OTH = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
R04_EVER_USER_ALC
Youth respondent has ever used alcohol.
IF R03_EVER_USER_ALCOHOL = 1 OR
R04_YX0084_NB = 1 OR R04_YX0084_12M =
1, THEN R04_EVER_USER_ALC = 1. ELSE
R04_EVER_USER_ALC = 2.
R04_EVER_USER_MJ
Youth respondent has ever used marijuana.
IF R03_EVER_USER_MARIJUANA = 1 OR
R04_YX0085_NB =1 OR R04_YG9105_NB = 1
OR R04_YH9031 = 1 OR R04_YV9042 = 1 OR
R04_YX0085_12M = 1 OR R04_YG9107 = 1,
THEN R04_EVER_USER_MJ = 1. ELSE,
R04_EVER_USER_MJ = 2.
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Variable Name
Variable Description
Variable Definition
R04_EVER_USER_RIT
Youth respondent has ever used Ritalin® or
Adderall®.
IF R03_EVER_USER_RITALIN = 1 OR
R04_YX0089_NB_01= 1 OR
R04_YX0089_12M_01 = 1, THEN
R04_EVER_USER_RIT = 1. ELSE
R04_EVER_USER_RIT = 2.
R04_EVER_USER_PK
Youth respondent has ever used painkillers,
sedatives, or tranquilizers.
IF R03_EVER_USER_PAINKILLERS = 1 OR
R04_YX0089_NB_02 = 1 OR
R04_YX0089_12M_02 = 1 , THEN
R04_EVER_USER_PK = 1. ELSE
R04_EVER_USER_PK = 2.
R04_EVER_USER_COC
Youth respondent has ever used cocaine or
crack.
IF R03_EVER_USER_COCAINE = 1 OR
R04_YX0220_NB_01 = 1 OR
R04_YX0220_12M_01 = 1, THEN
R04_EVER_USER_COC = 1. ELSE,
R04_EVER_USER_COC = 2.
R04_EVER_USER_STIM
Youth respondent has ever used stimulants like
methamphetamine or speed.
IF R03_EVER_USER_STIMULANTS = 1 OR
R04_YX0220_NB_02 = 1 OR
R04_YX0220_12M_02 = 1, THEN
R04_EVER_USER_STIM = 1. ELSE,
R04_EVER_USER_STIM = 2.
R04_EVER_USER_OTH
Youth respondent has ever used other drugs like
heroin, inhalants, solvents, or hallucinogens.
IF R03_EVER_USER_OTHERDRUG = 1 OR
R04_YX0220_NB_03 = 1 OR
R04_YX0220_12M_03 = 1, THEN
R04_EVER_USER_OTH = 1. ELSE,
R04_EVER_USER_OTH = 2.
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Youth Questionnaire (Spanish) – Extended Interview
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
Table of Contents
INTRODUCTORY DEMOGRAPHICS ................................................................................. 1
CIGARETTE ........................................................................................................................ 6
ELECTRONIC NICOTINE PRODUCTS ............................................................................ 25
CIGAR ............................................................................................................................... 58
PIPE ............................................................................................................................... 106
HOOKAH ......................................................................................................................... 113
SNUS ............................................................................................................................... 135
SMOKELESS TOBACCO................................................................................................ 155
DISSOLVABLE TOBACCO ............................................................................................. 175
BIDIS AND KRETEKS ..................................................................................................... 177
OTHER TOBACCO ......................................................................................................... 179
NEW PRODUCT - PLACEHOLDER ............................................................................... 180
FIRST TOBACCO PRODUCT......................................................................................... 182
NICOTINE DEPENDENCE AND CESSATION / QUITTER ............................................ 184
PACKAGING AND HEALTH WARNINGS ...................................................................... 201
RISK PERCEPTIONS AND ATTITUDES........................................................................ 214
MEDIA USE .................................................................................................................... 235
SECONDHAND SMOKE EXPOSURE ............................................................................ 239
HEALTH .......................................................................................................................... 241
MARKETING, ADVERTISING AND PROMOTION ......................................................... 260
SOCIAL NORMS, PEER AND FAMILY INFLUENCES .................................................. 266
ACCESSIBILITY .............................................................................................................. 274
PSYCHOSOCIAL ............................................................................................................ 276
SUBSTANCE USE .......................................................................................................... 281
ADDITIONAL DEMOGRAPHICS .................................................................................... 291
CONTACT INFORMATION – EMANCIPATED YOUTH ................................................. 298
APPENDIX: USER GROUPS .......................................................................................... 310
APPENDIX: DERIVED VARIABLES ............................................................................... 328
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
SECTION
# OF QUESTIONS
Introductory Demographics
7
Cigarettes
Electronic Nicotine Products
Cigar
Pipe
Hookah
Snus
42
70
84
13
54
46
Smokeless Tobacco
Dissolvable Tobacco
Bidis and Kreteks
Other Tobacco
New Product - Placeholder
First Tobacco Product
45
2
2
1
5
1
Nicotine Dependence and Cessation/Quitter
Packaging and Health Warnings
Risk Perceptions and Attitudes
Media Use
Secondhand Smoke Exposure
Health
39
31
56
7
2
46
Marketing, Advertising and Promotion
Social Norms, Peer and Family Influences
Accessibility
Psychosocial
Substance Use
Additional Demographics
11
21
5
12
18
13
Contact Information – Emancipated Youth
26
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
Número de control de la OMB: 0925-0664
Fecha de vencimiento: XX/XX/XXXX
Se calcula que el tiempo para esta recolección de información es de 35 minutos por cuestionario,
incluyendo el tiempo necesario para revisar las instrucciones, buscar fuentes de datos existentes, reunir
y mantener los datos necesarios y completar y revisar la recolección de información. Ninguna agencia
puede realizar ni patrocinar una recolección de información, y ninguna persona está obligada a
responder a dicha recolección de información, a menos que esta muestre un número de control vigente
de la OMB. Envíe sus comentarios respecto a este cálculo de tiempo o a otro aspecto de esta
recolección de información, incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH,
Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA
(0925-0664). No devuelva el cuestionario contestado a esta dirección.
PATH – Wave 4
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
INTRODUCTORY DEMOGRAPHICS
BOX ID:
R04_YMV01
PROGRAM: LOAD THE FOLLOWING DERIVED VARIABLES FROM PRELOAD FILE.
R03_EVER_NEVER_CIGS - Wave 3 ever or never user of cigarettes
R03_EVER_NEVER_EPRODS - Wave 3 ever or never user of e-products
R03_EVER_NEVER_GTRAD - Wave 3 ever or never user of traditional cigars
R03_EVER_NEVER_GRILLO - Wave 3 ever or never user of cigarillos
R03_EVER_NEVER_GFILTR - Wave 3 ever or never user of filtered cigars
R03_EVER_NEVER_BTRAD - Wave 3 ever or never user of traditional cigars as blunts
R03_EVER_NEVER_BRILLO - Wave 3 ever or never user of cigarillos as blunts
R03_EVER_NEVER_BFILTR - Wave 3 ever or never user of filtered cigars as blunts
R03_EVER_NEVER_PIPE - Wave 3 ever or never user of pipes
R03_EVER_NEVER_HOOK - Wave 3 ever or never user of hookah
R03_EVER_NEVER_SNUS - Wave 3 ever or never user of snus
R03_EVER_NEVER_SMKLS - Wave 3 ever or never user of smokeless tobacco
R03_EVER_NEVER_DISSBL - Wave 3 ever or never user of dissolvable tobacco
R03_EVER_NEVER_BIDI - Wave 3 ever or never user of bidis
R03_EVER_NEVER_KRETEK - Wave 3 ever or never user of kreteks
R03_NUMLIFE_CIGS - The respondent reported smoking 100+ cigarettes in their lifetime at any
previous wave.
R03_NUMLIFE_ECIG - The respondent reported using e-cigarettes 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_GTRAD - The respondent reported smoking 100+ traditional cigars in their lifetime at
any previous wave.
R03_NUMLIFE_GRILLO - The respondent reported smoking 100+ cigarillos in their lifetime at any
previous wave.
R03_NUMLIFE_GFILTR - The respondent reported smoking 100+ filtered cigars in their lifetime at any
previous wave.
R03_NUMLIFE_PIPE - The respondent reported smoking a pipe 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_HOOK - The respondent reported smoking hookah 100+ times in their lifetime at any
previous wave.
R03_NUMLIFE_SNUS - The respondent reported using 100+ snus pouches in their lifetime at any
previous wave.
R03_NUMLIFE_SMKLS - The respondent reported using smokeless tobacco 100+ times in their
lifetime at any previous wave.
R03_REGUSE_CIGS - The respondent reported smoking cigarettes fairly regularly at any previous
wave.
R03_REGUSE_ECIG - The respondent reported using e-cigarettes fairly regularly at any previous
wave.
R03_REGUSE_GTRAD - The respondent reported smoking traditional cigars fairly regularly at any
previous wave.
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Youth Questionnaire (Spanish) – Extended Interview
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
R03_REGUSE_GRILLO - The respondent reported smoking cigarillos fairly regularly at any previous
wave.
R03_REGUSE_GFILTR - The respondent reported smoking filtered cigars fairly regularly at any
previous wave.
R03_REGUSE_PIPE - The respondent reported smoking a pipe fairly regularly at any previous wave.
R03_REGUSE_HOOK - The respondent reported smoking hookah fairly regularly at any previous wave.
R03_REGUSE_SNUS - The respondent reported using snus fairly regularly at any previous wave.
R03_REGUSE_SMKLS - The respondent reported using smokeless tobacco fairly regularly at any
previous wave.
R03_GENDER - Respondent reported gender
R03_ASTHMA - Respondent reported being diagnosed with asthma in any previous wave.
R03_EVER_USER_ALCOHOL - Respondent reported ever using alcohol in any previous wave.
R03_EVER_USER_MARIJUANA - Respondent reported ever using marijuana in any previous wave.
R03_EVER_USER_RITALIN - Respondent reported ever using ritalin in any previous wave.
R03_EVER_USER_PAINKILLERS - Respondent reported ever using painkillers in any previous wave.
R03_EVER_USER_COCAINE - Respondent reported ever using cocaine in any previous wave.
R03_EVER_USER_STIMULANTS - Respondent reported ever using stimulants in any previous wave.
R03_USCITIZEN – Respondent reported US citizenship in any previous wave.
R04_LINKED_ADDRESS - Emancipated youth respondents' best address from IMS.
R04_VTBESTSPPHONE - Emancipated youth respondents' best phone number from IMS.
R04_PHONE2 - Emancipated youth respondents' second phone number from IMS.
R04_E_YOUTH - Youth respondents that are emancipated.
BOX ID:
R04_YMV02
PROGRAM: DERIVE THE FOLLOWING VARIABLE (SEE APPENDIX).
R04_YOUTHAGE = Age verified by parent or age derived from emancipated youth's birthdate.
BOX ID:
R04_YMD04
Note - In the following specifications, "!=" represents "not equal to".
Note - References to the various respondent types are as follows:
"New baseline youth respondents" = Youth respondents where this is their first interview in the Youth
cohort and in the PATH Study. Includes youth who have aged-up into the Youth cohort and youth who
are new to the PATH Study as part of the replenishment sample.
"Continuing youth respondents" = Youth respondents whose last completed interview in a previous
wave was in the Youth cohort, and they continue to be in the Youth cohort. This is not their first
interview in the Youth cohort or the PATH Study.
"Emancipated youth respondents" = Youth respondents who are emancipated.
"All youth respondents" = All youth respondents in the Youth cohort.
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Youth Questionnaire (Spanish) – Extended Interview
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Wave 4 (version 4.0)
BOX ID:
R04_YMR03
New baseline youth respondents, go to R04_YM0004_NB.
Else, continuing youth respondents who did not report US citizenship in a previous wave, go to
R04_YM0069.
Else, go to R04_YM0065.
PATH ID:
R04_YM0069
¿Es usted ciudadano estadounidense?
1
Sí. Nació en Estados Unidos
2
Sí. Nació en Puerto Rico, Guam, las Islas Vírgenes de los Estados Unidos o las Islas Marianas
del Norte
3
Sí. Nació en el extranjero de padres ciudadanos estadounidenses
4
Sí. Es ciudadano estadounidense por naturalización
5
No. No es ciudadano estadounidense
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents and continuing youth respondents who did not report US
citizenship in a previous wave.
PATH ID:
R04_YM0065
Aproximadamente, ¿cuántos años lleva viviendo en Estados Unidos? (Si lleva menos de un año
viviendo en Estados Unidos, anote 1).
1
He vivido en Estados Unidos toda mi vida
2
I___I___I___I AÑOS
GO TO BOX R04_YMD03
-8
DON'T KNOW
GO TO BOX R04_YMD03
-7
REFUSED
GO TO BOX R04_YMD03
ASK: All youth respondents.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD, WITH BUTTON “He vivido en Estados Unidos
toda mi vida” ON RIGHT.
DISPLAY "AÑOS" AS A TITLE.
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0065_LC1
La computadora registró que usted lleva viviendo en Estados Unidos [R04_YM0065] años. Son más
años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YM0065
2
NEXT
GO TO BOX R04_YMD03
ASK: IF R04_YM0065 > R04_YOUTHAGE
BOX ID:
R04_YMD03
Display questions R04_YM0066 through R04_YM0073 using the expanded WVB stem-leaf screen. The
introduction text from R04_YM0066 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YM0066
¿Qué tan bien...
habla usted inglés?
1
Muy bien
2
Bien
3
No muy bien
4
Nada en absoluto
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YM0070
lee usted en inglés?
1
Muy bien
2
Bien
3
No muy bien
4
Nada en absoluto
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0073
escribe usted en inglés?
1
Muy bien
2
Bien
3
No muy bien
4
Nada en absoluto
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YM0071
¿Habla en su casa un idioma diferente al inglés?
1
Sí
2
No
GO TO BOX R04_YCT01
-8
DON'T KNOW
GO TO BOX R04_YCT01
-7
REFUSED
GO TO BOX R04_YCT01
ASK: All youth respondents.
PATH ID:
R04_YM0072
¿Qué otros idiomas habla en casa? Escoja todas las opciones que correspondan.
1
Español
2
Chino
3
Tagalo
4
Vietnamita
5
Francés
6
Coreano
7
Alemán
8
Árabe
9
Ruso
10
Otro idioma (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who speak another language at home.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
CIGARETTE
BOX ID:
R04_YCT01
Las siguientes preguntas son acerca de su experiencia con cigarrillos.
BOX ID:
R04_YCR02
New baseline youth respondents, go to R04_YC1002_NB.
Continuing youth respondents, go to R04_YC1002_12M.
PATH ID:
R04_YC1002_12M
En los últimos 12 meses, ¿ha fumado un cigarrillo, incluso si solo fueron una o dos probaditas?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
BOX ID:
R04_YCV02
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_CIGS_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
cigarette.
R04_EVER_NEVER_CIGS_YOUTH = 2 (Never user) Youth respondents who have not ever smoked a
cigarette.
R04_INIT_CIGS_YOUTH = 1 (Initiator) Youth respondents who initiated cigarette use between Waves
or new baseline youth respondents who have ever smoked a cigarette.
BOX ID:
R04_YCR01
Youth respondents who have never smoked a cigarette, go to R04_YC1103.
Else, new baseline youth respondents who have ever smoked a cigarette, go to R04_YC1006_NB.
Else, continuing youth respondents who initiated cigarette smoking since the previous wave, go to
R04_YC1108.
Else, continuing youth respondents who had smoked 100 or more cigarettes in the previous wave, go to
Box R04_YCR21.
Else, go to R04_YC1005.
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1103
Alguna vez, ¿ha sentido curiosidad por fumar un cigarrillo?
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1206
¿Cree que fumará un cigarrillo el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1104
¿Cree que probará un cigarrillo pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette.
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1105
¿Si uno de sus mejores amigos le ofreciera un cigarrillo, lo fumaría?
1
Definitivamente sí
GO TO BOX R04_YVT01
2
Probablemente sí
GO TO BOX R04_YVT01
3
Probablemente no
GO TO BOX R04_YVT01
4
Definitivamente no
GO TO BOX R04_YVT01
-8
DON'T KNOW
GO TO BOX R04_YVT01
-7
REFUSED
GO TO BOX R04_YVT01
ASK: Youth respondents who have never smoked a cigarette.
PATH ID:
R04_YC1108
El primer cigarrillo que fumó, ¿tenía sabor a mentol o menta?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC9104
¿Qué tantas sensaciones agradables sintió la primera vez que fumó un cigarrillo?
1
Nada
2
Muy pocas
3
Algo
4
Muchas
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
DISPLAY: UNDERLINE "agradables".
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9105
¿Qué tantas sensaciones desagradables sintió la primera vez que fumó un cigarrillo?
1
Nada
2
Muy pocas
3
Algo
4
Muchas
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
DISPLAY: UNDERLINE "desagradables".
PATH ID:
R04_YC9106
¿Qué tantas náuseas tuvo la primera vez que fumó un cigarrillo?
1
Nada
2
Muy pocas
3
Algo
4
Muchas
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated cigarette use since the previous wave, and new
baseline youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC1005
¿Cuántos cigarrillos ha fumado en toda su vida? Una cajetilla normalmente contiene 20 cigarrillos.
1
Una o más probaditas, pero nunca un cigarrillo completo
2
Un cigarrillo
3
2 a 10 cigarrillos (aproximadamente media cajetilla en total)
4
11 a 20 cigarrillos (aproximadamente de media a una cajetilla)
5
21 a 50 cigarrillos (más de una pero menos de 3 cajetillas)
6
51 a 99 cigarrillos (más de 2 cajetillas y media pero menos de 5 cajetillas)
7
100 o más cigarrillos (5 cajetillas o más)
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever smoked a cigarette and had not
smoked 100 or more cigarettes in the previous wave, and new cohort youth respondents who have ever
smoked a cigarette.
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YCR21
Youth respondents who have ever smoked a cigarette and had never smoked cigarettes fairly regularly
in the previous wave, go to R04_YC1100.
Else, go to R04_YC9022.
PATH ID:
R04_YC1100
Alguna vez, ¿ha fumado cigarrillos de manera habitual?
1
Sí
2
No
GO TO R04_YC9022
-8
DON'T KNOW
GO TO R04_YC9022
-7
REFUSED
GO TO R04_YC9022
ASK: Youth respondents who have ever smoked a cigarette and had never smoked fairly regularly in
the previous wave.
PATH ID:
R04_YC1007
¿Qué edad tenía la primera vez que comenzó a fumar cigarrillos habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YC1121
-7
REFUSED
GO TO R04_YC1121
ASK: Youth respondents who have ever smoked cigarettes fairly regularly and did not smoke fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YC1007_LC1
La computadora registró que usted comenzó a fumar cigarrillos de manera habitual a la edad de
[R04_YC1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1007
2
NEXT
GO TO R04_YC9022
ASK: IF R04_YC1007 <= 5 OR R04_YC1007 < R04_YC1006_NB.
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1007_LC2
La computadora registró que usted comenzó a fumar cigarrillos de manera habitual a la edad de
[R04_YC1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1007
2
NEXT
GO TO R04_YC9022
ASK: IF R04_YC1007 > R04_YOUTHAGE.
PATH ID:
R04_YC1121
La primera vez que comenzó a fumar cigarrillos habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked cigarettes fairly regularly and did not smoke fairly
regularly in a previous wave and who did not know or refused to report the age they started smoking.
PATH ID:
R04_YC9022
¿Se considera usted fumador?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette.
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Youth Questionnaire (Spanish) – Extended Interview
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1112
¿Cuándo fue la última vez que fumó un cigarrillo, incluso si solo fueron una o dos probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YCV01
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YCV01
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YCV01
6
Hace 1 a 4 años
GO TO BOX R04_YCV01
7
Hace 5 años o más
GO TO BOX R04_YCV01
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who have ever smoked a cigarette.
PATH ID:
R04_YC0100
¿Cuándo fue la última vez que fumó un cigarrillo?
1
Hace menos de una hora
GO TO R04_YC0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YCV01
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who smoked a cigarette in the past 7 days.
PATH ID:
R04_YC0102
La última vez que fumó un cigarrillo [FILL BASED ON R04_YC0100], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigarette today, yesterday or the day before yesterday,
but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YC0100]: IF R04_YC0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YC0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YC0100 = 4, DISPLAY "hace dos días".
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC0103
¿Cuántos cigarrillos [ha fumado/fumó] [FILL BASED ON R04_YC0100]? Una cajetilla normalmente
contiene 20 cigarrillos.
1
I__I__I Cantidad de cigarrillos
-8
DON'T KNOW
GO TO BOX R04_YCV01
-7
REFUSED
GO TO BOX R04_YCV01
ASK: Youth respondents who have smoked a cigarette in the past hour, sometime today, yesterday or
the day before yesterday.
DISPLAY: DISPLAY "Cantidad de cigarrillos" AS A TITLE.
IF R04_YC0100 = 1, 2, DISPLAY "ha fumado".
IF R04_YC0100 = 3, 4, DISPLAY, "fumó".
FOR [FILL BASED ON R04_YC0100]:
IF R04_YC0100 = 1, 2, DISPLAY "hoy".
IF R04_YC0100 = 3, DISPLAY "ayer".
IF R04_YC0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YC0103_LC1
La computadora registró que usted fumó [R04_YC0103] cigarrillos [hoy/ayer/hace dos días]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC0103
2
NEXT
GO TO BOX R04_YCV01
ASK: IF R04_YC0103 > 60 OR R04_YC0103 = 11, 22, 33, 44, 55.
DISPLAY: IF R04_YC0100 = 1, 2, DISPLAY "hoy".
IF R04_YC0100 = 3, DISPLAY "ayer".
IF R04_YC0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YCV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_CIGS = 1 (Past 30 day cigarette smoker) Youth respondents who have smoked a
cigarette in the past 30 days.
R04_PAST30DAY_CIGS_LEVEL = 1 (Past 30 day "Very Light" cigarette smokers) Youth
respondents who have smoked a cigarette in the past 30 days, and have smoked 10 or less cigarettes
in their lifetime.
R04_PAST30DAY_CIGS_LEVEL = 2 (Past 30 day "Not Light" cigarette smokers) Youth
respondents who have smoked a cigarette in the past 30 days, and have smoked more than 10
cigarettes in their lifetime.
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Youth Questionnaire (Spanish) – Extended Interview
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YCR22
Past 30 day cigarette smokers, go to R04_YC1022.
Else, go to R04_YVT01.
PATH ID:
R04_YC1022
¿En cuántos de los últimos 30 días fumó usted cigarrillos?
1
I__I__I DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
DISPLAY: DISPLAY "DÍAS" AS A TITLE.
PATH ID:
R04_YC1023
En los últimos 30 días, en los días en que fumó, ¿cuántos cigarrillos fumó cada día? Una cajetilla
normalmente contiene 20 cigarrillos.
1
Menos de un cigarrillo cada día
2
Un cigarrillo cada día
3
2 a 5 cigarrillos cada día
4
6 a 10 cigarrillos cada día
5
11 a 20 cigarrillos cada día
6
Más de 20 cigarrillos cada día
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
PATH ID:
R04_YC9048
En los últimos 30 días, ¿fumó cigarrillos que ya vienen listos para fumar o fumó cigarrillos que uno
mismo arma?
1
Cigarrillos que ya vienen listos para fumar
2
Cigarrillos que uno mismo arma
3
Tanto cigarrillos que ya vienen listos para fumar como cigarrillos
que uno mismo arma
4
No sé
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YCR20
ASK: Past 30 day cigarette smokers.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1130
En los últimos 30 días, ¿tenían algunos de los cigarrillos que fumó sabor a mentol o menta?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day manufactured cigarette smokers.
BOX ID:
R04_YCR20
Youth respondents who have smoked roll-your-own cigarettes in the past 30 days, go to R04_YC9045.
Else, go to R04_YC1142.
PATH ID:
R04_YC9045
En los últimos 30 días, ¿tenía sabor a mentol o menta el tabaco para armar sus propios cigarrillos que
usted fumó?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day roll-your-own cigarette smokers.
PATH ID:
R04_YC1142
En los últimos 30 días, ¿alguien le vendió cigarrillos?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
15
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1123
En los últimos 30 días, ¿le negó alguien la venta de cigarrillos debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
PATH ID:
R04_YC1118
En los últimos 30 días, ¿cómo obtuvo sus cigarrillos normalmente?
1
Le di dinero a otra persona para que me los compre
2
Yo mismo los compré en una tienda
3
Se los pedí a una persona
4
Alguien me lo ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YCR03
Past 30 day cigarette smokers who usually buy cigarettes for themselves or give someone else money
to buy cigarettes for them, go to R04_YC1030.
Else, go to Box R04_YCR23.
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Youth Questionnaire (Spanish) – Extended Interview
16
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente sus
cigarrillos?
1
En persona
2
En Internet
GO TO R04_YC1039
3
Por teléfono
GO TO R04_YC1039
-8
DON'T KNOW
GO TO R04_YC1039
-7
REFUSED
GO TO R04_YC1039
ASK: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them.
DISPLAY: IF R04_YC1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona".
IF R04_YC1118 = 2, DISPLAY "¿Cómo compra usted".
PATH ID:
R04_YC1032
Normalmente, ¿[compra/le compran] cigarrillos...?
1
En su propio estado
2
En otro estado
3
Fuera de Estados Unidos
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them in person.
DISPLAY: IF R04_YC1118 = 1, DISPLAY "le compran"; IF R04_YC1118 = 2, DISPLAY "compra".
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
17
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1033
¿Dónde [compra/le compran] sus cigarrillos la mayoría del tiempo?
1
Una tienda de conveniencia o estación de gasolina
2
Un supermercado, tienda de comestibles o farmacia
3
Una tienda mayorista como Sam's o Costco
4
Una tienda especializada o un almacén de tabaco o una tabaquería
5
Una tienda libre de impuestos o un economato militar
6
Un bar, restaurante, casino o una taberna
7
Un amigo o familiar
8
Un mercadillo o mercado de pulgas
9
Una tienda en una reserva indígena
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers (including "very light" smokers) who buy cigarettes for themselves
or someone else buys for them in person.
DISPLAY: IF R04_YC1118 = 1, DISPLAY "le compran"; IF R04_YC1118 = 2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YCR24
Past 30 day "not-light" cigarette smokers who usually buy cigarettes for themselves or give someone
else money to buy cigarettes for them, go to R04_YC1039.
Else, go to Box R04_YCR23.
PATH ID:
R04_YC1039
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] cigarrillos. ¿Los
compró en cartón, cajetilla o sueltos?
1
Cartón
2
Cajetilla
3
Sueltos
-8
DON'T KNOW
GO TO BOX R04_YCR23
-7
REFUSED
GO TO BOX R04_YCR23
ASK: Past 30 day "not-light" cigarette smokers who buy cigarettes for themselves or someone else buys
for them.
DISPLAY: IF R04_YC1118 = 2, DISPLAY "compró". IF R04_YC1118 = 1, DISPLAY "le dio dinero a
alguien para que le compre".
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
18
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1034
¿Cuánto pagó por [un cartón de cigarrillos/una cajetilla de cigarrillos/un cigarrillo suelto]?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YCR23
-7
REFUSED
GO TO BOX R04_YCR23
ASK: Past 30 day "not-light" cigarette smokers who buy cigarettes for themselves or someone else buys
for them by the carton, pack or as singles.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YC1039 = 1, DISPLAY "un cartón de cigarrillos"; IF R04_YC1039 = 2, DISPLAY una cajetilla de
cigarrillos"; IF R04_YC1039 = 3, DISPLAY "un cigarrillo suelto".
PATH ID:
R04_YC1034_LC1
La computadora registró que usted pagó $[R04_YC1034_D].[R04_YC1034_C] por [un cartón de
cigarrillos/una cajetilla de cigarrillos/un cigarrillo suelto]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
2
NEXT
GO TO R04_YC1034
ASK: IF ((R04_YC1034_D > 125 OR R04_YC1034_D < 25) AND R04_YC1039 = 1) OR
((R04_YC1034_D > 15 OR R04_YC1034_D < 4) AND R04_YC1039 = 2) OR ((R04_YC1034_D > 3 OR
(R04_YC1034_D = 0 AND R04_YC1034_C < 50)) AND R04_YC1039 = 3).
DISPLAY: IF R04_YC1039 = 1, DISPLAY "un cartón de cigarrillos".
IF R04_YC1039 = 2, DISPLAY "una cajetilla de cigarrillos".
IF R04_YC1039 = 3, DISPLAY "un cigarrillo suelto".
BOX ID:
R04_YCR23
Past 30 day "not light" cigarette smokers, go to R04_YC1047.
Else, past 30 day cigarette smokers, go to R04_YC1945.
Else, go to Box R04_YVT01.
PATH ID:
R04_YC1047
¿Tiene una marca habitual de cigarrillos que normalmente fuma?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
19
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1945
¿Sabe el nombre de la marca de cigarrillos que [fuma normalmente/fumó la última vez]?
1
Sí
2
No
GO TO BOX R04_YCR07
-8
DON'T KNOW
GO TO BOX R04_YCR07
-7
REFUSED
GO TO BOX R04_YCR07
ASK: Past 30 day cigarette smokers.
DISPLAY: IF R04_YC1047 = 1, DISPLAY "fuma normalmente".
ELSE, DISPLAY "fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YC1048
¿Qué marca de cigarrillos [fuma/fumó] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers who know the brand name.
DISPLAY: IF R04_YC1047 = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó" AND "la última vez".
[If multiple screens] DISPLAY: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] DISPLAY: Si no ve la opción a continuación, toque
la casilla que dice "Otra".
BOX ID:
R04_YCR04
If youth respondent selects brand in R04_YC1048_BRAND, go to R04_YC1070_PRODUCT.
Else, if youth respondent selects “Something else” in R04_YC1048_BRAND, go to R04_YC1049.
Else, go to Box R04_YCR07.
PATH ID:
R04_YC1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YCR07
-8
DON'T KNOW
GO TO BOX R04_YCR07
-7
REFUSED
GO TO BOX R04_YCR07
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
20
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [fuma/fumó]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YC1047 = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó" AND "la última vez".
[If multiple screens] Display: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] Display: Si no ve la opción a continuación, toque la
casilla que dice "Otra".
BOX ID:
R04_YCR05
If youth respondent selects "Something else" in R04_YC1070_PRODUCT, go to R04_YC1071.
Else, go to Box R04_YCR07.
PATH ID:
R04_YC1071
Usted dijo que el tipo de [BRANDFILL]s que usted fuma no está en las opciones. ¿Qué tipo es?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers that know the name of the brand they smoke who selected a brand
image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YCR07
Past 30 day “not-light” cigarette smokers who have a regular brand, go to R04_YC1051.
Else, youth respondents who have smoked a cigarette today, yesterday or the day before yesterday
who know the name of their brand AND selected a valid brand and product for the last cigarette
smoked, go to R04_YC0104.
Else, go to Box R04_YVT01.
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Youth Questionnaire (Spanish) – Extended Interview
21
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1051
Aproximadamente, ¿cuánto tiempo lleva fumando su marca habitual de cigarrillos?
1
I___I___I DÍAS
2
I___I___I MESES
3
I___I___I AÑOS
-8
DON'T KNOW
GO TO R04_YC9019
-7
REFUSED
GO TO R04_YC9019
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
PATH ID:
R04_YC1051_LC1
La computadora registró que usted lleva [R04_YC1051] fumando su marca habitual]. Son más años de
los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1051
2
NEXT
GO TO R04_YC9019
ASK: IF (R04_YC1051_NN > R04_YOUTHAGE) AND R04_YC1051_UN = 3.
PATH ID:
R04_YC1051_LC2
La computadora registró "cero" para la cantidad de tiempo que usted lleva fumando su marca habitual
de cigarrillos.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1051
2
NEXT
GO TO R04_YC9019
ASK: IF R04_YC1051_NN = 0.
PATH ID:
R04_YC9019
¿Cree que la marca de cigarrillos que normalmente fuma podría ser menos dañina, igual de dañina o
más dañina en comparación con otras marcas de cigarrillos?
1
Menos dañina
2
Igual de dañina
3
Más dañina
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
22
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YCD01
PROGRAM: Display questions R04_YC9010 and R04_YC9014 on one screen. Show the intro/transition
text from R04_YC9010 first, then show each item with a Sí/No response. As each item is answered,
show the next one.
PATH ID:
R04_YC9010
Al seleccionar su marca habitual de cigarrillos, ¿basó su decisión en parte en alguno de los siguientes
criterios?
Es más económica.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
PATH ID:
R04_YC9014
El sabor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have a regular brand.
BOX ID:
R04_YCR08
Youth respondents who have smoked a cigarette today, yesterday or the day before yesterday who
know the name of their brand AND selected a valid brand in R04_YC1048_BRAND and valid product in
R04_YC1070_PRODUCT, go to R04_YC0104.
Else, go to Box R04_YVT01.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
23
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC0104
Tengo una pregunta más acerca de [su marca habitual/la última marca] de cigarrillos [ que fumó].
Anteriormente dijo que fumó un cigarrillo [TIME OF LAST USE].
Piense en el último cigarrillo que fumó. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigarette smokers who have smoked a cigarette in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a valid brand
AND valid product.
DISPLAY: UNDERLINE "su marca habitual" AND "la última marca" IN THE QUESTION TEXT.
IF R04_YC1047 = 1, DISPLAY "su marca habitual".
ELSE, DISPLAY "la última marca" AND "que fumó".
IF R04_YC0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una hora".
IF R04_YC0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
IF R04_YC0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
IF R04_YC0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH R04_YC1070_PRODUCT RESPONSE.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
24
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
ELECTRONIC NICOTINE PRODUCTS
BOX ID:
R04_YVT01
Las siguientes preguntas son acerca de productos electrónicos con nicotina, tales como cigarrillos
electrónicos, puros electrónicos, pipas electrónicas, hookahs electrónicas, vaporizadores personales de
fumar y plumas hookah.
Estos productos funcionan con batería y producen vapor o aerosol en vez de humo. Contienen un
líquido con nicotina que a veces se conoce como "líquido electrónico" o "jugo electrónico", aunque la
cantidad de nicotina puede variar y es posible que algunos no contengan nada de nicotina.
Algunos se pueden comprar como productos desechables que se usan una sola vez, mientras que
otros se compran como productos reusables que son recargables. Algunas marcas conocidas son
Vuse, Blu, Logic, MarkTen, NJOY, eGo y iTaste.
[SHOW GENERIC IMAGE OF E-PRODUCTS]
BOX ID:
R04_YVR03
New baseline youth respondents, go to R04_YV1001_NB.
Else, continuing youth respondents, go to R04_YV1002_12M.
PATH ID:
R04_YV1002_12M
En los últimos 12 meses, ¿ha fumado un producto electrónico con nicotina, incluso si solo fueron una o
dos veces? (Los productos electrónicos con nicotina incluyen cigarrillos electrónicos, puros
electrónicos, pipas electrónicas, hookahs electrónicas, vaporizadores personales de fumar y plumas
hookah.)
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Sí
2
No
GO TO BOX R04_YVV02
-8
DON'T KNOW
GO TO BOX R04_YVV02
-7
REFUSED
GO TO BOX R04_YVV02
ASK: Continuing youth respondents.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
25
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVV02
PROGRAM - CREATE THE FOLLOWING USER GROUPS AND DERIVED VARIABLES (SEE
APPENDIX):
R04_EVER_NEVER_EPRODS_YOUTH = 1 (Ever user) Youth respondents who have ever used an
electronic nicotine product.
R04_EVER_NEVER_EPRODS_YOUTH = 2 (Never user) Youth respondents who have not ever used
an electronic nicotine product.
R04_INIT_EPRODS_YOUTH = 1 (Initiator) Youth respondents who initiated electronic nicotine product
use between Waves or new baseline respondents who have ever used an e-product.
R04_EPRODCOUNT= The number of electronic nicotine products used.
BOX ID:
R04_YVR01
New baseline youth respondents who did not say they have heard of e-products, go to Box
R04_YGT01.
Else, continuing youth respondents who have never used e-products, and new baseline youth
respondents who have heard of but never used e-products, go to R04_YV1103.
Else, go to Box R04_YVR02.
PATH ID:
R04_YV1103
Alguna vez, ¿ha sentido curiosidad por fumar un producto electrónico con nicotina? (Los productos
electrónicos con nicotina incluyen cigarrillos electrónicos, puros electrónicos, pipas electrónicas,
hookahs electrónicas, vaporizadores personales de fumar y plumas hookah.)
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have never used e-products, and new baseline youth
respondents who have heard of but never used e-products.
PATH ID:
R04_YV1206
¿Cree que probará un producto electrónico con nicotina el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used e-products.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
26
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1104
¿Cree que probará un producto electrónico con nicotina pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used e-products.
PATH ID:
R04_YV1105
¿Si uno de sus mejores amigos le ofreciera un producto electrónico con nicotina, lo probaría?
1
Definitivamente sí
GO TO R04_YV9041
2
Probablemente sí
GO TO R04_YV9041
3
Probablemente no
GO TO R04_YV9041
4
Definitivamente no
GO TO R04_YV9041
-8
DON'T KNOW
GO TO R04_YV9041
-7
REFUSED
GO TO R04_YV9041
ASK: Youth respondents who have heard of but never used e-products.
BOX ID:
R04_YVR02
New baseline youth respondents who have ever used e-products, go to R04_YV1006_NB.
Else, continuing youth respondents who initiated e-product since the previous wave, go to
R04_YV1011.
Else, continuing youth respondents who had used e-products 100 or more times in the previous wave,
go to Box R04_YVR37.
Else, go to R04_YV1005.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
27
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1011
La primera vez que fumó un producto electrónico con nicotina, ¿qué sabor fumaba? Escoja todas las
opciones que correspondan.
1
Sabor a tabaco
2
Mentol o menta
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Una bebida no alcohólica (como café, gaseosa, bebidas energizantes u otras bebidas)
8
Caramelos u otros sabores dulces
9
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have initiated e-product use since the previous wave, and new
baseline youth respondents who have ever used an e-product.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YV1005
¿Cuántas veces ha fumado un producto electrónico con nicotina en toda su vida?
1
Una vez, incluso si solo fueron unas probaditas
2
2 a 10
3
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever used an e-product and had not used
100 or more times in the previous wave, and new cohort youth respondents who have ever used an eproduct.
BOX ID:
R04_YVR37
Youth respondents who have ever used an e-product and had never used e-products fairly regularly in
the previous wave, go to R04_YV1100.
Else, go to R04_YV1112.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
28
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1100
¿Alguna vez ha fumado productos electrónicos con nicotina habitualmente?
1
Sí
2
No
GO TO R04_YV1112
-8
DON'T KNOW
GO TO R04_YV1112
-7
REFUSED
GO TO R04_YV1112
ASK: Youth respondents who have ever used an e-product and had never used fairly regularly in the
previous wave.
PATH ID:
R04_YV1007
¿Qué edad tenía la primera vez que comenzó a fumar productos electrónicos con nicotina
habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YV1121
-7
REFUSED
GO TO R04_YV1121
ASK: Youth respondents who have ever used e-products fairly regularly and did not use fairly regularly
in the previous wave.
DISPLAY: Display "Años" as a title.
PATH ID:
R04_YV1007_LC1
La computadora registró que usted comenzó a fumar productos electrónicos con nicotina de manera
habitual a la edad de [R04_YV1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1007
2
NEXT
GO TO R04_YV1112
ASK: IF R04_YV1007 <= 5 OR (R04_YV1007 < R04_YV1006_NB).
PATH ID:
R04_YV1007_LC2
La computadora registró que usted comenzó a fumar productos electrónicos con nicotina de manera
habitual a la edad de [R04_YV1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1007
2
NEXT
GO TO R04_YV1112
ASK: IF R04_YV1007 > R04_YOUTHAGE.
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29
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1121
La primera vez que comenzó a fumar productos electrónicos con nicotina habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age they started using e-products
fairly regularly.
PATH ID:
R04_YV1112
¿Cuándo fue la última vez que fumó un producto electrónico con nicotina, incluso si solo fueron una o
dos veces?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YVV01
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YVV01
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YVV01
6
Hace 1 a 4 años
GO TO BOX R04_YVV01
7
Hace 5 años o más
GO TO BOX R04_YVV01
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who have ever used an e-product.
PATH ID:
R04_YV0100
¿Cuándo fue la última vez que fumó un producto electrónico con nicotina?
1
Hace menos de una hora
GO TO R04_YV0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YVV01
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who used e-products in the past 7 days.
PATH – Wave 4
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30
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV0102
La última vez que fumó un producto electrónico con nicotina [FILL BASED ON R04_YV0100], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used an e-product today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YV0100]:
IF R04_YV0100 = 2, DISPLAY "hoy".
IF R04_YV0100 = 3, DISPLAY "ayer".
IF R04_YV0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YV0103
¿Cuántas probaditas le [ha dado/dio] a un producto electrónico con nicotina [FILL BASED ON
R04_YV0100]?
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YVV01
-7
REFUSED
GO TO BOX R04_YVV01
ASK: Youth respondents who have used an e-product in the past hour, sometime today, yesterday or
the day before yesterday.
DISPLAY: IF R04_YV0100 = 1, 2, DISPLAY "ha dado".
IF R04_YV0100 = 3, 4, DISPLAY "dio".
FOR [FILL BASED ON R04_YV0100]:
IF R04_YV0100 = 1, 2, DISPLAY "hoy".
IF R04_YV0100 = 3, DISPLAY "ayer".
IF R04_YV0100 = 4, DISPLAY "hace dos días".
PATH – Wave 4
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31
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV0103_LC1
La computadora registró que usted le dio [R04_YV0103] probaditas a un producto electrónico con
nicotina [hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV0103
2
NEXT
GO TO BOX R04_YVV01
ASK: IF R04_YV0103 > 200 OR R04_YV0103 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV0100 = 1, 2, DISPLAY "hoy".
IF R04_YV0100 = 3, DISPLAY "ayer".
IF R04_YV0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YVV01
PROGRAM - CREATE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_EPRODS = 1 (Past 30 day e-product user) Youth respondents who have used an
electronic nicotine product in the past 30 days.
R04_PAST30DAY_EPRODS_LEVEL = 1 (Past 30 day "Very Light" e-product user) Youth
respondents who have used an electronic nicotine product in the past 30 days, and have used an
electronic nicotine product only once in their lifetime.
R04_PAST30DAY_EPRODS_LEVEL = 2 (Past 30 day "Not Light" e-product user) Youth
respondents who have used an electronic nicotine product in the past 30 days, and have used
electronic nicotine products more than once in their lifetime.
PATH ID:
R04_YV9041
Sin incluirse a usted mismo, ¿tiene alguna de las personas que vive en su hogar un cigarrillo
electrónico u otro producto electrónico con nicotina?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have seen, heard of, or ever used e-product, and continuing
youth respondents.
BOX ID:
R04_YVR54
Continuing youth respondents that have used an e-product in the past 12 months and new baseline
youth respondents that have ever used an e-product, go to R04_YV9035.
Else, go to Box R04_YVR04.
PATH – Wave 4
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9035
¿Cuál de los siguientes productos electrónicos con nicotina ha fumado? Escoja todas las opciones que
correspondan.
[SHOW GENERIC IMAGE OF E-PRODUCTS BY SUBTYPE]
1
Cigarrillo electrónico, incluyendo un vaporizador personal de fumar
2
Puro electrónico
3
Pipa electrónica
4
Hookah electrónica, incluyendo una pluma hookah
5
Otro (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YVR55
If the only device type selected is “Something else” or the respondent did not know or refused to report
which device types they have used, go to Box R04_YVR04.
Else, repeat R04_YV9060 for each device type selected, except "Something else".
When all loops complete, go to Box R04_YVV04.
PATH ID:
R04_YV9060
Fuma más de una clase de [FILL WITH DEVICE TYPE SELECTED IN R04_YV9035]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months and selected a type of e-product.
DISPLAY: FOR R04_YV9060_01, DISPLAY "cigarrillo electrónico".
FOR R04_YV9060_02, DISPLAY "puro electrónico".
FOR R04_YV9060_03, DISPLAY "pipa electrónica".
FOR R04_YV9060_04, DISPLAY "hookah electrónica".
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR59
If there are remaining device types, go back to Box R04_YVR55 and complete loop for all remaining
device types.
Else, if all loops are complete, go to Box R04_YVV04.
BOX ID:
R04_YVV04
PROGRAM - CREATE THE FOLLOWING DERIVED VARIABLE (SEE APPENDIX):
R04_EPRODCOUNT = Number of e-products used.
BOX ID:
R04_YVR56
If the respondent uses more than one type of electronic nicotine product, go to R04_YV9044.
Else, go to Box R04_YVR04.
PATH ID:
R04_YV9044
Usted mencionó que actualmente fuma más de un tipo de producto electrónico con nicotina.
¿Qué tipo de producto electrónico con nicotina fuma con más frecuencia?
[SHOW GENERIC IMAGE OF E-PRODUCTS BY SUBTYPE]
1
Cigarrillo electrónico, incluyendo un vaporizador personal de fumar
2
Puro electrónico
3
Pipa electrónica
4
Hookah electrónica, incluyendo una pluma hookah
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used e-products, and continuing youth
respondents who have used e-products in the past 12 months and selected a type of e-product and
have used more than one e-product.
DISPLAY: BOLD AND UNDERLINE "con más frecuencia".
BOX ID:
R04_YVR04
Past 30 day e-product users (including "very light" users), go to R04_YV9140.
Else, go to Box R04_YVR58.
PATH – Wave 4
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34
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9140
Por favor mire esta imagen. ¿Cuál grupo se parece más al producto electrónico con nicotina que usted
fuma con más frecuencia?
[SHOW GENERIC IMAGE OF 6 E-PRODUCT GROUPS]
1
Grupo 1
2
Grupo 2
3
Grupo 3
4
Grupo 4
5
Grupo 5
6
Grupo 6
7
Ninguno de los anteriores
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users (including "very light" users).
DISPLAY: UNDERLINE "con más frecuencia".
BOX ID:
R04_YVR58
Past 30 day "not light" e-product users, go to Box R04_YVD04.
Else, past 30 day e-product users, go to Box R04_YVV03.
Else, go to R04_YV9042.
BOX ID:
R04_YVD04
Display questions R04_YV9005 through R04_YV9009 using the expanded WVB stem-leaf screen. For
each leaf, display a Sí/No response. The introduction text from R04_YV9005 is the stem. Show all
leaves on the screen at once.
PATH ID:
R04_YV9005
Para las siguientes preguntas, piense en el producto electrónico con nicotina que usted fuma con más
frecuencia.
¿Se puede recargar?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
DISPLAY: BOLD AND UNDERLINE "con más frecuencia".
PATH – Wave 4
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35
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9038
¿Funciona con un sistema de tanque?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9008
¿Funciona con cartuchos?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9009
¿Se puede volver a llenar con líquido electrónico?
1
Sí
2
No
GO TO BOX R04_YVV03
-8
DON'T KNOW
GO TO BOX R04_YVV03
-7
REFUSED
GO TO BOX R04_YVV03
ASK: Past 30 day "not light" e-product users.
PATH ID:
R04_YV9046
¿Con qué frecuencia llena su producto electrónico con nicotina con líquido electrónico?
1
Por lo menos una vez al día
2
Una vez cada dos días
3
Una vez a la semana
4
Algunas veces al mes
5
Una vez al mes
6
Algunas veces al año
7
Una vez al año
8
Nunca
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YVV03
ASK: Past 30 day "not light" e-product users that use refillable e-products.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
36
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9036
¿Quién lo llena con líquido electrónico?
1
Yo mismo lo lleno
2
Lo lleno en un bar de fumadores
3
Lo compro lleno
4
Lo lleno de otra manera
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not light" e-product users that use refillable e-products and has refilled them before.
BOX ID:
R04_YVV03
PROGRAM - CREATE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
R04_EDEVICETYPE (E-Product device type):
R04_EDEVICETYPE = 1 (Disposable E-Product Users).
R04_EDEVICETYPE = 2 (Non-Refillable Cartridge E-Product Users).
R04_EDEVICETYPE = 3 (Refillable Cartridge E-Product Users).
R04_EDEVICETYPE = 4 (Refillable Tank System E-Product Users).
R04_EDEVICETYPE = 5 (Refillable Mod System E-Product Users).
R04_EDEVICETYPE = 6 (Unknown E-Product User Type).
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
37
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVT04
PROGRAM - CREATE [EPRODFILL1-3]:
EPRODFILL1:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL1 = "productos electrónicos con
nicotina".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL1 = "cartuchos electrónicos con
nicotina".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL1 = "mililitros de líquido
electrónico".
EPRODFILL2:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL2 = "productos electrónicos con
nicotina".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL2 = "cartuchos electrónicos con
nicotina".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL2 = "líquido electrónico".
EPRODFILL3:
IF R04_EDEVICETYPE = 1, 6 (Disposable/Unknown), EPRODFILL3 = "producto electrónicos con
nicotina".
IF R04_EDEVICETYPE = 2 (Non-refillable Cartridges), EPRODFILL3 = "cartucho electrónico con
nicotina".
IF R04_EDEVICETYPE = 3, 4, 5 (Refillable Cartridges/Tank/Mod), EPRODFILL3 = "líquido electrónico".
PATH ID:
R04_YV9010
Piense en el [EPRODFILL3] que fuma la mayoría del tiempo.
¿Contiene nicotina?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: BOLD AND UNDERLINE "la mayoría del tiempo".
PATH – Wave 4
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38
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1022
¿En cuántos de los últimos 30 días fumó usted un producto electrónico con nicotina?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
PATH ID:
R04_YV9040
En los últimos 30 días, en los días en que fumó un producto electrónico con nicotina, ¿cuántos
[EPRODFILL1] fumó cada día?
1
Menos de una cada día
2
I___I___I
GO TO R04_YV1131
-8
DON'T KNOW
GO TO R04_YV1131
-7
REFUSED
GO TO R04_YV1131
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY AS NUMERIC QUANTITY FIELD, WITH BUTTON LABEL: "Menos de una cada
día" ON RIGHT.
PATH ID:
R04_YV9040_LC1
La computadora registró que en los días en que usted fumó en los últimos 30 días, usted fumó
[R04_YV9040] [EPRODFILL1] cada día.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV9040
2
NEXT
GO TO R04_YV1131
ASK: IF R04_YV9040 > 5.
PATH ID:
R04_YV1026
En promedio, en los días en que fuma, ¿cuántas veces fuma su producto electrónico con nicotina cada
día, ya sea que le dé una probadita o varias?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_YV1027
-7
REFUSED
GO TO R04_YV1027
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
39
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1026_LC1
La computadora registró que en los días en que ha fumado, usted fumó su producto electrónico con
nicotina [R04_YV1026] [vez / veces] cada día, en promedio.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1026
2
NEXT
GO TO R04_YV1027
ASK: IF R04_YV1026 > 50 OR R04_YV1026 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV1026 = 1, DISPLAY "vez".
ELSE, DISPLAY "veces".
PATH ID:
R04_YV1027
Cada vez que fumó su producto electrónico con nicotina, ¿aproximadamente cuántas probaditas le dio?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_YV1131
-7
REFUSED
GO TO R04_YV1131
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1027_LC1
La computadora registró que usted le dio [R04_YV1027] [probadita/probaditas] a su producto
electrónico con nicotina cada vez que lo fumó, en promedio.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1027
2
NEXT
GO TO R04_YV1131
ASK: IF R04_YV1027 > 50 OR R04_YV1027 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YV1027 = 1, DISPLAY "probadita".
ELSE, DISPLAY "probaditas".
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
40
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1131
¿Qué sabores de [EPRODFILL2] ha fumado en los últimos 30 días? Escoja todas las opciones que
correspondan.
1
Sabor a tabaco
2
Mentol o menta
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Una bebida no alcohólica (como café, gaseosa, bebidas energizantes u otras bebidas)
8
Caramelos u otros sabores dulces
9
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YVR38
Youth respondents who used menthol or mint flavored e-products in the past 30 days, go to
R04_YV1147.
Else, youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in
the past 30 days, go to R04_YV1157.
Else, go to R04_YV1142.
PATH ID:
R04_YV1147
En los últimos 30 días, en los días en que fumó un producto electrónico con nicotina, ¿con qué
frecuencia tenía sabor a mentol o menta?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users that have used menthol or mint flavored e-products.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
41
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR40
Youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in the
past 30 days, go to R04_YV1157.
Else, go to R04_YV1142.
PATH ID:
R04_YV1157
En los últimos 30 días, en los días en que fumó un producto electrónico con nicotina, ¿con qué
frecuencia tenía sabor a clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros
sabores dulces?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who used flavored e-products (other than menthol/mint or tobacco-flavored) in
the past 30 days.
PATH ID:
R04_YV1142
En los últimos 30 días, ¿le vendió alguien [EPRODFILL2]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1123
En los últimos 30 días, ¿le negó alguien la venta de [EPRODFILL2] debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
42
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1118
En los últimos 30 días, ¿cómo obtuvo sus propios [EPRODFILL2] normalmente?
1
Le di dinero a otra persona para que me los compre
2
Yo mismo los compré en una tienda (incluyendo un bar de fumadores)
3
Se lo pedí a una persona
4
Alguien me lo ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YVR05
Past 30 day e-product users who usually buy e-products for themselves or give someone else money to
buy e-products for them, go to R04_YV1030.
Else, go to Box R04_YVR57.
PATH ID:
R04_YV1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente sus
[EPRODFILL2]?
1
En persona
2
En Internet
GO TO BOX R04_YVR06
3
Por teléfono
GO TO BOX R04_YVR06
-8
DON'T KNOW
GO TO BOX R04_YVR06
-7
REFUSED
GO TO BOX R04_YVR06
ASK: Past 30 day e-product users (including "very light" users) who buy e-products for themselves or
someone else buys for them.
DISPLAY: IF R04_YV1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona";
IF R04_YV1118 = 2, DISPLAY "¿Cómo compra usted".
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
43
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1033
¿Dónde [compra /le compran] sus [EPRODFILL2] la mayoría del tiempo?
11
Un bar de fumadores
1
Un kiosco en un centro comercial
2
Una tienda de conveniencia o estación de gasolina
3
Un supermercado, tienda de comestibles o farmacia
4
Una tienda mayorista como Sam's o Costco
5
Una tienda especializada o un almacén de tabaco o una tabaquería
6
Una tienda libre de impuestos o un economato militar
7
Un bar, restaurante, casino o una taberna
8
Un amigo o familiar
9
Un mercadillo o mercado de pulgas
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users (including "very light" users) who buy e-products for themselves or
someone else buys for them in person.
DISPLAY: IF R04_YV1118 = 1, DISPLAY "le compran";
IF R04_YV1118 = 2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YVR06
Past 30 day "not-light" disposable e-product users and e-product users of undetermined types who buy
e-products for themselves or someone else buys for them, go to R04_YV1136.
Else, refillable cartridge, tank system, and mod system e-product users, go to R04_YV1041.
Else, non-refillable e-product users, go to R04_YV1039.
Else, go to Box R04_YVR57.
PATH ID:
R04_YV1136
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] productos electrónicos
con nicotina ¿Los compró por caja o paquete o como un producto electrónico con nicotina suelto?
1
Caja o paquete
2
Producto electrónico con nicotina suelto
GO TO R04_YV1034
-8
DON'T KNOW
GO TO R04_YV1034
-7
REFUSED
GO TO R04_YV1034
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
44
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1137
¿Cuántos productos electrónicos con nicotina venían en la caja o paquete que compró la última vez?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who last bought e-products in a box
or pack.
PATH ID:
R04_YV1138
¿Cuánto pagó por una caja o paquete de productos electrónicos con nicotina?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who last bought e-products in a box
or pack.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
PATH ID:
R04_YV1138_LC1
La computadora registró que usted pagó $[R04_YV1138_D].[R04_YV1138_C] por una caja o paquete
de productos electrónicos con nicotina. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1138
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1138_D < 10 OR R04_YV1138_D > 75.
PATH ID:
R04_YV1034
¿Cuánto pagó por un producto electrónico con nicotina suelto?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" disposable e-product users and e-product users of undetermined types
who buy e-products for themselves or someone else buys for them who did not buy their last e-product
in box or pack.
DISPLAY: DISPLAY"$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
45
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1034_LC1
La computadora registró que usted pagó $[R04_YV1034_D].[R04_YV1034_C] por un producto
electrónico con nicotina suelto. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1034
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1034_D > 50.
PATH ID:
R04_YV1041
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] líquido electrónico.
¿Cuánto pagó por un frasco o envase de líquido electrónico?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" refillable cartridge, tank system, and mod system e-product users who buy
e-liquid for themselves or someone else buys for them.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YV1118 = 1, DISPLAY "le dio dinero a alguien para que le compre".
IF R04_YV1118 = 2, DISPLAY "compró".
PATH ID:
R04_YV1041_LC1
La computadora registró que usted pagó $[R04_YV1041_D].[R04_YV1041_C] por un frasco o envase
de líquido electrónico. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1041
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1041_D > 50 OR (R04_YV1041_D = 50 AND R04_YV1041_C > 00).
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
46
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1039
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] cartuchos para un
producto electrónico con nicotina.
¿Los compró por caja o paquete o en cartuchos suelto?
1
Caja o paquete
2
Cartuchos sueltos
GO TO R04_YV1043
-8
DON'T KNOW
GO TO R04_YV1043
-7
REFUSED
GO TO R04_YV1043
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them.
DISPLAY: IF R04_YV1118 = 1, DISPLAY “le dio dinero a alguien para que le compre”.
IF R04_YV1118 = 2, DISPLAY "compró".
PATH ID:
R04_YV1040
¿Cuántos cartuchos para productos electrónicos con nicotina venían en la caja o paquete que compró
la última vez?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought cartridges in a box or pack.
PATH ID:
R04_YV1042
¿Cuánto pagó por una caja o paquete de cartuchos para productos electrónicos con nicotina?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought cartridges in a box or pack.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
47
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1042_LC1
La computadora registró que usted pagaba $[R04_YV1042_D].[R04_YV1042_C] por una caja o
paquete de [EPRODFILL1]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1042
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1042_D > 50 OR (R04_YV1042_D = 50 AND R04_YV1042_C > 00).
PATH ID:
R04_YV1043
¿Cuánto pagó por un cartucho suelto para productos electrónicos con nicotina?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YVR57
-7
REFUSED
GO TO BOX R04_YVR57
ASK: Past 30 day "not-light" non-refillable cartridge e-product users who buy cartridges for themselves
or someone else buys for them and last bought single cartridges or did not know or refused to report
whether the non-refillable cartridge was in a box or pack or a single cartridge.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
PATH ID:
R04_YV1043_LC1
La computadora registró que usted pagó $[R04_YV1043_D].[R04_YV1043_C] por un [EPRODFILL3]
suelto. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YV1043
2
NEXT
GO TO BOX R04_YVR57
ASK: IF R04_YV1043_D > 50 OR (R04_YV1043_D = 50 AND R04_YV1043_C > 00).
BOX ID:
R04_YVR57
Past 30 day "not-light" e-product users, go to R04_YV1047.
Else, go to R04_YV1945.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
48
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1047
¿Tiene una marca habitual de [EPRODFILL2] que normalmente fuma?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" e-product users.
PATH ID:
R04_YV1945
¿Sabe el nombre de la marca de [EPRODFILL2] que usted [fuma normalmente/fumó la última vez]?
1
Sí
2
No
GO TO BOX R04_YVD02
-8
DON'T KNOW
GO TO BOX R04_YVD02
-7
REFUSED
GO TO BOX R04_YVD02
ASK: Past 30 day e-product users.
DISPLAY: IF R04_YV1047 = 1, DISPLAY "fuma normalmente".
ELSE, DISPLAY "fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YV1048
¿Qué marca de [EPRODFILL2] [fuma/fumó] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra."]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who know the brand name.
DISPLAY: IF R04_YV1047 = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó" AND "la última vez".
[If multiple screens] Display: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] Display: Si no ve la opción a continuación, toque la
casilla que dice "Otra".
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
49
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YVR33
If youth respondent selects "Something else" in R04_YV1048_BRAND, go to R04_YV1049.
Else, past 30 day e-product users who have used an e-product today, yesterday or the day before
yesterday who know the name of their brand AND selected a valid brand in R04_YV1048_BRAND, go
to R04_YV0104.
Else, go to Box R04_YVD02.
PATH ID:
R04_YV1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO R04_YVD02
-8
DON'T KNOW
GO TO R04_YVD02
-7
REFUSED
GO TO R04_YVD02
ASK: Past 30 day e-product users that know the name of the brand they use who selected "Something
else" for their brand.
PATH ID:
R04_YV0104
Usted dijo anteriormente que la última vez que fumó un producto electrónico con nicotina fue [TIME OF
LAST USE].
Piense en la última probadita que tomó. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have used an e-product in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a valid brand.
DISPLAY: IF R04_YV0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una hora".
IF R04_YV0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
IF R04_YV0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
IF R04_YV0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH SELECTION MADE IN R04_YV1048_BRAND.
BOX ID:
R04_YVD02
Display question R04_YV1060, R04_YV1085, R04_YV1062, R04_YV1075, R04_YV1063,
R04_YV1064, R04_YV1065, R04_YV1066, R04_YV1067 on one screen. Show the intro/transition text
from R04_YV1060 first, then show each item with a Sí/No response. As each item is answered, show
the next one.
PROGRAM: Randomize order of R04_YV1060 through R04_YV1067.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
50
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1060
Las siguientes preguntas son acerca de las razones por las que la gente fuma productos electrónicos
con nicotina. Seleccione las razones que aplican a usted.
Fumo productos electrónicos con nicotina porque…
Son económicos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1085
Puedo fumar productos electrónicos con nicotina en ocasiones o en lugares donde no se permite fumar
cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1062
Podrían ser menos dañinos para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1075
Podrían ser menos dañinos que los cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
51
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1063
El líquido electrónico viene en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
BOX ID:
R04_YVR13
Past 30 day e-product users who have also smoked cigarettes in the past year, go to R04_YV1064.
Else, go to R04_YV1065.
PATH ID:
R04_YV1064
Fumar productos electrónicos con nicotina le ayuda a algunas personas a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have also smoked cigarettes in the past year.
PATH ID:
R04_YV1065
Los productos electrónicos con nicotina no tienen olor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH ID:
R04_YV1066
Fumar un producto electrónico con nicotina se siente como fumar un cigarrillo tradicional.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
52
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1067
Los productos electrónicos con nicotina no molestan a las personas que no consumen tabaco.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
BOX ID:
R04_YVR14
Past 30 day e-product users who have also smoked cigarettes in the past 30 days, go to R04_YV1086.
Else, past 30 day e-product users, go to R04_YV1139.
Else, go to R04_YV9042.
PATH ID:
R04_YV1086
En los últimos 30 días, ¿ha fumado un producto electrónico con nicotina en ocasiones o en lugares en
donde no se podía fumar cigarrillos tradicionales?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users who have also smoked cigarettes in the past 30 days.
PATH ID:
R04_YV1139
Por favor, califique su nivel de acuerdo con cada una de las siguientes afirmaciones usando la siguiente
escala: 1 = no es cierto en absoluto y 4 = es muy cierto.
Es más fácil hablar y llevarse bien con otras personas cuando fumo un producto electrónico con
nicotina.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
53
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1140
Al fumar un producto electrónico con nicotina, me siento más seguro con otras personas.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH ID:
R04_YV1141
Fumo productos electrónicos con nicotina mucho más cuando estoy con otras personas.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day e-product users.
DISPLAY: DISPLAY SCALE FOR THE R04_YV1139-1141 SERIES.
PATH ID:
R04_YV9042
¿Alguna vez ha consumido marihuana, concentrados de marihuana, cera de marihuana, THC o aceites
de hachís en un producto electrónico como un cigarrillo electrónico, una hookah electrónica, un
vaporizador personal de fumar o una pluma hookah?
(Recuerde que toda la información que usted le dé al Estudio PATH se mantendrá en privado.)
1
Sí
2
No
GO TO BOX R04_YGT01
-8
DON'T KNOW
GO TO BOX R04_YGT01
-7
REFUSED
GO TO BOX R04_YGT01
ASK: New baseline youth respondents who have seen, heard of, or ever used e-products, and
continuing youth respondents.
DISPLAY: UNDERLINE "producto electrónico".
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
54
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV9106
Cuando fumó un producto electrónico, ¿con qué frecuencia lo usó para fumar marihuana, concentrados
de marihuana, cera de marihuana, THC o aceites de hachís?
1
Siempre
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products to smoke marijuana.
PATH ID:
R04_YM0100
¿Cuándo fue la última vez que consumió marihuana, concentrados de marihuana, cera de marihuana,
THC o aceites de hachís en un producto electrónico como un cigarrillo electrónico, una hookah
electrónica, un vaporizador personal de fumar o una pluma hookah?
1
Hace menos de una hora
2
Hoy
3
Ayer
4
Hace dos días
5
GO TO R04_YM0103
Hace tres o más días
GO TO BOX R04_YVR10
-8
DON'T KNOW
GO TO BOX R04_YVR10
-7
REFUSED
GO TO BOX R04_YVR10
ASK: Youth respondents who have ever used marijuana in an e-product.
DISPLAY: UNDERLINE "producto electrónico".
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
55
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0102
La última vez que consumió marihuana, concentrados de marihuana, cera de marihuana, THC o
aceites de hachís en un producto electrónico [FILL BASED ON R04_YM0100], ¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used marijuana in an e-product today, yesterday or the day before
yesterday, but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YM0100]:
IF R04_YM0100 = 2, DISPLAY "hoy".
IF R04_YM0100 = 3, DISPLAY "ayer".
IF R04_YM0100 = 4, DISPLAY "hace dos días".
UNDERLINE "producto electrónico".
PATH ID:
R04_YM0103
¿Cuántas probaditas de marihuana, concentrados de marihuana, cera de marihuana, THC o aceites de
hachís le [ha dado/dio] a un producto electrónico [FILL BASED ON R04_YM0100]?
1
I__I__I__I
-8
DON'T KNOW
GO TO BOX R04_YVR10
-7
REFUSED
GO TO BOX R04_YVR10
ASK: Youth respondents who have used marijuana in an e-product in the past hour, today, yesterday or
the day before yesterday.
DISPLAY: IF R04_YM0100 = 1, 2, DISPLAY "ha dado".
IF R04_YM0100 = 3, 4, DISPLAY "dio".
FOR [FILL BASED ON R04_YM0100]:
IF R04_YM0100 = 1, 2, DISPLAY "hoy".
IF R04_YM0100 = 3, DISPLAY "ayer".
IF R04_YM0100 = 4, DISPLAY "hace dos días".
UNDERLINE "producto electrónico".
PATH – Wave 4
Youth Questionnaire (Spanish) – Extended Interview
56
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YM0103_LC1
La computadora registró que usted le dio [R04_YM0103] probaditas de marihuana, concentrados de
marihuana, cera de marihuana, THC o aceites de hachís de un producto electrónico [hoy/ayer/hace dos
días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YM0103
2
NEXT
GO TO BOX R04_YVR10
ASK: IF R04_YM0103 > 200 OR R04_YM0103 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
DISPLAY: IF R04_YM0100 = 1, 2, DISPLAY "hoy".
IF R04_YM0100 = 3, DISPLAY "ayer".
IF R04_YM0100 = 4, DISPLAY "hace dos días".
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CIGAR
BOX ID:
R04_YGT01
Las siguientes preguntas son acerca de puros tradicionales o "grandes", puritos y puros con filtro.
Ya que a estos productos se les conocen por distintos nombres, use las siguientes descripciones y
fotos para identificarlos.
Los puros tradicionales o "grandes" contienen tabaco envuelto en una hoja de tabaco. Algunas
marcas conocidas de puros son Macanudo, Romeo y Julieta, Arturo Fuente y Cohiba, pero hay muchas
más.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
BOX ID:
R04_YGT02
Los puritos y los puros con filtro son más pequeños que los puros tradicionales. Normalmente son de
color café. Algunos son del mismo tamaño que los cigarrillos y otros vienen con filtros o con boquillas
de plástico o madera. Algunas marcas conocidas son Black & Mild, Swisher Sweets, Dutch Masters,
Phillies Blunts, Zig Zag y Cheyenne.
[SHOW GENERIC IMAGES OF CIGARILLOS AND FILTERED CIGARS]
BOX ID:
R04_YGR03
New baseline youth respondents, go to R04_YG9101_NB.
Continuing youth respondents, go to R04_YG1002_12M.
BOX ID:
R04_YGD02
DISPLAY INSTRUCTIONS
For R04_YG9104_NB, display a "Sí" and "No" column with options for each response category.
BOX ID:
R04_YGR19
New baseline youth respondents who have ever smoked a cigarillo or filtered cigar, go to
R04_YG9009_NB.
Else, go to Box R04_YGV04.
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PATH ID:
R04_YG1002_12M
En los últimos 12 meses, ¿ha fumado un puro tradicional o "grande", un purito o un puro con filtro,
incluso si solo fueron una o dos probaditas?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS, CIGARILLOS AND FILTERED CIGARS]
1
Sí
2
No
GO TO BOX R04_YGV04
-8
DON'T KNOW
GO TO BOX R04_YGV04
-7
REFUSED
GO TO BOX R04_YGV04
ASK: Continuing youth respondents.
BOX ID:
R04_YGD05
DISPLAY INSTRUCTIONS
For R04_YG9104_12M, display a "Sí" and "No" column with options for each response category.
PATH ID:
R04_YG9104_12M
¿Qué tipo de puro ha fumado en los últimos 12 meses?
1
Puros tradicionales o "grandes" como Macanudo, Romeo y Julieta, Arturo Fuente, Cohiba u
otros
2
Puritos o puros con filtro como Black & Mild, Swisher Sweets, Dutch Masters, Phillies Blunts, Zig
Zag, Cheyenne u otros
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have smoked a traditional cigar, cigarillo or filtered cigar in the
past 12 months.
BOX ID:
R04_YGR20
Continuing youth respondents who have smoked a cigarillo or filtered cigar in the past 12 months, go to
R04_YG9009_12M.
Else, go to Box R04_YGV04.
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PATH ID:
R04_YG9009_12M
¿Cuál de los siguientes tipos de puritos o puros con filtro ha fumado en los últimos 12 meses? Escoja
todas las opciones que correspondan.
Los que...
[SHOW GENERIC IMAGE OF CIGARILLOS WITH TIPS, FILTERED CIGARS, AND CIGARILLOS
WITHOUT TIPS]
1
tienen una boquilla de plástico o de madera
2
tienen un filtro (como un filtro de cigarrillo)
3
no tienen una boquilla ni un filtro
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents who have smoked a cigarillo or filtered cigar in the past 12 months.
BOX ID:
R04_YGV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_GTRAD_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
traditional cigar.
R04_EVER_NEVER_GTRAD_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
a traditional cigar.
R04_INIT_GTRAD_YOUTH = 1 (Initiator) Youth respondents who initiated traditional cigar use
between Waves or new baseline youth respondents who have ever smoked a traditional cigar.
R04_EVER_NEVER_GRILLO_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
cigarillo.
R04_EVER_NEVER_GRILLO_YOUTH = 2 (Never user) Youth respondents who have not ever
smoked a cigarillo.
R04_INIT_GRILLO_YOUTH = 1 (Initiator) Youth respondents who initiated cigarillo use between
Waves or new baseline youth respondents who have ever smoked a cigarillo.
R04_EVER_NEVER_GFILTR_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
filtered cigar.
R04_EVER_NEVER_GFILTR_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
a filtered cigar.
R04_INIT_GFILTR_YOUTH = 1 (Initiator) Youth respondents who initiated filtered cigar use between
Waves or new baseline youth respondents who have ever smoked a filtered cigar.
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BOX ID:
R04_YGR04
Youth respondents who have never heard of traditional cigars, cigarillos, and filtered cigars, go to Box
R04_YPT01.
Else, youth respondents who have heard of cigars but never smoked a traditional cigar, go to
R04_YG9010.
Else, youth respondents who have heard of cigars but never smoked a cigarillo, go to R04_YG9011.
Else, youth respondents who have heard of cigars but never smoked a filtered cigar, go to
R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
PATH ID:
R04_YG9010
Alguna vez, ¿ha sentido curiosidad por fumar un puro tradicional o "grande"?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
PATH ID:
R04_YG9020
¿Cree que fumará un puro tradicional o "grande" el próximo año?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
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PATH ID:
R04_YG9013
¿Cree que probará un puro tradicional o "grande" pronto?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
PATH ID:
R04_YG9016
¿Si uno de sus mejores amigos le ofreciera un puro tradicional o "grande", lo fumaría?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a traditional cigar.
BOX ID:
R04_YGR12
Youth respondents who have heard of cigars but never smoked a cigarillo, go to R04_YG9011.
Else, youth respondents who have heard of cigars but never smoked a filtered cigar, go to
R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
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PATH ID:
R04_YG9011
Alguna vez, ¿ha sentido curiosidad por fumar un purito?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
PATH ID:
R04_YG9021
¿Cree que fumará un purito el próximo año?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
PATH ID:
R04_YG9014
¿Cree que probará un purito pronto?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
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PATH ID:
R04_YG9017
¿Si uno de sus mejores amigos le ofreciera un purito, lo fumaría?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a cigarillo.
BOX ID:
R04_YGR13
Youth respondents who have heard of cigars but never smoked a filtered cigar, go to R04_YG9012.
Else, new baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, continuing youth respondents, go to R04_YG9107.
PATH ID:
R04_YG9012
Alguna vez, ¿ha sentido curiosidad por fumar un puro con filtro?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
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PATH ID:
R04_YG9022
¿Cree que fumará un puro con filtro el próximo año?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH ID:
R04_YG9015
¿Cree que probará un puro con filtro pronto?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
PATH ID:
R04_YG9018
¿Si uno de sus mejores amigos le ofreciera un puro con filtro, lo fumaría?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of cigars but have never smoked a filtered cigar.
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BOX ID:
R04_YGR14
New baseline youth respondents who have heard of cigars, go to R04_YG9105_NB.
Else, go to R04_YG9107.
PATH ID:
R04_YG9107
[A veces las personas sacan el tabaco de un puro tradicional, un purito o de un puro con filtro y lo
substituyen con marihuana. A esto también se le conoce como un "toque o blunt".
]En los últimos 12 meses, ¿ha fumado parte o todo un puro tradicional, purito o puro con filtro con
marihuana? [(Recuerde que toda la información que usted le dé al Estudio PATH se mantendrá en
privado.)]
1
Sí
2
No
GO TO BOX R04_YGV01
-8
DON'T KNOW
GO TO BOX R04_YGV01
-7
REFUSED
GO TO BOX R04_YGV01
ASK: New baseline youth respondents who have ever smoked a blunt and all continuing youth
respondents.
DISPLAY: UNDERLINE "últimos 12 meses".
IF R04_YOUTHTYPE = 1, DISPLAY "A veces las personas sacan el tabaco de un puro tradicional, un
purito o de un puro con filtro y lo substituyen con marihuana. A esto también se le conoce como un
"toque o blunt". AND "(Recuerde que toda la información que usted le dé al Estudio PATH se
mantendrá en privado.)".
ELSE, DO NOT DISPLAY THIS TRANSITION TEXT.
PATH ID:
R04_YG1095
¿Cuál de los siguientes se parecen al tipo de puro que normalmente fuma como si fuera un "toque o
blunt"? Escoja todas las opciones que correspondan.
[SHOW GENERIC IMAGE OF 3 CIGAR GROUPS]
1
Grupo 1
2
Grupo 2
3
Grupo 3
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked blunts in the past 12 months.
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PATH ID:
R04_YG9106
Ahora piense en los últimos 12 meses cuando fumó el tipo de puro que se muestra a continuación.
En los últimos 12 meses, ¿con qué frecuencia reemplazó el tabaco por marihuana?
[SHOW GENERIC IMAGE OF [YG1095CIGARTYPE]]
1
Siempre
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked blunts in the past 12 months. (This question is repeated for
every cigar type identified in R04_YG1095[_01/_02/_03].)
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BOX ID:
R04_YGV01
DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
BLUNT-ONLY USER GROUPS:
R04_12MBLUNT_ONLY_BTRAD = Youth respondents who smoke traditional cigars as blunts every
time when smoked in the past 12 months.
R04_12MBLUNT_ONLY_BRILLO = Youth respondents who smoke cigarillos as blunts every time
when smoked in the past 12 months.
R04_12MBLUNT_ONLY_BFILTR = Youth respondents who smoke filtered cigars as blunts every time
when smoked in the past 12 months.
R04_INIT_BLUNT_BTRAD_YOUTH = Youth respondents who initiated smoking traditional cigars as
blunts between Waves or new baseline youth respondents who have ever used traditional cigars as
blunts every time in the past 12 months.
R04_INIT_BLUNT_BRILLO_YOUTH = Youth respondents who initiated smoking cigarillos as blunts
between Waves or new baseline youth respondents who have ever used cigarillos as blunts every time
in the past 12 months.
R04_INIT_BLUNT_BFILTR_YOUTH = Youth respondents who initiated smoking filtered cigars as
blunts between Waves or new baseline youth respondents who have ever used filtered cigars as blunts
every time in the past 12 months.
DEFINE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
CIGAR LOOPS
Cigars as Non-Blunts:
GTRAD = Youth respondents who have ever smoked traditional cigars and have not smoked traditional
cigars as blunts every time when smoked in the past 12 months.
GRILLO = Youth respondents who have ever smoked cigarillos and have not smoked cigarillos as
blunts every time when smoked in the past 12 months.
GFILTR = Youth respondents who have ever smoked filtered cigars and have not smoked filtered cigars
as blunts every time when smoked in the past 12 months.
Cigars as Blunts-Only:
BTRAD = Youth respondents who smoke traditional cigars as blunts every time when smoked in the
past 12 months.
BRILLO = Youth respondents who smoke cigarillos as blunts every time when smoked in the past 12
months.
BFILTR = Youth respondents who smoke filtered cigars as blunts every time when smoked in the past
12 months.
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Wave 4 (version 4.0)
BOX ID:
R04_YGR02
PROGRAM: CREATE LOOPS FOLLOWING ROUTING INSTRUCTIONS FOR VARIOUS CIGAR
TYPES:
Blunt/Cigar Loops
If the respondent has smoked cigars as blunts-only, R04_YJ1108[TC/CL/FC] through
R04_YJ1071[TC/CL/FC] are repeated in a loop for each cigar type as blunts. See Box R04_YJT04 for
transition text shown at the start of each loop.
After all blunt loops are complete, items from R04_YG1006_NB[TC/CL/FC] through
R04_YG1141[TC/CL/FC] are repeated once for each type of cigar the respondent has smoked,
following skips appropriately. See Box R04_YGT04 for transition text shown at the start of each loop.
If the respondent only smoked traditional cigars, cigarillos, or filtered cigars as blunts, go to Box
R04_YJT04.
Else, if the respondent has ever smoked traditional cigars, cigarillos, or filtered cigars, go to Box
R04_YGT04.
Else, if the respondent has not smoked traditional cigars, cigarillos, or filtered cigars as blunts, and has
never smoked traditional cigars, cigarillos, or filtered cigars, go to Box R04_YPT01.
[CIGARFILL]
If traditional cigar/blunt smoker, [CIGARFILL] = "puro tradicional"
If cigarillo/blunt smoker, [CIGARFILL] = "purito"
If filtered cigar/blunt smoker, [CIGARFILL] = "puro con filtro"
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BOX ID:
R04_YJT04
PROGRAM - DISPLAY THE FOLLOWING TRANSITION TEXT AT THE START OF LOOPS:
IF LOOP=BTRAD Traditional Cigars (as blunts-only):
Las siguientes preguntas son acerca de los puros tradicionales o "grandes" que se fumaron como si
fueran "toques o blunts".
Los puros tradicionales o "grandes" contienen tabaco envuelto en una hoja de tabaco. A veces las
personas sacan el tabaco de un puro tradicional y lo substituyen con marihuana. A esto también se le
conoce como un "toque o blunt". Cuando conteste estas preguntas, por favor piense únicamente en su
consumo de puros tradicionales cuando los fumó como si fueran toques o blunts, como los que se
muestran a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más
adelante habrá otra sección acerca de otras clases de toques o blunts.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGAR]
IF LOOP=BRILLO Cigarillos (as blunts-only):
Las siguientes preguntas son acerca de los puritos que se fumaron como si fueran "toques o
blunts".
Los puritos son puros de tamaño mediano que a veces vienen con boquillas de plástico o madera. [A
veces las personas sacan el tabaco de un purito y lo substituyen con marihuana. A esto también se le
conoce como un "toque o blunt".] Cuando conteste estas preguntas, por favor piense únicamente en su
consumo de puritos cuando los fumó como si fueran toques o blunts, como los que se muestran a
continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más adelante
habrá otra sección acerca de otras clases de toques o blunts.
[SHOW GENERIC IMAGE OF CIGARILLO]
IF LOOP=BFILTR Filtered Cigars (as blunts-only):
Las siguientes preguntas son acerca de los puros con filtro que se fumaron como si fueran "toques
o blunts".
Los puros con filtro normalmente son de color café y tienen un filtro como el de un cigarrillo. [A veces
las personas sacan el tabaco de un puro con filtro y lo substituyen con marihuana. A esto también se le
conoce como un "toque o blunt".] Cuando conteste estas preguntas, por favor piense únicamente en su
consumo de puros con filtro cuando los fumó como si fueran toques o blunts, como los que se muestran
a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más adelante
habrá otra sección acerca de otras clases de toques o blunts.
[SHOW GENERIC IMAGE OF FILTERED CIGAR]
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BOX ID:
R04_YJR09
Continuing youth respondents who have initiated blunt use since the previous wave, and new baseline
youth respondents who have ever smoked a blunt, go to R04_YJ1108[TC/CL/FC].
Else, youth respondents who have smoked blunts in the past 12 months, go to R04_YJ1112[TC/CL/FC].
PATH ID:
R04_YJ1108
La primera vez que fumó [CIGARFILL] como si fuera un toque o blunt, ¿tenía sabor a mentol, menta,
clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO R04_YJ1112[TC/CL/FC]
3
No sé
GO TO R04_YJ1112[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1112[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1112[TC/CL/FC]
ASK: Continuing youth respondents who have initiated blunt use since previous wave, and new baseline
youth respondents who have ever smoked blunts.
PATH ID:
R04_YJ1011
¿Qué sabor tenía el primer [CIGARFILL] que fumó como si fuera un toque o blunt? Escoja todas las
opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first blunt was flavored.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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PATH ID:
R04_YJ1112
¿Cuándo fue la última vez que fumó un [CIGARFILL] como si fuera un toque o blunt, incluso si solo
fueron una o dos probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YJV02
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YJV02
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YJV02
-8
DON'T KNOW
GO TO BOX R04_YJV02
-7
REFUSED
GO TO BOX R04_YJV02
ASK: Youth respondents who have smoked blunts in the past 12 months.
PATH ID:
R04_YJ0100
¿Cuándo fue la última vez que fumó un [CIGARFILL] como si fuera un toque o blunt?
1
Hace menos de una hora
GO TO R04_YJ0103[TC/CL/FC]
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YJV02
-8
DON'T KNOW
GO TO BOX R04_YJV02
-7
REFUSED
GO TO BOX R04_YJV02
ASK: Youth respondents who have smoked blunts in the past 7 days.
PATH ID:
R04_YJ0102
La última vez que fumó un [CIGARFILL] como si fuera un toque o blunt [FILL BASED ON R04_YJ0100],
¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a blunt today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YJ0100[TC/CL/FC]]: IF R04_YJ0100[TC/CL/FC] = 2, DISPLAY
"hoy".
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100[TC/CL/FC] = 4, DISPLAY "hace dos días".
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PATH ID: R04_YJ0103
¿Cuántos [CIGARFILL]s [ha fumado/fumó] como si fuera un "toque" o "blunt" [FILL BASED ON
R04_YJ0100[TC/CG/FC]]? (Si fumó menos de 1, anote 1).
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YJV02[TC/CL/FC]
-7
REFUSED
GO TO BOX R04_YJV02[TC/CL/FC]
ASK: Youth respondents who have smoked a blunt in the past hour, today, yesterday or the day before
yesterday.
DISPLAY: IF R04_YJ0100[TC/CL/FC] = 1, 2, DISPLAY "ha fumado".
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, 4, DISPLAY "fumó".
FOR [FILL BASED ON R04_YJ0100[TC/CL/FC]]:
IF R04_YJ0100[TC/CL/FC] = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YJ0100[TC/CL/FC] = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100[TC/CL/FC] = 4, DISPLAY "hace dos días".
PATH ID:
R04_YJ0103TC_LC1
La computadora registró que usted fumó [R04_YJ0103TC] puros tradicionales como si fueran toques o
blunts [hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ0103TC
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103TC > 15 OR R04_YJ0103TC = 11.
DISPLAY: IF R04_YJ0100TC = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YJ0100TC = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100TC = 4, DISPLAY "hace dos días".
PATH ID:
R04_YJ0103CL_LC1
La computadora registró que usted fumó [R04_YJ0103CL] puritos como si fueran toques o blunts
[hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ0103CL
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103CL > 15 OR R04_YJ0103CL = 11.
DISPLAY: IF R04_YJ0100CL = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YJ0100CL = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100CL = 4, DISPLAY "hace dos días".
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Wave 4 (version 4.0)
PATH ID:
R04_YJ0103FC_LC1
La computadora registró que usted fumó [R04_YJ0103FC] puros con filtro como si fueran toques o
blunts [hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ0103FC
2
NEXT
GO TO BOX R04_YJV02
ASK: IF R04_YJ0103FC > 15 OR R04_YJ0103FC = 11.
DISPLAY: IF R04_YJ0100FC = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YJ0100FC = 3, DISPLAY "ayer".
ELSE, IF R04_YJ0100FC = 4, DISPLAY "hace dos días".
BOX ID:
R04_YJV02
PROGRAM - CREATE THE FOLLOWING VARIABLES FOR EACH CIGAR TYPE (SEE APPENDIX):
R04_30DBLUNT_ONLY_BTRAD = Youth respondents who have smoked a traditional cigar as a blunt
in the past 30 days.
R04_30DBLUNT_ONLY_BRILLO = Youth respondents who have smoked a cigarillo as a blunt in the
past 30 days.
R04_30DBLUNT_ONLY_BFILTR = Youth respondents who have smoked a filtered cigar as a blunt in
the past 30 days.
BOX ID:
R04_YJR06
Past 30 day blunt-only smokers, go to R04_YJ1022[TC/CL/FC].
Else, go to R04_YJ1047[TC/CL/FC].
PATH ID:
R04_YJ1022
¿En cuántos de los últimos 30 días fumó un [CIGARFILL] como si fuera un toque o blunt?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
DISPLAY: DISPLAY 'DÍAS' AS TITLE.
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PATH ID:
R04_YJ1023
Durante los últimos 30 días, en los días en que fumó [CIGARFILL]s como si fueran toques o blunts,
¿cuántos [CIGARFILL]s fumó como si fuera un toque o blunt cada día?
1
Menos de un [CIGARFILL] cada día
2
Un [CIGARFILL] cada día
3
2 a 5 [CIGARFILL]s cada día
4
6 a 10 [CIGARFILL]s cada día
5
11 a 20 [CIGARFILL]s cada día
6
Más de 20 [CIGARFILL]s cada día
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
PATH ID:
R04_YJ1130
En los últimos 30 días, ¿tenía alguno de los [CIGARFILL]s que fumó como si fuera un toque o blunt
sabor a mentol, menta, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros
sabores dulces?
1
Sí
2
No
GO TO R04_YJ1142[TC/CL/FC]
3
No sé
GO TO R04_YJ1142[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1142[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1142[TC/CL/FC]
ASK: Past 30 day blunt-only smokers.
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PATH ID:
R04_YJ1131
¿Qué sabores ha fumado en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored blunt-only smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YJ1147
En los días en que fumó [CIGARFILL]s como si fueran toques o blunts en los últimos 30 días, ¿con qué
frecuencia fumó [CIGARFILL]s con sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored blunt-only smokers.
DISPLAY: UNDERLINE "con sabor".
PATH ID:
R04_YJ1142
En los últimos 30 días, ¿le vendió alguien [CIGARFILL]s?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
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PATH ID:
R04_YJ1123
En los últimos 30 días, ¿le negó alguien la venta de [CIGARFILL]s debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers.
PATH ID:
R04_YJ1118
En los últimos 30 días, ¿cómo obtuvo normalmente sus propios [CIGARFILL]s cuando los fuma como si
fueran toques o blunts?
1
Le dí dinero a otra persona para que me los compre
2
Yo mismo los compré en una tienda (incluyendo un bar de
fumadores)
3
Se lo pedí a una persona
GO TO R04_YJ1047[TC/CL/FC]
4
Alguien me lo ofreció
GO TO R04_YJ1047[TC/CL/FC]
5
Los compré de otra persona
GO TO R04_YJ1047[TC/CL/FC]
6
Me los llevé de una tienda o se los quité a alguien sin que se
dieran cuenta
GO TO R04_YJ1047[TC/CL/FC]
7
Los obtuve de otra manera (ESPECIFIQUE)
GO TO R04_YJ1047[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day blunt-only smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YJ1030
¿Cómo [compra/le compran] sus [CIGARFILL]s normalmente cuando los fuma como si fueran toques o
blunts?
1
En persona (en una tienda o bar de fumadores)
2
En Internet
GO TO R04_YJ1039[TC/CL/FC]
3
Por teléfono
GO TO R04_YJ1039[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1039[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1039[TC/CL/FC]
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar as a blunt-only smokers who buy traditional
cigars/cigarillos/filtered cigars for blunts for themselves or someone else buys for them.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =1, DISPLAY "compran";
ELSE, IF R04_YJ1118[TC/CL/FC] =2, DISPLAY "compra".
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PATH ID:
R04_YJ1033
¿Dónde [compra/le compran] sus [CIGARFILL]s para fumar toques o blunts la mayoría del tiempo?
1
Un bar de fumadores
2
Una tienda de conveniencia o estación de gasolina
3
Un supermercado, tienda de comestibles o farmacia
4
Una tienda mayorista como Sam's o Costco
5
Una tienda especializada o un almacén de tabaco o una tabaquería
6
Una tienda libre de impuestos o un economato militar
7
Un bar, restaurante, casino o una taberna
8
Un amigo o familiar
9
Un mercadillo o mercado de pulgas
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only traditional cigar/cigarillo/filtered cigar smokers who buy traditional
cigars/cigarillos/filtered cigars for blunts for themselves or someone else buys for them in person.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =1, DISPLAY "le compran";
ELSE, IF R04_YJ1118[TC/CL/FC] =2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
PATH ID: R04_YJ1039
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] [CIGARFILL]s para
fumar toques o blunts. ¿Los compró por caja o paquete o como [CIGARFILL]s sueltos?
1
Caja o paquete
2
[CIGARFILL]s sueltos
GO TO R04_YJ1034[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day blunt-only smokers who buy blunts for themselves or someone else buys for them.
DISPLAY: IF R04_YJ1118[TC/CL/FC] =2, DISPLAY "compró".
ELSE, IF R04_YJ1118[TC/CL/FC] =1, DISPLAY "le dio dinero a alguien para que le compre".
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PATH ID:
R04_YJ1040
¿Cuántos [CIGARFILL]s venían en la caja o paquete que compró la última vez para fumar toques o
blunts?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day blunt-only smokers who last bought cigars by the box or pack.
PATH ID:
R04_YJ1034
¿Cuánto pagó por [una caja o paquete de [CIGARFILL]s/un [CIGARFILL] suelto]?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO R04_YJ1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YJ1047[TC/CL/FC]
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar as blunts-only smokers who buy traditional
cigar/cigarillo/filtered cigar as blunts for themselves or someone else buys for them who last bought by
box or pack or as single traditional cigars/cigarillos/filtered cigars.
DISPLAY: DISPLAY AS QUANTITY/QUANTITY. DISPLAY "$" AS LEFT LABEL; "Dólares" AND
"Centavos" AS TITLES.
IF R04_YJ1039[TC/CL/FC] =1, DISPLAY "una caja o paquete de [CIGARFILL]s".
ELSE, IF R04_YJ1039[TC/CL/FC] =2, DISPLAY "un [CIGARFILL] suelto".
PATH ID:
R04_YJ1034TC_LC1
La computadora registró que usted pagó $[R04_YJ1034TC_D].[R04_YJ1034TC_C] por [una caja o
paquete de puros tradicionales para fumar toques o blunts/un puro tradicional suelto para fumar toques
o blunts]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ1034TC
2
NEXT
GO TO R04_YJ1047TC
ASK: IF ((R04_YJ1034TC_D > 300 OR R04_YJ1034TC_D < 10) AND R04_YJ1039TC = 1 ), OR
((R04_YJ1034TC_D > 15 OR R04_YJ1034TC_D < 1) AND R04_YJ1039TC = 2).
DISPLAY: IF R04_YJ1039TC = 1, DISPLAY "una caja o paquete de puros tradicionales para fumar
toques o blunts";
ELSE, IF R04_YJ1039TC = 2, DISPLAY "un puro tradicional suelto para fumar toques o blunts".
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PATH ID:
R04_YJ1034CL_LC1
La computadora registró que usted pagó $[R04_YJ1034CL_D].[R04_YJ1034CL_C] por [una caja o
paquete de puritos para fumar toques o blunts/un purito suelto para fumar toques o blunts]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ1034CL
2
NEXT
GO TO R04_YJ1047CL
ASK: IF ((R04_YJ1034CL_D > 11 OR R04_YJ1034CL_D < 1) AND R04_YJ1039CL = 1), OR
((R04_YJ1034CL_D > 3 OR (R04_YJ1034CL_D = 0 AND R04_YJ1034CL_C < 50)) AND
R04_YJ1039CL = 2).
DISPLAY: IF R04_YJ1039CL = 1, DISPLAY "una caja o paquete de puritos para fumar toques o blunts";
ELSE, IF R04_YJ1039CL = 2, DISPLAY "un purito suelto para fumar toques o blunts".
PATH ID:
R04_YJ1034FC_LC1
La computadora registró que usted pagó $[R04_YJ1034FC_D].[R04_YJ1034FC_C] por [una caja o
paquete de puros con filtro para fumar toques o blunts/un puro con filtro suelto para fumar toques o
blunts]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YJ1034FC
2
NEXT
GO TO R04_YJ1047FC
ASK: IF ((R04_YJ1034FC_D > 100 OR R04_YJ1034FC_D < 1) AND R04_YJ1039FC = 1) OR
((R04_YJ1034FC_D > 3 OR (R04_YJ1034FC_D = 0 AND R04_YJ1034FC_C < 50)) AND
R04_YJ1039FC = 2).
DISPLAY: IF R04_YJ1039FC = 1, DISPLAY "una caja o paquete de puros con filtro para fumar toques
o blunts";
ELSE, IF R04_YJ1039FC = 2, DISPLAY "un puro con filtro suelto para fumar toques o blunts".
PATH ID:
R04_YJ1047
¿Tiene una marca habitual de [CIGARFILL]s que normalmente fuma como si fueran toques o blunts?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers.
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PATH ID:
R04_YJ1945
¿Sabe el nombre de la marca de [CIGARFILL]s que [fuma normalmente/fumó la última vez] como si
fueran toques o blunts?
1
Sí
2
No
GO TO BOX R04_YJR08
-8
DON'T KNOW
GO TO BOX R04_YJR08
-7
REFUSED
GO TO BOX R04_YJR08
ASK: Past 12 month blunt-only smokers.
DISPLAY: IF R04_YJ1047[TC/CL/FC] = 1, DISPLAY "fuma normalmente".
ELSE, IF R04_YJ1047[TC/CL/FC] = 2, -8, -7, DISPLAY "fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YJ1048
¿Qué marca de [CIGARFILL] [fuma/fumó] [normalmente/la última vez] como si fuera un toque o blunt?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra". ]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers who know the brand name.
DISPLAY: IF R04_YJ1047[TC/CL/FC] =1, DISPLAY "fuma" AND "normalmente".
ELSE, IF R04_YJ1047[TC/CL/FC] = 2, -8, -7, DISPLAY "fumó" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN.]
BOX ID:
R04_YJR01
If youth respondent selects "Something else" in R04_YJ1048[TC/CL/FC]_BRAND, go to
R04_YJ1049[TC/CL/FC].
Else, if youth respondent selects brand in R04_YJ1048[TC/CL/FC]_BRAND, go to
R04_YJ1070[TC/CL/FC]_PRODUCT.
Else, go to Box R04_YJR08.
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PATH ID:
R04_YJ1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YJR08
-8
DON'T KNOW
GO TO BOX R04_YJR08
-7
REFUSED
GO TO BOX R04_YJR08
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH ID:
R04_YJ1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [fuma/fumó]
[normalmente/la última vez] como si fuera un toque o blunt?
Seleccione de las opciones a continuación tocando la pantalla. [ Si no ve la opción a continuación,
toque el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice
"Otra". ]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected a
brand image.
DISPLAY: IF R04_YJ1047[TC/CL/FC] =1, DISPLAY "fuma" AND "normalmente".
ELSE, IF R04_YJ1047[TC/CL/FC] =2, -8, -7, DISPLAY "fumó" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN R04_YJ1048[TC/CL/FC]]
BOX ID:
R04_YJR02
If youth respondent selects "Something else" in R04_YJ1070[TC/CL/FC]_PRODUCT, go to
R04_YJ1071[TC/CL/FC].
Else, go to Box R04_YJR08.
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Wave 4 (version 4.0)
PATH ID:
R04_YJ1071
Usted dijo que el tipo de [BRANDFILL] que usted fuma como si fueran toques o blunts no está en las
opciones. ¿Qué tipo es?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 12 month blunt-only smokers that know the name of the brand they smoke who selected a
brand image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YJR08
END BLUNT LOOP:
If respondent has loops to complete for other blunt types, return to Box R04_YJT04 and loop through
subsection for any other blunt types.
Else, if respondent has loops to complete for non-blunt cigar types, go to Box R04_YGT04.
Else, if respondent has no more remaining loops to complete, go to Box R04_YPT01.
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BOX ID:
R04_YGT04
PROGRAM - DISPLAY THE FOLLOWING TRANSITION TEXT AT THE START OF LOOPS:
IF LOOP=GTRAD Traditional Cigars (non-blunts)
Las siguientes preguntas son acerca de los puros tradicionales o "grandes".
Los puros tradicionales o "grandes" contienen tabaco envuelto en una hoja de tabaco.
Cuando conteste estas preguntas, por favor piense únicamente en su consumo de puros tradicionales
como los que se muestran a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE
SECTION:] Más adelante habrá otra sección acerca de otras clases de puros.
[SHOW GENERIC IMAGE OF TRADITIONAL CIGAR]
IF LOOP=GRILLO Cigarillos (non-blunts)
Las siguientes preguntas son acerca de los puritos.
Los puritos son puros de tamaño mediano y a veces vienen con boquillas de plástico o madera.
Cuando conteste estas preguntas, por favor piense únicamente en su consumo de puritos como los que
se muestran a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más
adelante habrá otra sección acerca de otras clases de puros.
[SHOW GENERIC IMAGE OF CIGARILLO].
IF LOOP=GFILTR Filtered Cigars (non-blunts)
Las siguientes preguntas son acerca de los puros con filtro.
Normalmente los puros con filtro son de color café y tienen un filtro como el de un cigarrillo. Cuando
conteste estas preguntas, por favor piense únicamente en su consumo de puros con filtro como los que
se muestran a continuación. [ONLY IF THIS IS NOT THE LAST TIME THROUGH THE SECTION:] Más
adelante habrá otra sección acerca de otras clases de puros.
[SHOW GENERIC IMAGE OF FILTERED CIGAR].
BOX ID:
R04_YGR05
New baseline youth respondents who have ever smoked cigars, go to R04_YG1006[TC/CL/FC]_NB.
Else, continuing youth respondents who initiated cigar smoking since the previous wave, go to
R04_YG1108[TC/CL/FC].
Else, continuing youth respondents who had smoked 100 or more cigars in the previous wave, go to
R04_YG9040[TC/CL/FC].
Else, go to R04_YG1005[TC/CL/FC].
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PATH ID:
R04_YG1108
La primera vez que fumó [CIGARFILL], ¿tenía sabor a mentol, menta, clavo de olor, especias, dulce,
fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO BOX R04_YGR09
3
No sé
GO TO BOX R04_YGR09
-8
DON'T KNOW
GO TO BOX R04_YGR09
-7
REFUSED
GO TO BOX R04_YGR09
ASK: Continuing youth respondents who have initiated cigar smoking since the previous wave, and new
baseline youth respondents who have ever smoked cigars.
PATH ID:
R04_YG1011
¿Qué sabor tenía el primer [CIGARFILL] que fumó? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first cigar was flavored.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YGR09
Continuing youth respondents who had smoked 100 or more cigars in the previous wave, go to
R04_YG9040[TC/CL/FC].
Else, go to R04_YG1005[TC/CL/FC].
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PATH ID:
R04_YG1005
¿Cuántos [CIGARFILL]s ha fumado en toda su vida?
1
Una o más probaditas pero nunca uno entero
2
1
3
2 a 10
4
11 a 20
5
21 a 50
6
51 a 99
7
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever smoked cigars and had not smoked
100 or more cigars in the previous wave, and new cohort youth respondents who have ever smoked
cigars.
PATH ID:
R04_YG9040
Por favor mire esta imagen. ¿Qué grupo se parece más al [CIGARFILL] que usted fuma normalmente?
[SHOW GENERIC IMAGE OF 4 CIGAR GROUPS]
1
Grupo 1
2
Grupo 2
3
Grupo 3
4
Grupo 4
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a traditional cigar/cigarillo/filtered cigar.
BOX ID:
R04_YGR18
Continuing youth respondents who have ever smoked cigars and had never smoked fairly regularly in
the previous wave, and new baseline youth respondents who have ever smoked cigars, go to
R04_YG1100[TC/CL/FC].
Else, go to R04_YG1112[TC/CL/FC].
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PATH ID:
R04_YG1100
Alguna vez, ¿ha fumado [CIGARFILL]s de manera habitual?
1
Sí
2
No
GO TO R04_YG1112[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1112[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1112[TC/CL/FC]
ASK: Aged-up and continuing youth respondents who have ever smoked a cigar (and had never
smoked fairly regularly in the previous wave), and new cohort youth respondents who have ever
smoked cigars.
PATH ID:
R04_YG1007
¿Qué edad tenía usted la primera vez que comenzó a fumar [CIGARFILL]s habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YG1121[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1121[TC/CL/FC]
ASK: Youth respondents who have ever smoked cigars fairly regularly and did not smoke fairly regularly
in the previous wave.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YG1007TC_LC1
La computadora registró que usted comenzó a fumar puros tradicionales de manera habitual a la edad
de [R04_YG1007TC] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007TC
2
NEXT
GO TO R04_YG1112TC
ASK: IF R04_AG1007TC <= 12 OR R04_YG1007TC < R04_YG1006TC_NB.
PATH ID:
R04_YG1007TC_LC2
La computadora registró que usted comenzó a fumar puros tradicionales de manera habitual a la edad
de [R04_YG1007TC] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007TC
2
NEXT
GO TO R04_YG1112TC
ASK: IF R04_YG1007TC > R04_YOUTHAGE.
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PATH ID:
R04_YG1007CL_LC1
La computadora registró que usted comenzó a fumar puritos de manera habitual a la edad de
[R04_YG1007CL] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007CL
2
NEXT
GO TO R04_YG1112CL
ASK: IF R04_AG1007CL <= 5 OR R04_YG1007CL < R04_YG1006CL_NB.
PATH ID:
R04_YG1007CL_LC2
La computadora registró que usted comenzó a fumar puritos de manera habitual a la edad de
[R04_YG1007CL] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007CL
2
NEXT
GO TO R04_YG1112CL
ASK: IF R04_YG1007CL > R04_YOUTHAGE.
PATH ID:
R04_YG1007FC_LC1
La computadora registró que usted comenzó a fumar puros con filtro de manera habitual a la edad de
[R04_YG1007FC] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007FC
2
NEXT
GO TO R04_YG1112FC
ASK: IF R04_AG1007FC <= 10 OR R04_YG1007FC < R04_YG1006FC_NB.
PATH ID:
R04_YG1007FC_LC2
La computadora registró que usted comenzó a fumar puros con filtro de manera habitual a la edad de
[R04_YG1007FC] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1007FC
2
NEXT
GO TO R04_YG1112FC
ASK: IF R04_YG1007FC > R04_YOUTHAGE.
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PATH ID:
R04_YG1121
La primera vez que comenzó a fumar [CIGARFILL]s habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age when they started smoking
cigars fairly regularly.
PATH ID:
R04_YG1112
¿Cuándo fue la última vez que fumó un [CIGARFILL], incluso si solo fueron una o dos probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YGV02
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YGV02
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YGV02
6
Hace 1 a 4 años
GO TO BOX R04_YGV02
7
Hace 5 años o más
GO TO BOX R04_YGV02
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have ever smoked cigars.
PATH ID:
R04_YG0100
¿Cuándo fue la última vez que fumó un [CIGARFILL]?
1
Hace menos de una hora
2
Hoy
3
Ayer
4
Hace dos días
5
GO TO R04_YG0103[TC/CL/FC]
Hace tres o más días
GO TO BOX R04_YGV02
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have smoked cigars in the past 7 days.
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PATH ID:
R04_YG0102
La última vez que fumó un [CIGARFILL] [FILL BASED ON R04_YG0100[TC/CL/FC]], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigar today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YG0100[TC/CL/FC]]:
IF R04_YG0100[TC/CL/FC] = 2, DISPLAY "hoy".
ELSE, IF R04_YG0100[TC/CL/FC] = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, DISPLAY "hace dos días".
PATH ID:
R04_YG0103
¿Cuántos [CIGARFILL]s [ha fumado/fumó] [FILL BASED ON R04_YG0100][TC/CG/FC]]? (Si fumó
menos de 1, anote 1).
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YGV02
-7
REFUSED
GO TO BOX R04_YGV02
ASK: Youth respondents who have smoked a cigar in the past hour, sometime today, yesterday or the
day before yesterday.
DISPLAY: IF R04_YG0100[TC/CL/FC] = 1, 2, DISPLAY "ha fumado".
ELSE, IF R04_YG0100[TC/CL/FC] = 3, 4, DISPLAY "fumó".
FOR [FILL BASED ON R04_YG0100[TC/CL/FC]]:
IF R04_YG0100[TC/CL/FC] = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YG0100[TC/CL/FC] = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YG0103TC_LC1
La computadora registró que usted fumó [R04_YG0103TC] puros tradicionales [hoy/ayer/hace dos
días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG0103TC
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103TC > 15 OR R04_YG0103TC = 11.
DISPLAY: IF R04_YG0100TC = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YG0100TC = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100TC = 4, DISPLAY "hace dos días".
PATH ID:
R04_YG0103CL_LC1
La computadora registró que usted fumó [R04_YG0103CL] puritos [hoy/ayer/hace dos días]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG0103CL
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103CL > 15 OR R04_YG0103CL = 11.
DISPLAY: IF R04_YG0100CL = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YG0100CL = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100CL = 4, DISPLAY "hace dos días".
PATH ID:
R04_YG0103FC_LC1
La computadora registró que usted fumó [R04_YG0103FC] puros con filtro [hoy/ayer/hace dos días].
¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG0103FC
2
NEXT
GO TO BOX R04_YGV02
ASK: IF R04_YG0103FC > 15 OR R04_YG0103FC = 11.
DISPLAY: IF R04_YG0100FC = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YG0100FC = 3, DISPLAY "ayer".
ELSE, IF R04_YG0100FC = 4, DISPLAY "hace dos días".
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BOX ID:
R04_YGV02
PROGRAM - CREATE THE FOLLOWING VARIABLES FOR EACH CIGAR TYPE (SEE APPENDIX):
R04_PAST30DAY_GTRAD = 1 (Past 30 day smoker) Youth respondents who have smoked a
traditional cigar in the past 30 days.
R04_PAST30DAY_GTRAD_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a traditional cigar in the past 30 days, and have smoked 10 or less traditional cigars in
their lifetime.
R04_PAST30DAY_GTRAD_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a traditional cigar in the past 30 days, and have smoked more than 10 traditional cigars in
their lifetime.
R04_PAST30DAY_GRILLO = 1 (Past 30 day smoker) Youth respondents who have smoked a cigarillo
in the past 30 days.
R04_PAST30DAY_GRILLO_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a cigarillo in the past 30 days, and have smoked 10 or less cigarillos in their lifetime.
R04_PAST30DAY_GRILLO_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a cigarillo in the past 30 days, and have smoked more than 10 cigarillos in their lifetime.
R04_PAST30DAY_GFILTR = 1 (Past 30 day smoker) Youth respondents who have smoked a filtered
cigar in the past 30 days.
R04_PAST30DAY_GFILTR_LEVEL = 1 (Past 30 day “Very Light” smoker) Youth respondents who
have smoked a filtered cigar in the past 30 days, and have smoked 10 or less filtered cigars in their
lifetime.
R04_PAST30DAY_GFILTR_LEVEL = 2 (Past 30 day “Not Light” smoker) Youth respondents who
have smoked a filtered cigar in the past 30 days, and have smoked more than 10 filtered cigars in their
lifetime.
BOX ID:
R04_YGR06
Past 30 day cigar smokers, go to R04_YG1022[TC/CL/FC].
Else, go to Box R04_YGR16.
PATH ID:
R04_YG1022
¿En cuántos de los últimos 30 días fumó usted un [CIGARFILL]?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
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PATH ID:
R04_YG1023
En los últimos 30 días, en los días en que fumó un [CIGARFILL], ¿cuántos [CIGARFILL]s fumó cada
día?
1
Menos de un [CIGARFILL] cada día
2
Un [CIGARFILL] cada día
3
2 a 5 [CIGARFILL]s cada día
4
6 a 10 [CIGARFILL]s cada día
5
11 a 20 [CIGARFILL]s cada día
6
Más de 20 [CIGARFILL]s cada día
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1130
En los últimos 30 días, ¿tenía alguno de los [CIGARFILL]s que fumó sabor a mentol, menta, clavo de
olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros sabores dulces?
1
Sí
2
No
GO TO R04_YG1142[TC/CL/FC]
3
No sé
GO TO R04_YG1142[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1142[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1142[TC/CL/FC]
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1131
¿Qué sabores ha fumado en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored cigar smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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PATH ID:
R04_YG1147
En los días en que fumó [CIGARFILL]s en los últimos 30 días, ¿con qué frecuencia fumó [CIGARFILL]s
con sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored cigar smokers.
DISPLAY: UNDERLINE "con sabor".
PATH ID:
R04_YG1142
En los últimos 30 días, ¿le vendió alguien [CIGARFILL]s?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1123
En los últimos 30 días, ¿le negó alguien la venta de [CIGARFILL]s debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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PATH ID:
R04_YG1118
En los últimos 30 días, ¿cómo obtuvo sus [CIGARFILL] normalmente?
1
Le di dinero a otra persona para que me los compre
2
Yo mismo los compré en una tienda (incluyendo un bar de fumadores)
3
Se lo pedí a una persona
4
Alguien me lo ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YGR07
Past 30 day cigar smokers who usually buy cigars themselves or usually give someone else money to
buy cigars for them, go to R04_YG1030[TC/CL/FC].
Else, past 30 day "not-light" cigar smokers go to R04_YG1047[TC/CL/FC].
Else, past 30 day cigar smokers, go to R04_YG1945[TC/CL/FC]
Else, all other youth respondents, go to Box R04_YGR16.
PATH ID:
R04_YG1030
¿Cómo [compra/le compran] sus [CIGARFILL]s normalmente?
1
En persona (en una tienda o bar de fumadores)
2
En Internet
GO TO BOX R04_YGR22
3
Por teléfono
GO TO BOX R04_YGR22
-8
DON'T KNOW
GO TO BOX R04_YGR22
-7
REFUSED
GO TO BOX R04_YGR22
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers (including "very light" smokers) who
buy traditional cigars/cigarillos/filtered cigars for themselves or someone else buys for them.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 1, DISPLAY "le compran".
ELSE, IF R04_YG1118[TC/CL/FC] = 2, DISPLAY "compra".
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PATH ID:
R04_YG1033
¿Dónde [compra/le compran] sus [CIGARFILL]s la mayoría del tiempo?
1
Un bar de fumadores
2
Una tienda de conveniencia o estación de gasolina
3
Un supermercado, tienda de comestibles o farmacia
4
Una tienda mayorista como Sam's o Costco
5
Una tienda especializada o un almacén de tabaco o una tabaquería
6
Una tienda libre de impuestos o un economato militar
7
Un bar, restaurante, casino o una taberna
8
Un amigo o familiar
9
Un mercadillo o mercado de pulgas
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers (including "very light" smokers) who
buy traditional cigars/cigarillos/filtered cigars for themselves or someone else buys for them in person.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 1, DISPLAY "le compran".
ELSE, IF R04_YG1118[TC/CL/FC] = 2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YGR22
Past 30 day "not-light" cigar smokers who buy cigars for themselves or someone else buys for them, go
to R04_YG1039[TC/CL/FC].
Else, past 30 day "very-light" cigar smokers who buy cigars for themselves or someone else buys for
them, go to R04_YG1945[TC/CL/FC]
PATH ID: R04_YG1039
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] [CIGARFILL]s . ¿Los
compró por caja o paquete o como [CIGARFILL]s sueltos?
1
Caja o paquete
2
[CIGARFILL]s sueltos
GO TO R04_YG1034[TC/CL/FC]
-8
DON'T KNOW
GO TO R04_YG1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1047[TC/CL/FC]
ASK: Past 30 day "not-light" cigar smokers who buy cigars for themselves or someone else buys for
them.
DISPLAY: IF R04_YG1118[TC/CL/FC] = 2, DISPLAY "compró".
ELSE, IF R04_YG1118[TC/CL/FC] = 1, DISPLAY "le dio dinero a alguien para que le compre".
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PATH ID:
R04_YG1040
¿Cuántos [CIGARFILL]s venían en la caja o paquete que compró la última vez?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigar smokers who last bought cigars by the box or pack.
PATH ID:
R04_YG1034
¿Cuánto pagó por [una caja o paquete de [CIGARFILL]s/un [CIGARFILL] suelto]?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO R04_YG1047[TC/CL/FC]
-7
REFUSED
GO TO R04_YG1047[TC/CL/FC]
ASK: Past 30 day "not-light" cigar smokers who last bought cigars by the box or pack or as single
cigars.
DISPLAY: DISPLAY AS QUANTITY/QUANTITY. DISPLAY "$" AS LEFT LABEL; "Dólares" AND
"Centavos" AS TITLES.
IF R04_YG1039[TC/CL/FC] = 1, DISPLAY "una caja o paquete de [CIGARFILL]s".
ELSE, IF R04_YG1039[TC/CL/FC] = 2, DISPLAY "un [CIGARFILL] suelto".
PATH ID:
R04_YG1034TC_LC1
La computadora registró que usted pagó $[R04_YG1034TC_D].[R04_YG1034TC_C] por [una caja o
paquete de puros tradicionales/un puro tradicional suelto]? ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1034TC
2
NEXT
GO TO R04_YG1047TC
ASK: IF ((R04_YG1034TC_D > 300 OR R04_YG1034TC_D < 10) AND R04_YG1039TC = 1) OR
((R04_YG1034TC_D > 15 OR R04_YG1034TC_D < 1) AND R04_YG1039TC = 2).
DISPLAY: IF R04_YG1039TC = 1, DISPLAY " una caja o paquete de puros tradicionales".
ELSE, IF R04_YG1039TC = 2, DISPLAY " un puro tradicional suelto".
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PATH ID:
R04_YG1034CL_LC1
La computadora registró que usted pagó $[R04_YG1034CL_D].[R04_YG1034CL_C] por [una caja o
paquete de puritos/un purito suelto]? ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1034CL
2
NEXT
GO TO R04_YG1047CL
ASK: IF ((R04_YG1034CL_D > 11 OR R04_YG1034CL_D < 1) AND R04_YG1039CL = 1) OR
((R04_YG1034CL_D > 3 OR (R04_YG1034CL_D = 0 AND R04_YG1034CL_C < 50)) AND
R04_YG1039CL = 2).
DISPLAY: IF R04_YG1039CL = 1, DISPLAY "una caja o paquete de puritos".
ELSE, IF R04_YG1039CL = 2, DISPLAY "un purito suelto".
PATH ID:
R04_YG1034FC_LC1
La computadora registró que usted pagó $[R04_YG1034FC_D].[R04_YG1034FC_C] por [una caja o
paquete de puros con filtro/un puro con filtro suelto]? ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YG1034FC
2
NEXT
GO TO R04_YG1047FC
ASK: IF ((R04_YG1034FC_D > 100 OR R04_YG1034FC_D < 1) AND R04_YG1039FC = 1) OR
((R04_YG1034FC_D > 3 OR (R04_YG1034FC_D = 0 AND R04_YG1034FC_C < 50)) AND
R04_YG1039FC = 2).
DISPLAY: IF R04_YG1039FC = 1, DISPLAY "una caja o paquete de puros con filtro".
ELSE, IF R04_YG1039FC = 2, DISPLAY "un puro con filtro suelto".
PATH ID:
R04_YG1047
¿Tiene una marca habitual de [CIGARFILL]s que normalmente fuma?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigar smokers.
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PATH ID:
R04_YG1945
¿Sabe el nombre de la marca de [CIGARFILL]s que [fuma normalmente/fumó la última vez]?
1
Sí
2
No
GO TO BOX R04_YGR11
-8
DON'T KNOW
GO TO BOX R04_YGR11
-7
REFUSED
GO TO BOX R04_YGR11
ASK: Past 30 day cigar smokers.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY "fuma normalmente".
ELSE, DISPLAY "fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YG1048
¿Qué marca de [CIGARFILL] [fuma/fumó] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers who know the brand name.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
[SHOW PICTURES OF THE MAJOR BRANDS ON THE TOUCHSCREEN.]
BOX ID:
R04_YGR10
If youth respondent selects "Something else" in R04_YG1048[TC/CL/FC]_BRAND, go to
R04_YG1049[TC/CL/FC].
Else, if youth respondent selects brand from images in R04_YG1048[TC/CL/FC]_BRAND, go to
R04_YG1070[TC/CL/FC]_PRODUCT.
Else, go to Box R04_YGR11.
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PATH ID:
R04_YG1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YGR11
-8
DON'T KNOW
GO TO BOX R04_YGR11
-7
REFUSED
GO TO BOX R04_YGR11
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers that know the name of the brand they
smoke who selected "Something else" for their brand.
PATH ID:
R04_YG1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [fuma/fumó]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [ Si no ve la opción a continuación,
toque el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice
"Otra". ]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YG1047[TC/CL/FC] = 1, DISPLAY "fuma" AND "normalmente".
ELSE, DISPLAY "fumó AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
[SHOW PICTURES OR TEXT ON THE TOUCHSCREEN OF THE MAJOR PRODUCTS ASSOCIATED
WITH BRAND SELECTED IN R04_YG1048[TC/CL/FC]_BRAND]
BOX ID:
R04_YGR21
If youth respondent selects "Something else" in R04_YG1070[TC/CL/FC]_PRODUCT, go to
R04_YG1071[TC/CL/FC].
Else, go to Box R04_YGR11.
PATH ID:
R04_YG1071
Usted dijo que el tipo de [BRANDFILL] que usted fuma no está en las opciones. ¿Qué tipo es?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day traditional cigar/cigarillo/filtered cigar smokers that know the name of the brand they
smoke who selected a brand image, but selected "Something else" for their subbrand image.
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BOX ID:
R04_YGR11
Youth respondents who have smoked a cigar today, yesterday or the day before yesterday who know
the name of their brand AND selected a valid brand AND valid product, go to R04_YG0104[TC/CL/FC].
Else, go to Box R04_YGD04.
PATH ID:
R04_YG0104
Usted dijo anteriormente que fumó un [CIGARFILL] [TIME OF LAST USE].
Piense en el último [CIGARFILL] que fumó.
¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a cigar in the past hour, sometime today, yesterday or the
day before yesterday who know the name of their brand AND selected a valid brand AND valid product.
DISPLAY: IF R04_YG0100[TC/CL/FC] = 1, FILL [TIME OF LAST USE] WITH "hace menos de una
hora".
ELSE, IF R04_YG0100[TC/CL/FC] = 2, FILL [TIME OF LAST USE] WITH "hoy".
ELSE, IF R04_YG0100[TC/CL/FC] = 3, FILL [TIME OF LAST USE] WITH "ayer".
ELSE, IF R04_YG0100[TC/CL/FC] = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH RESPONSE TO R04_YG1070[TC/CL/FC]_PRODUCT.
BOX ID:
R04_YGD04
Display question R04_YG1060[TC/CL/FC], R04_YG1085[TC/CL/FC], R04_YG1062[TC/CL/FC],
R04_YG1075[TC/CL/FC], R04_YG1063[TC/CL/FC], R04_YG1064[TC/CL/FC],
R04_YG1066[TC/CL/FC], on one screen. Show the intro/transition text from R04_YG1060[TC/CL/FC]
first, then show each item with a Sí/No response. As each item is answered, show the next one.
Randomize order of R04_YG1060[TC/CL/FC] through R04_YG1066[TC/CL/FC].
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PATH ID:
R04_YG1060
Las siguientes preguntas son acerca de las razones por las que la gente fuma [CIGARFILL]s.
Seleccione las razones que aplican a usted.
Fumo [CIGARFILL]s porque...
Son económicos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1085
Puedo fumar [CIGARFILL]s en ocasiones o en lugares donde no se permite fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1062
Podrían ser menos dañinos para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
PATH ID:
R04_YG1075
Podrían ser menos dañinos que fumar cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1063
Los [CIGARFILL]s vienen en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
BOX ID:
R04_YGR15
Youth respondents who have smoked cigarettes in the past year, go to R04_YG1064[TC/CL/FC].
Else, go to R04_YG1066[TC/CL/FC].
PATH ID:
R04_YG1064
Fumar [CIGARFILL]s le ayuda a la gente a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers who have also smoked cigarettes in the past year.
PATH ID:
R04_YG1066
Fumar [CIGARFILL] se siente como si estuviese fumando un cigarrillo tradicional.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
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Wave 4 (version 4.0)
PATH ID:
R04_YG1139
Por favor, califique su nivel de acuerdo con cada una de las siguientes afirmaciones usando la siguiente
escala: 1 = no es cierto en absoluto y 4= es muy cierto.
Es más fácil hablar y llevarse bien con otras personas cuando fumo un [CIGARFILL].
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
PATH ID:
R04_YG1140
Al fumar un [CIGARFILL], me siento más seguro con otras personas.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
PATH ID:
R04_YG1141
Fumo [CIGARFILL]s mucho más cuando estoy con otras personas.
1
No es cierto en absoluto
2
3
4
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day cigar smokers.
DISPLAY: DISPLAY SCALE FOR THE R04_YG1139[TC/CL/FC]-1141[TC/CL/FC] SERIES.
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Wave 4 (version 4.0)
BOX ID:
R04_YGR16
If youth respondent has remaining loops to complete for non-blunt cigar types, return to R04_YGT04
and repeat section.
Else, if youth respondent has no more remaining loops to complete for cigars, go to Box R04_YPT01.
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Wave 4 (version 4.0)
PIPE
BOX ID:
R04_YPT01
Las siguientes preguntas son acerca de fumar tabaco en pipa.
Las pipas vienen en distintos tamaños y formas. Todas tienen una cánula y una cazoleta donde se
pone el tabaco. El tabaco para pipas normalmente se vende suelto en paquetes o latas. En la siguiente
sección, solo le vamos a preguntar sobre el consumo de pipas con tabaco. La imagen a continuación
muestra una pipa tradicional y tabaco para pipa.
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
BOX ID:
R04_YPR02
New baseline youth respondents, go to R04_YP1001_NB.
Continuing youth respondents, go to R04_YP1002_12M.
PATH ID:
R04_YP1002_12M
En los últimos 12 meses, ¿ha fumado una pipa con tabaco, incluso si solo fueron una o dos probaditas?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
BOX ID:
R04_YPV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_PIPE_YOUTH = 1 (Ever user) Youth respondents who have ever smoked pipe
tobacco.
R04_EVER_NEVER_PIPE_YOUTH = 2 (Never user) = Youth respondents who have not ever smoked
pipe tobacco.
R04_INIT_PIPE_YOUTH = 1 (Initiator) Youth respondents who initiated pipe use between Waves or
new baseline youth respondents who have ever smoked a pipe.
BOX ID:
R04_YPR01
Youth respondents who have ever smoked a pipe, go to R04_YP1112.
Else, go to Box R04_YHT01.
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PATH ID:
R04_YP1112
¿Cuándo fue la última vez que fumó una pipa con tabaco, incluso si solo fueron una o dos probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YPV02
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YPV02
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YPV02
6
Hace 1 a 4 años
GO TO BOX R04_YPV02
7
Hace 5 años o más
GO TO BOX R04_YPV02
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who have ever smoked a pipe.
PATH ID:
R04_YP0100
¿Cuándo fue la última vez que fumó pipa con tabaco?
1
Hace menos de una hora
GO TO R04_YP0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YPV02
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who smoked a pipe earlier today or in the past 7 days.
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Wave 4 (version 4.0)
PATH ID:
R04_YP0102
La última vez que fumó una pipa con tabaco [FILL BASED ON R04_YP0100], ¿fue...?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked a pipe today, yesterday or the day before yesterday, but not
in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YP0100]:
IF R04_YP0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YP0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YP0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YP0103
¿Cuántas cazoletas con tabaco para pipas [ha fumado/fumó] [FILL BASED ON R04_YP0100]? (Si fumó
menos de una, anote una).
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YPV02
-7
REFUSED
GO TO BOX R04_YPV02
ASK: Youth respondents who have smoked a pipe in the past hour, today, yesterday or the day before
yesterday.
DISPLAY: IF R04_YP0100 = 1, 2, DISPLAY "ha fumado".
ELSE, IF R04_YP0100 = 3, 4, DISPLAY "fumó".
FOR [FILL BASED ON R04_YP0100]:
IF R04_YP0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YP0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YP0100 = 4, DISPLAY "hace dos días".
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Wave 4 (version 4.0)
PATH ID:
R04_YP0103_LC1
La computadora registró que usted fumó [R04_YP0103] cazoletas con tabaco para pipas
[hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YP0103
2
NEXT
GO TO BOX R04_YPV02
ASK: IF R04_YP0103 > 10.
DISPLAY: IF R04_YP0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YP0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YP0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YPV02
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_PIPE = 1 (Past 30 day pipe smokers) Youth respondents who have smoked a pipe
in the past 30 days.
BOX ID:
R04_YPR04
Past 30 day pipe smokers, go to R04_YP1022.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1022
¿En cuántos de los últimos 30 días fumó usted pipa con tabaco?
1
I__I__I DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
DISPLAY: DISPLAY "DÍAS" AS TITLE.
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Wave 4 (version 4.0)
PATH ID:
R04_YP1023
En los últimos 30 días, en los días en que fumó pipa, ¿cuántas cazoletas con tabaco fumó
normalmente cada día?
1
Menos de una cazoleta cada día
2
Una cazoleta cada día
3
2 a 5 cazoletas cada día
4
6 a 10 cazoletas cada día
5
11 a 20 cazoletas cada día
6
Más de 20 cazoletas cada día
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
PATH ID:
R04_YP1142
En los últimos 30 días, ¿le vendió alguien tabaco para pipas?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
PATH ID:
R04_YP1123
En los últimos 30 días, ¿le negó alguien la venta de tabaco para pipa debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
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PATH ID:
R04_YP1118
En los últimos 30 días, ¿cómo obtuvo su tabaco para pipa normalmente?
1
Le di dinero a otra persona para que me lo compre
2
Yo mismo los compré en una tienda
3
Se los pedí a una persona
4
Alguien me los ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day pipe smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YPR03
Past 30 day pipe smokers who usually buy pipe tobacco themselves or give someone else money to
buy pipe tobacco for them, go to R04_YP1030.
Else, go to Box R04_YHT01.
PATH ID:
R04_YP1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente su
tabaco para pipas?
1
En persona
2
En Internet
GO TO R04_YP1034
3
Por teléfono
GO TO R04_YP1034
-8
DON'T KNOW
GO TO R04_YP1034
-7
REFUSED
GO TO R04_YP1034
ASK: Past 30 day pipe smokers who buy pipe tobacco for themselves or someone else buys it for them.
DISPLAY: IF R04_YP1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona";
ELSE, IF R04_YP1118 = 2, DISPLAY "¿Cómo compra usted".
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PATH ID:
R04_YP1033
¿Dónde [compra/le compran] su tabaco para pipa la mayoría del tiempo?
1
Una tienda de conveniencia o estación de gasolina
2
Un supermercado, tienda de comestibles o farmacia
3
Una tienda mayorista como Sam's o Costco
4
Una tienda especializada o un almacén de tabaco o una tabaquería
5
Una tienda libre de impuestos o un economato militar
6
Un bar, restaurante, casino o una taberna
7
Un amigo o familiar
8
Un mercadillo o mercado de pulgas
9
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 pipe smokers who buy pipe tobacco themselves or someone else buys for them in
person.
DISPLAY: IF R04_YP1118=1, DISPLAY "le compran";
ELSE, IF R04_YP1118=2, DISPLAY "compra"
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
PATH ID:
R04_YP1034
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] tabaco para pipa.
¿Cuánto pagó?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO R04_YHT01
-7
REFUSED
GO TO R04_YHT01
ASK: Past 30 day pipe smokers who buy pipe tobacco themselves or someone else buys for them.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YP1118 = 1, DISPLAY "le dio dinero a alguien para que le compre".
ELSE, IF R04_YP1118 = 2, DISPLAY "compró".
PATH ID:
R04_YP1034_LC1
La computadora registró que usted pagaba $[R04_YP1034_D].[R04_YP1034_C] por una bolsa de
tabaco para pipas. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YP1034
2
NEXT
GO TO BOX R04_YHT01
ASK: IF R04_YP1034_D > 50.
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HOOKAH
BOX ID:
R04_YHT01
Las siguientes preguntas son acerca de fumar tabaco en una hookah, que es un tipo de pipa de agua.
También se conoce como "narguile". De ahora en adelante usaremos la palabra "hookah" para
referirnos a la pipa de agua o narguile. Hay muchos tipos de hookahs. La gente normalmente fuma
hookahs en grupo en bares o cafés de hookahs.
La gente fuma shishas o el tabaco para hookahs en una hookah. La shisha viene en distintos
sabores. Algunos tipos de shisha contienen tabaco y otros no.
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
BOX ID:
R04_YHR01
New baseline youth respondents, go to R04_YH1001_NB.
Continuing youth respondents, go to R04_YH1002_12M.
PATH ID:
R04_YH1002_12M
En los últimos 12 meses, ¿ha fumado tabaco en una hookah, incluso si solo fueron una o dos
probaditas?
[SHOW GENERIC IMAGE OF HOOKAH]
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
BOX ID:
R04_YHV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_HOOK_YOUTH = 1 (Ever user) Youth respondents who have ever smoked
hookah.
R04_EVER_NEVER_HOOK_YOUTH = 2 (Never user) Youth respondents who have not ever smoked
hookah.
R04_INIT_HOOK_YOUTH = 1 (Initiator) Youth respondents who initiated hookah use between Waves
or new baseline youth respondents who have ever smoked a hookah.
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BOX ID:
R04_YHR02
New baseline youth who have never heard of a hookah, go to Box R04_YUT01.
Else, continuing youth who have never smoked hookah, and new baseline youth respondents who have
heard of but never smoked hookah, go to R04_YH1103.
Else, new baseline youth respondents who have ever smoked hookah, go to R04_YH1006_NB.
Else, continuing youth respondents who initiated hookah smoking since the previous wave, go to
R04_YH1108.
Else, continuing youth respondents who have ever smoked hookah and had not smoked 100 or more
times in the previous wave, go to R04_YH1005
Else, continuing youth respondents who have ever smoked hookah and had never smoked fairly
regularly in the previous wave, go to Box R04_YH1100.
Else, go to Box R04_YHV02.
PATH ID:
R04_YH1103
Alguna vez, ¿ha sentido curiosidad por fumar tabaco en una hookah?
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of hookah but have never smoked hookah.
PATH ID:
R04_YH1206
¿Cree que fumará tabaco en una hookah el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but have never smoked hookah.
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PATH ID:
R04_YH1104
¿Cree que probará fumar tabaco en una hookah pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but have never smoked hookah.
PATH ID:
R04_YH1105
¿Si uno de sus mejores amigos le ofreciera fumar en hookah, la probaría?
1
Definitivamente sí
GO TO R04_YH9041
2
Probablemente sí
GO TO R04_YH9041
3
Probablemente no
GO TO R04_YH9041
4
Definitivamente no
GO TO R04_YH9041
-8
DON'T KNOW
GO TO R04_YH9041
-7
REFUSED
GO TO R04_YH9041
ASK: Youth respondents who have heard of but have never smoked hookah.
PATH ID:
R04_YH1108
La primera shisha o tabaco para hookah que fumó, ¿tenía sabor a mentol, menta, clavo de olor,
especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO BOX R04_YHR13
3
No sé
GO TO BOX R04_YHR13
-8
DON'T KNOW
GO TO BOX R04_YHR13
-7
REFUSED
GO TO BOX R04_YHR13
ASK: Continuing youth respondents who have initiated hookah smoking since the previous wave, and
new baseline youth respondents who have ever smoked hookah.
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PATH ID:
R04_YH1011
¿Qué sabor tenía la primera shisha o tabaco para hookah que fumó? Escoja todas las opciones que
correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who initiated smoking with flavored shisha.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YHR13
Aged-up and continuing youth respondents who have ever smoked hookah (and had not smoked 100 or
more times in the previous wave), and new cohort youth respondents who have ever smoked hookah,
go to R04_YH1005.
Else, go to Box R04_YHR10.
PATH ID:
R04_YH1005
¿Cuántas veces ha fumado tabaco en una hookah en toda su vida? Cuente cada sesión o vez en la
que fumó tabaco en una hookah, ya sea solo o acompañado.
1
Una
2
2 a 10
3
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever smoked hookah and had not smoked
100 or more times in the previous wave, and new cohort youth respondents who have ever smoked
hookah.
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BOX ID:
R04_YHR10
Youth respondents who have ever smoked hookah and had never smoked hookah fairly regularly in the
previous wave, go to R04_YH1100.
Else, go to R04_YH1112.
PATH ID:
R04_YH1100
¿Alguna vez ha fumado tabaco en una hookah habitualmente?
1
Sí
2
No
GO TO R04_YH1112
-8
DON'T KNOW
GO TO R04_YH1112
-7
REFUSED
GO TO R04_YH1112
ASK: Youth respondents who have ever smoked hookah (and had never smoked fairly regularly in the
previous wave).
PATH ID:
R04_YH1007
¿Qué edad tenía la primera vez que comenzó a fumar tabaco en una hookah habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YH1121
-7
REFUSED
GO TO R04_YH1121
ASK: Youth respondents who have ever smoked hookah fairly regularly and did not smoke fairly
regularly in the previous wave.
DISPLAY: Display "Años" as a title.
PATH ID:
R04_YH1007_LC1
La computadora registró que usted comenzó a fumar tabaco en una hookah de manera habitual a la
edad de [R04_YH1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH1007
2
NEXT
GO TO R04_YH1112
ASK: IF R04_YH1007< =5 OR If R04_YH1007 < R04_YH1006_NB.
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PATH ID:
R04_YH1007_LC2
La computadora registró que usted comenzó a fumar tabaco en hookah de manera habitual a la edad
de [R04_YH1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH1007
2
NEXT
GO TO R04_YH1112
ASK: IF R04_YH1007 > R04_YOUTHAGE.
PATH ID:
R04_YH1121
La primera vez que comenzó a fumar tabaco en una hookah habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age they first started smoking
hookah fairly regularly.
PATH ID:
R04_YH1112
¿Cuándo fue la última vez que fumó tabaco en una hookah, incluso si solo fueron una o dos
probaditas?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
4
No en los últimos 30 días, pero sí en los últimos 6 meses
5
No en los últimos 6 meses, pero sí el año pasado
6
Hace 1 a 4 años
7
Hace 5 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
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BOX ID:
R04_YHV02
PROGRAM - CREATE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_HOOK = 1 (Past 30 day hookah smokers) Youth respondents who have smoked
hookah in the past 30 days.
BOX ID:
R04_YHR12
Youth respondents who have smoked hookah in the past 7 days, go to R04_YH0100.
Else, youth respondents who have smoked hookah in the past 12 months, go to R04_YH9003.
Else, youth respondents who have ever smoked hookah, go to R04_YH1090.
Else, go to R04_YH9041.
PATH ID:
R04_YH0100
¿Cuándo fue la última vez que fumó tabaco en una hookah?
1
Hace menos de una hora
GO TO R04_YH0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO R04_YH9003
-8
DON'T KNOW
GO TO R04_YH9003
-7
REFUSED
GO TO R04_YH9003
ASK: Youth respondents who have smoked hookah in the past 7 days.
PATH ID:
R04_YH0102
La última vez que fumó tabaco en una hookah [FILL BASED ON R04_YH0100], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked hookah today, yesterday or the day before yesterday, but
not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YH0100]:
IF R04_YH0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YH0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YH0100 = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YH0103
¿Cuántas probaditas [ha tomado/tomó] de una hookah [FILL BASED ON R04_YH0100]?
1
I__I__I
-8
DON'T KNOW
GO TO R04_YH9003
-7
REFUSED
GO TO R04_YH9003
ASK: Youth respondents who have smoked hookah in the past hour, sometime today, yesterday or the
day before yesterday.
DISPLAY: IF R04_YH0100 = 1, 2, DISPLAY "ha tomado".
ELSE, IF R04_YH0100 = 3, 4, DISPLAY "tomó".
FOR [FILL BASED ON R04_YH0100]:
IF R04_YH0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YH0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YH0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YH0103_LC1
La computadora registró que usted le dio [R04_YH0103] probaditas a una hookah [hoy/ayer/hace dos
días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH0103
2
NEXT
GO TO R04_YH9003
ASK: IF R04_YH0103 > 50 OR R04_YH0103 = 11, 22, 33, 44.
DISPLAY: IF R04_YH0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YH0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YH0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YH9003
¿Cuál de las siguientes opciones describe mejor su hábito de fumar en hookah? Normalmente, fumo
tabaco en una hookah...
1
Todos los días
2
Semanalmente
GO TO R04_YH9005
3
Mensualmente
GO TO R04_YH9004
4
Una vez cada dos meses
GO TO R04_YH1090
5
Una vez al año
GO TO R04_YH1090
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who have smoked hookah in the past 12 months.
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PATH ID:
R04_YH9006
En promedio, aproximadamente, ¿cuántas veces fuma tabaco en una hookah cada día? Cuente cada
sesión o vez en la que fumó tabaco en una hookah, ya sea solo o acompañado.
1
I___I___I___I
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah every day.
PATH ID:
R04_YH9006_LC1
La computadora registró que, en promedio, usted fuma tabaco en hookah [R04_YH9006] veces al día.
¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH9006
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9006 > 2.
PATH ID:
R04_YH9005
En promedio, aproximadamente, ¿cuántas veces fuma tabaco en una hookah en una semana? Cuente
cada sesión o vez en la que fumó tabaco en una hookah, ya sea solo o acompañado.
1
I___I___I
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah weekly.
PATH ID:
R04_YH9005_LC1
La computadora registró que, en promedio, usted fuma tabaco en hookah [R04_YH9005] veces a la
semana. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH9005
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9005 > 15.
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PATH ID:
R04_YH9004
En promedio, aproximadamente, ¿cuántas veces fuma tabaco en una hookah en un mes? Cuente cada
sesión o vez en la que fumó tabaco en una hookah, ya sea solo o acompañado.
1
I___I___I
-8
DON'T KNOW
GO TO R04_YH1090
-7
REFUSED
GO TO R04_YH1090
ASK: Youth respondents who smoke hookah monthly.
PATH ID:
R04_YH9004_LC1
La computadora registró que, en promedio, usted fuma tabaco en hookah [R04_YH9004] veces al mes.
¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YH9004
2
NEXT
GO TO R04_YH1090
ASK: IF R04_YH9004 > 50.
PATH ID:
R04_YH1090
¿Tiene su propia hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
PATH ID:
R04_YH9041
¿Alguna [otra ]persona que viva en su casa tiene una hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah, and continuing youth respondents.
DISPLAY: IF R04_EVER_NEVER_HOOK_YOUTH = 1, DISPLAY " otra".
ELSE, DO NOT DISPLAY THIS TEXT.
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BOX ID:
R04_YHR03
Past 30 day hookah smokers, go to R04_YH9012.
Else, youth respondents who have ever smoked hookah, go to R04_YH9042.
Else, go to R04_YH9031.
PATH ID:
R04_YH9012
Normalmente, ¿comparte una hookah con otros cuando la fuma?
1
Sí
2
No
GO TO R04_YH9014
-8
DON'T KNOW
GO TO R04_YH9014
-7
REFUSED
GO TO R04_YH9014
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9013
Normalmente, ¿con cuántas personas comparte una hookah?
1
Una persona
2
2 personas
3
3 personas
4
4 personas o más
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who report sharing with others.
PATH ID:
R04_YH9014
En promedio, ¿cuánto tiempo dura una sesión de hookah para usted [y para las personas que la
comparten con usted]?
1
Menos de 30 minutos
2
Más de 30 minutos a una hora
3
Una a 2 horas
4
Más de 2 horas
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH9012=1, DISPLAY " y para las personas que la comparten con usted" ELSE, DO
NOT DISPLAY THIS TEXT.
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PATH ID:
R04_YH9015
En promedio, cuando [fuma/comparte] una hookah, ¿cuántas veces se vuelve a llenar la hookah con
tabaco durante una sesión?
1
0 veces
2
1 vez
3
2 a 3 veces
4
4 veces o más
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH9012 = 1, DISPLAY "comparte". ELSE, DISPLAY "fuma".
PATH ID:
R04_YH9016
¿Con qué frecuencia prepara usted mismo la hookah?
1
Siempre
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca, otra persona siempre me la prepara
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9011
¿Dónde fuma normalmente en hookah? Escoja todas las opciones que correspondan.
1
En su casa
2
En casa de otra persona
3
En un café o bar de hookah
4
En una discoteca o un bar cafetería
5
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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PATH ID:
R04_YH1130
En los últimos 30 días, ¿tenía alguna de la shisha o tabaco para hookah que fumó sabor a mentol,
menta, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros sabores dulces?
1
Sí
2
No
GO TO R04_YH1142
3
No sé
GO TO R04_YH1142
-8
DON'T KNOW
GO TO R04_YH1142
-7
REFUSED
GO TO R04_YH1142
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1131
¿Qué sabores ha fumado en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored hookah smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YH1147
En los días en que fumó shisha o tabaco para hookah en los últimos 30 días, ¿con qué frecuencia fumó
shisha o tabaco para hookah con sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored hookah smokers.
DISPLAY: UNDERLINE "con sabor".
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PATH ID:
R04_YH1142
En los últimos 30 días, ¿le vendió alguien shisha o tabaco para hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1123
En los últimos 30 días, ¿le negó alguien la venta de shisha o tabaco para hookah debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1118
En los últimos 30 días, ¿cómo obtuvo su shisha o tabaco para hookah normalmente?
1
Le dí dinero a otra persona para que me lo compre
2
Yo mismo lo compré en una tienda (incluyendo un bar o café de hookah)
3
Se lo pedí a una persona
4
Alguien me los ofreció
5
Los compré de otra persona
6
Me los llevé de una tienda o se los quité a alguien sin que se dieran cuenta
7
Los obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YHR04
Past 30 day hookah smokers who usually buy shisha or hookah tobacco themselves or usually give
someone else money to buy for them, go to R04_YH1030.
Else, go to R04_YH1047.
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PATH ID:
R04_YH1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente su
shisha o tabaco para hookah?
1
En persona (en una tienda o bar de hookah)
2
En Internet
GO TO R04_YH1047
3
Por teléfono
GO TO R04_YH1047
-8
DON'T KNOW
GO TO R04_YH1047
-7
REFUSED
GO TO R04_YH1047
ASK: Past 30 day hookah smokers who buy shisha or hookah tobacco for themselves or someone else
buys for them.
DISPLAY: IF R04_YH1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona".
ELSE, DISPLAY "¿Cómo compra usted".
PATH ID:
R04_YH1033
¿Dónde [compra/le compran] su tabaco para hookah o shisha la mayoría del tiempo?
1
Un bar o café de hookah
2
Una tienda de conveniencia o estación de gasolina
3
Un supermercado, tienda de comestibles o farmacia
4
Una tienda mayorista como Sam's o Costco
5
Una tienda especializada o un almacén de tabaco o una tabaquería
6
Una tienda libre de impuestos o un economato militar
7
Un bar, restaurante, casino o una taberna
8
Un amigo o familiar
9
Un mercadillo o mercado de pulgas
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who buy shisha or hookah tobacco for themselves or someone else
buys for them in person.
DISPLAY: IF R04_YH1118 = 2, DISPLAY "compra". ELSE, IF R04_YH1118 = 1, DISPLAY "le
compran".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
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PATH ID:
R04_YH1047
¿Tiene una marca habitual de shisha o tabaco para hookah que normalmente fuma?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1945
¿Sabe el nombre de la marca de shisha o tabaco para hookah que usted [fuma normalmente/fumó la
última vez]?
1
Sí
2
No
GO TO BOX R04_YHD01
-8
DON'T KNOW
GO TO BOX R04_YHD01
-7
REFUSED
GO TO BOX R04_YHD01
ASK: Past 30 day hookah smokers.
DISPLAY: IF R04_YH1047 = 1, DISPLAY "fuma normalmente". IF R04_YH1047 = 2, -8, -7, DISPLAY
"fumó la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YH1048
¿Qué marca de shisha o tabaco para hookah [fuma/fumó] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who know the brand name.
DISPLAY: IF R04_YH1047 = 1, DISPLAY "fuma" AND "normalmente". IF R04_YH1047 = 2, -8, -7,
DISPLAY fumó" AND "la última vez" .
IF MULTIPLE SCREENS, DISPLAY: "Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS DISPLAY: "Si no ve la opción a
continuación, toque la casilla que dice "Otra"."
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BOX ID:
R04_YHR05
If youth respondent selects brand in R04_YH1048_BRAND, go to R04_YH1070_PRODUCT.
Else, if youth respondent selects "Something else" in R04_YH1048_BRAND, go to R04_YH1049.
Else, go to Box R04_YHD01.
PATH ID:
R04_YH1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO R04_YH9108
-8
DON'T KNOW
GO TO BOX R04_YHD01
-7
REFUSED
GO TO BOX R04_YHD01
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected
"Something else" for their brand.
PATH ID:
R04_YH1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [fuma/fumó]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected a brand
image.
DISPLAY: IF R04_YH1047=1, DISPLAY "fuma" AND "normalmente". IF R04_YH1047 = 2, -8, -7,
DISPLAY "fumó" AND "la última vez".
IF MULTIPLE SCREENS, DISPLAY: "Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS DISPLAY: "Si no ve la opción a
continuación, toque la casilla que dice "Otra"."
BOX ID:
R04_YHR06
If youth respondent selects "Something else" in R04_YH1070_PRODUCT, go to R04_YH1071.
Else, go to R04_YH9108.
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PATH ID:
R04_YH1071
Usted dijo que el tipo de [BRANDFILL] que usted fuma no está en las opciones. ¿Qué tipo es?
1
__________________________
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers that know the name of the brand they smoke who selected a brand
image, but selected "Something else" for their subbrand image.
PATH ID:
R04_YH9108
¿Contiene tabaco esta marca de shisha?
1
Sí
2
No
3
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who selected a brand in R04_YH1048_BRAND or entered their
brand in R04_YH1049.
BOX ID:
R04_YHR08
Youth respondents who smoked hookah today, yesterday or the day before yesterday who know the
name of their brand AND selected a valid brand in R04_YH1048_BRAND AND valid product in
R04_YH1070_PRODUCT, go to R04_YH0104.
Else, go to Box R04_YHD01.
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PATH ID:
R04_YH0104
Anteriormente usted dijo que la última vez que fumó en una hookah fue [TIME OF LAST USE].
Piense en la última probadita que tomó. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who smoked hookah in the past hour, sometime today, yesterday or the day
before yesterday who know the name of their brand AND selected a valid brand in
R04_YH1048_BRAND AND valid product in R04_YH1070_PRODUCT.
DISPLAY: IF R04_YH0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una ".
IF R04_YH0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
IF R04_YH0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
IF R04_YH0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH RESPONSE TO R04_YH1070_PRODUCT.
BOX ID:
R04_YHD01
Display question R04_YH1060, R04_YH1085, R04_YH1062, R04_YH1075, R04_YH1063,
R04_YH1064, R04_YH1069, and R04_YH1073 on one screen. Show the intro/transition text from
R04_YH1060 first, then show each item with a Sí/No response. As each item is answered, show the
next one.
PROGRAM: Randomize order of R04_YH1060 through R04_YH1073.
PATH ID:
R04_YH1060
Las siguientes preguntas son acerca de las razones por las que la gente fuma en una hookah.
Seleccione las razones que aplican a usted.
Fumo en hookah porque...
Es económico.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
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PATH ID:
R04_YH1085
Puedo fumar en hookah en ocasiones o en lugares donde no se permite fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1062
Podría ser menos dañino para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1075
Podría ser menos dañino que fumar cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1063
La shisha o el tabaco para hookah viene en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
BOX ID:
R04_YHR07
Youth respondents who have smoked cigarettes in the past year, go to R04_YH1064.
Else, go to R04_YH1069.
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PATH ID:
R04_YH1064
Fumar en una hookah le ayuda a la gente a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers who have also smoked cigarettes in the past year.
PATH ID:
R04_YH1069
Me gusta hacer vida social cuando fumo en hookah.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH1073
Fumar en hookah es parte de mi tradición cultural.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day hookah smokers.
PATH ID:
R04_YH9042
Alguna vez, ¿ha usado otro líquido aparte de agua en la base de la hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah.
BOX ID:
R04_YHR09
New baseline youth respondents who have heard of hookah, and continuing youth respondents, go to
R04_YH9031.
Else, go to Box R04_YUT01.
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PATH ID:
R04_YH9031
Alguna vez, ¿ha fumado marihuana de una hookah? (Recuerde que toda la información que usted le dé
al Estudio PATH se mantendrá en privado.)
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah and continuing youth respondents.
PATH ID:
R04_YH9040
Alguna vez, ¿ha fumado shisha aromática o sin tabaco en una hookah?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have heard of hookah, and continuing youth respondents.
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SNUS
BOX ID:
R04_YUT01
El tabaco que no se fuma es tabaco que se pone en la boca. El tabaco que no se fuma puede venir
suelto o empacado en bolsitas que se ponen bajo el labio. Cuando se consume tabaco que no se fuma,
la persona con frecuencia lo mastica, lo chupa o lo escupe, aunque con algunas clases de tabaco que
no se fuma no es necesario hacer eso.
Hay muchas clases diferentes de tabaco que no se fuma que se conocen por distintos nombres, así
que por favor use las descripciones y las fotos para entender qué tipo de producto es.
[SHOW GENERIC IMAGE OF SNUS AND OTHER SMOKELESS TOBACCO]
BOX ID:
R04_YUT03
El snus es una clase de tabaco que no se fuma. Por lo general, el snus viene en bolsitas pero también
hay snus que se vende suelto. Normalmente, al consumir la mayoría de clases de tabaco que no se
fuma, la persona lo escupe, pero con el snus no es necesario hacerlo. Algunas marcas comunes de
snus son Camel Snus, Marlboro Snus y General Snus.
Piense en el snus cuando conteste estas preguntas. Más adelante habrá otra sección acerca de las
otras clases de productos de tabaco que no se fuma (como el dip, el tabaco de mascar y las bolsitas de
tabaco que no se fuma.)
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
BOX ID:
R04_YUR14
New baseline youth respondents, go to R04_YU1001_NB.
Continuing youth respondents, go to R04_YU1002_12M.
PATH ID:
R04_YU1002_12M
En los últimos 12 meses, ¿ha consumido snus, incluso si solo fueron una o dos veces?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
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BOX ID:
R04_YUV03
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_SNUS_YOUTH = 1 (Ever user) Youth respondents who have ever used snus.
R04_EVER_NEVER_SNUS_YOUTH = 2 (Never user) Youth respondents who have not ever used
snus.
R04_INIT_SNUS_YOUTH = 1 (Initiator) Youth respondents who initiated snus use between Waves or
new baseline youth respondents who have ever used snus.
BOX ID:
R04_YUR02
New baseline youth respondents who have never heard of snus, go to Box R04_YST01.
Else, continuing youth respondents who have never used snus and new baseline youth respondents
who have heard of snus but have never used it, go to R04_YU1103.
Else, new baseline youth respondents who have ever used snus, go to R04_YU1006_NB.
Else, continuing youth respondents who initiated snus use since the previous wave, go to R04_YU1108.
Else, go to Box R04_YUR16.
PATH ID:
R04_YU1103
Alguna vez, ¿ha sentido curiosidad por consumir snus?
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1206
¿Cree que probará snus el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
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PATH ID:
R04_YU1104
¿Cree que probará snus pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1105
¿Si uno de sus mejores amigos le ofreciera snus, lo probaría?
1
Definitivamente sí
GO TO BOX R04_YST01
2
Probablemente sí
GO TO BOX R04_YST01
3
Probablemente no
GO TO BOX R04_YST01
4
Definitivamente no
GO TO BOX R04_YST01
-8
DON'T KNOW
GO TO BOX R04_YST01
-7
REFUSED
GO TO BOX R04_YST01
ASK: Youth respondents who have heard of but never used snus.
PATH ID:
R04_YU1108
La primera vez que consumió snus, ¿tenía sabor a mentol, menta, wintergreen, hierbabuena o frost,
clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO BOX R04_YUR16
3
No sé
GO TO BOX R04_YUR16
-8
DON'T KNOW
GO TO BOX R04_YUR16
-7
REFUSED
GO TO BOX R04_YUR16
ASK: Continuing youth respondents who have initiated snus use since the previous wave, and new
baseline youth respondents who have ever used snus.
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PATH ID:
R04_YU1011
¿De qué sabor era el primer snus que consumió? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Wintergreen, hierbabuena o frost
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Caramelos u otros sabores dulces
8
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first snus was flavored.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YUR16
Aged-up and continuing youth respondents who have ever used snus (and had not used 100 or more
times in the previous wave) and new cohort youth respondents who have ever used snus, go to
R04_YU1005.
Else, go to Box R04_YUR06.
PATH ID:
R04_YU1005
¿Cuántas veces ha consumido snus en toda su vida?
1
Una
2
2 a 10
3
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever used snus and had not used 100 or
more times in the previous wave, and new cohort youth respondents who have ever used snus.
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BOX ID:
R04_YUR06
Youth respondents who have ever used snus and had never used snus fairly regularly in the previous
wave, go to R04_YU1100.
Else, go to R04_YU1112.
PATH ID:
R04_YU1100
¿Alguna vez ha consumido snus habitualmente?
1
Sí
2
No
GO TO R04_YU1112
-8
DON'T KNOW
GO TO R04_YU1112
-7
REFUSED
GO TO R04_YU1112
ASK: Youth respondents who have ever used snus (and had never used fairly regularly in the previous
wave).
PATH ID:
R04_YU1007
¿Qué edad tenía la primera vez que comenzó a consumir snus habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YU1121
-7
REFUSED
GO TO R04_YU1121
ASK: Youth respondents who have ever used snus fairly regularly and did not use fairly regularly in the
previous wave.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YU1007_LC1
La computadora registró que usted comenzó a consumir snus de manera habitual a la edad de
[R04_YU1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1007
2
NEXT
GO TO R04_YU1112
ASK: IF R04_YU1007< =8 OR R04_YU1007 < R04_YU1006_NB.
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PATH ID:
R04_YU1007_LC2
La computadora registró que usted comenzó a consumir snus de manera habitual a la edad de
[R04_YU1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1007
2
NEXT
GO TO R04_YU1112
ASK: IF R04_YU1007 > R04_YOUTHAGE.
PATH ID:
R04_YU1121
La primera vez que comenzó a consumir snus habitualmente, ¿tenía ...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age when they started using snus
fairly regularly.
PATH ID:
R04_YU1112
¿Cuándo fue la última vez que consumió snus, incluso si fueron una o dos veces?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YUV04
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YST01
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YST01
6
Hace 1 a 4 años
GO TO BOX R04_YST01
7
Hace 5 años o más
GO TO BOX R04_YST01
-8
DON'T KNOW
GO TO BOX R04_YST01
-7
REFUSED
GO TO BOX R04_YST01
ASK: Youth respondents who have ever used snus.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YU0100
¿Cuándo fue la última vez que consumió snus?
1
Hace menos de una hora
GO TO R04_YU0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YUV04
-8
DON'T KNOW
GO TO BOX R04_YUV04
-7
REFUSED
GO TO BOX R04_YUV04
ASK: Youth respondents who have used snus in the past 7 days.
PATH ID:
R04_YU0102
La última vez que consumió snus [FILL BASED ON R04_YU0100], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used snus today, yesterday, or the day before yesterday, but not in
the past hour.
DISPLAY: FOR [FILL BASED ON R04_YU0100]: IF R04_YU0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YU0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YU0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YU0103
¿Cuántas veces [ha consumido/consumió] snus [FILL BASED ON R04_YU0100]?
1
I___I___I___I
-8
DON'T KNOW
GO TO BOX R04_YUV04
-7
REFUSED
GO TO BOX R04_YUV04
ASK: Youth respondents who have used snus in the past hour, sometime today, yesterday or the day
before yesterday.
DISPLAY: IF R04_YU0100 = 1, 2, DISPLAY "ha consumido".
ELSE, IF R04_YU0100 = 3, 4, DISPLAY "consumió".
FOR [FILL BASED ON R04_YU0100]:
IF R04_YU0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YU0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YU0100 = 4, DISPLAY "hace dos días".
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YU0103_LC1
La computadora registró que usted consumió snus [R04_YU0103] veces [hoy /ayer/hace dos días]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU0103
2
NEXT
GO TO BOX R04_YUV04
ASK: IF R04_YU0103 > 20 OR R04_YU0103 = 11.
DISPLAY: IF R04_YU0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YU0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YU0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YUV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_SNUS = (Past 30 day snus users) Youth respondents who have used snus in the
past 30 days.
R04_PAST30DAY_SNUS_LEVEL = 1 (Past 30 day "Very Light" users) Youth respondents who have
used snus in the past 30 days, and have used snus 10 or fewer times in their lifetime.
R04_PAST30DAY_SNUS_LEVEL = 2 (Past 30 day "Not Light" users) Youth respondents who have
used snus in the past 30 days, and have used snus more than 10 times in their lifetime.
PATH ID:
R04_YU1022
¿En cuántos de los últimos 30 días consumió snus?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
PATH ID:
R04_YU1023
En los últimos 30 días, en los días en que consumió snus, ¿cuántas veces consumió snus cada día?
1
|___|___|
-8
DON'T KNOW
GO TO R04_YU1130
-7
REFUSED
GO TO R04_YU1130
ASK: Past 30 day snus users.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YU1023_LC1
La computadora registró que en sus días de consumo en los últimos 30 días, usted consumió snus
(R04_YU1023) veces al día, en promedio.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1023
2
NEXT
GO TO R04_YU1130
ASK: IF R04_YU1023 > 20.
PATH ID:
R04_YU1130
En los últimos 30 días, ¿tenía el snus que consumió sabor a mentol, menta, wintergreen, hierbabuena o
frost, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otros sabores dulces?
1
Sí
2
No
GO TO R04_YU1142
3
No sé
GO TO R04_YU1142
-8
DON'T KNOW
GO TO R04_YU1142
-7
REFUSED
GO TO R04_YU1142
ASK: Past 30 day snus users.
PATH ID:
R04_YU1131
¿Qué sabores ha consumido en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Wintergreen, hierbabuena o frost
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Caramelos u otros sabores dulces
8
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored snus users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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Wave 4 (version 4.0)
PATH ID:
R04_YU1147
En los días en que consumió snus en los últimos 30 días, ¿con qué frecuencia consumió snus con
sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored snus users.
DISPLAY: UNDERLINE "con sabor".
PATH ID:
R04_YU1142
En los últimos 30 días, ¿le vendió alguien snus?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1123
En los últimos 30 días, ¿le negó alguien la venta de snus debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YU9041
En los últimos 30 días, ¿qué tipo de snus ha consumido?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Bolsitas o saquitos de snus
GO TO R04_YU1118
2
Snus suelto
GO TO R04_YU1118
3
Bolsitas o saquitos de snus y snus suelto
-8
DON'T KNOW
GO TO R04_YU1118
-7
REFUSED
GO TO R04_YU1118
ASK: Past 30 day snus users.
PATH ID:
R04_YU9042
Usted mencionó que ha consumido bolsitas o saquitos de snus y snus suelto. ¿Qué tipo de snus
consume con más frecuencia?
[SHOW GENERIC IMAGE OF SNUS - BOTH LOOSE AND POUCHES]
1
Bolsitas o saquitos de snus
2
Snus suelto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used both loose snus and snus pouches.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YU1118
[Piense en el tipo de snus que consume con más frecuencia cuando conteste estas preguntas.
]En los últimos 30 días, ¿cómo obtuvo su snus normalmente?
1
Le dí dinero a otra persona para que me lo compre
2
Yo mismo lo compré en una tienda
3
Se lo pedí a una persona
4
Alguien me lo ofreció
5
Lo compré de otra persona
6
Me lo llevé de una tienda o se lo quité a alguien sin que se dieran cuenta
7
Lo obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
DISPLAY: IF R04_YU9041 = 3, DISPLAY "Piense en el tipo de snus que consume con más frecuencia
cuando conteste estas preguntas."
ELSE, DO NOT DISPLAY THIS TEXT.
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YUR04
Past 30 day snus users who usually buy themselves or who give someone else money to buy for them,
go to R04_YU1030.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente su
snus?
1
En persona
2
En Internet
GO TO BOX R04_YUR20
3
Por teléfono
GO TO BOX R04_YUR20
-8
DON'T KNOW
GO TO BOX R04_YUR20
-7
REFUSED
GO TO BOX R04_YUR20
ASK: Past 30 day snus users (including "very light" users) who usually buy snus pouches for
themselves or who gives someone else money to buy for them.
DISPLAY: IF R04_YU1118 = 1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona".
ELSE, DISPLAY “¿Cómo compra usted”.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YU1033
¿Dónde [compra/le compran] su snus la mayoría del tiempo?
1
Una tienda de conveniencia o estación de gasolina
2
Un supermercado, tienda de comestibles o farmacia
3
Una tienda mayorista como Sam's o Costco
4
Una tienda especializada o un almacén de tabaco o una tabaquería
5
Una tienda libre de impuestos o un economato militar
6
Un bar, restaurante, casino o una taberna
7
Un amigo o familiar
8
Un mercadillo o mercado de pulgas
9
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users (including "very light" users) who buy snus for themselves or someone
else buys for them in person.
DISPLAY: IF R04_YU1118=1, DISPLAY "le compran".
ELSE, IF R04_YU1118=2, DISPLAY "compra".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YUR20
Past 30 day "not-light" snus users who buy snus for themselves or someone else buys for them, go to
R04_YU1034.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU1034
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] snus. ¿Cuánto pagó
normalmente por un envase de snus?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YUR18
-7
REFUSED
GO TO BOX R04_YUR18
ASK: Past 30 day "not-light" snus users who buy snus for themselves or someone else buys for them.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YU1118 = 1, DISPLAY "le dio dinero a alguien para que le compre".
ELSE, IF YU1118 = 2, DISPLAY "compró".
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YU1034_LC1
La computadora registró que usted pagó $[R04_YU1034_D].[R04_YU1034_C] por un envase de snus.
¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YU1034
2
NEXT
GO TO BOX R04_YUR18
ASK: IF R04_YU1034_D > 6 OR R04_YU1034_D < 1.
BOX ID:
R04_YUR18
Past 30 day "not-light" users of pouched snus who buy for themselves or someone else buys for them,
go to R04_YU9001.
Else, go to Box R04_YUR17.
PATH ID:
R04_YU9001
¿Cuántas bolsitas o saquitos hay en el envase de snus que usted compra normalmente?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" snus pouch users who buy snus pouches for themselves or someone else
buys for them.
BOX ID:
R04_YUR17
Past 30 day "not light" users, go to R04_YU1047.
Else, past 30 day users, go to R04_YU1945.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1047
¿Tiene una marca habitual de snus que normalmente consume?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" snus users.
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Wave 4 (version 4.0)
PATH ID:
R04_YU1945
¿Sabe el nombre de la marca de snus que [consume normalmente/consumió la última vez]?
1
Sí
2
No
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users.
DISPLAY: IF R04_YU1047 = 1, DISPLAY "consume normalmente".
ELSE, DISPLAY "consumió la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YU1048
¿Qué marca de snus [consume/consumió] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who know the brand name.
DISPLAY: IF R04_YU1047 = 1, DISPLAY "consume" AND "normalmente".
ELSE, DISPLAY "consumió" AND "la última vez".
[If multiple screens] DISPLAY: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] DISPLAY: Si no ve la opción a continuación, toque
la casilla que dice "Otra".
BOX ID:
R04_YUR09
If youth respondent selects brand in R04_YU1048_BRAND, go to R04_YU1070_PRODUCT.
Else, if youth respondent selects "Something else" in R04_YU1048_BRAND, go to R04_YU1049.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users that know the name of the brand they use who selected "Something else"
for their brand.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YU1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [consume/consumió]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users that know the name of the brand they use who selected a brand image.
DISPLAY: IF R04_YU1047 = 1, DISPLAY "consume" AND "normalmente".
ELSE, DISPLAY "consumió" AND "la última vez".
[If multiple screens] DISPLAY: Si no ve la opción a continuación, toque el botón que dice "SIGUIENTE".
[If single screen OR last screen of multiple screens] DISPLAY: Si no ve la opción a continuación, toque
la casilla que dice "Otra".
BOX ID:
R04_YUR10
If youth respondent selects "Something else" in R04_YU1070_PRODUCT, go to R04_YU1071.
Else, youth respondents who have used snus today, yesterday, or the day before yesterday who know
the name of their brand AND selected a valid brand AND valid product, go to R04_YU0104.
Else, go to Box R04_YUD02.
PATH ID:
R04_YU1071
Usted dijo que el tipo de [BRANDFILL] que consume no está en las opciones. ¿Qué tipo es?
1
__________________________
GO TO BOX R04_YUD02
-8
DON'T KNOW
GO TO BOX R04_YUD02
-7
REFUSED
GO TO BOX R04_YUD02
ASK: Past 30 day snus users that know the name of the brand they use who selected a brand image,
but selected "Something else" for their subbrand image.
BOX ID:
R04_YUR19
Youth respondents who used snus today, yesterday or the day before yesterday who know the name of
their brand AND selected a valid brand in R04_YU1048_BRAND AND valid product in
R04_YU1070_PRODUCT, go to R04_YU0104.
Else, go to Box R04_YUD02.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YU0104
Anteriormente usted dijo que la última vez que consumió snus fue [TIME OF LAST USE].
Piense en la última vez que lo consumió. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used snus in the past hour, sometime today, yesterday, or the day
before yesterday who know the name of their brand AND selected a valid brand AND valid product.
DISPLAY: IF R04_YU0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una hora".
ELSE, IF R04_YU0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
ELSE, IF R04_YU0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
ELSE, IF R04_YU0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH RESPONSE TO R04_YU1070_PRODUCT.
BOX ID:
R04_YUD02
Display question R04_YU1060, R04_YU1085, R04_YU1062, R04_YU1075, R04_YU1063,
R04_YU1064, R04_YU1065, R04_YU1067, R04_YU1076, on one screen. Show the intro/transition text
from R04_YU1060 first, then show each item with a Sí/No response. As each item is answered, show
the next one.
PROGRAM: Randomize order of R04_YU1060 through R04_YU1076.
PATH ID:
R04_YU1060
Las siguientes preguntas son acerca de las razones por las que la gente consume snus. Seleccione las
razones que aplican a usted.
Consumo snus porque...
Es económico.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
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Wave 4 (version 4.0)
PATH ID:
R04_YU1085
Puedo consumir snus en ocasiones o en lugares donde no se permite fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1062
Podría ser menos dañino para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1075
Podría ser menos dañino que los cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1063
El snus viene en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
BOX ID:
R04_YUR11
Past 30 day snus users who have also smoked cigarettes in the past year, go to R04_YU1064.
Else, go to R04_YU1065.
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Wave 4 (version 4.0)
PATH ID:
R04_YU1064
Consumir snus le ayuda a la gente a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who have also smoked cigarettes in the past year.
PATH ID:
R04_YU1065
El snus no huele.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1067
El snus no molesta a las personas que no consumen tabaco.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
PATH ID:
R04_YU1076
Nadie se da cuenta cuando consumo snus.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users.
BOX ID:
R04_YUR12
Past 30 day snus users who have also smoked cigarettes in the past 30 days, go to R04_YU1086.
Else, go to Box R04_YST01.
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Wave 4 (version 4.0)
PATH ID:
R04_YU1086
En los últimos 30 días, ¿ha consumido snus en ocasiones o en lugares donde no se podía fumar
cigarrillos?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day snus users who have also smoked cigarettes in the past 30 days.
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PATH
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Wave 4 (version 4.0)
SMOKELESS TOBACCO
BOX ID:
R04_YST01
Las siguientes preguntas son acerca del tabaco que no se fuma, sin incluir el snus.
El tabaco que no se fuma es una clase de tabaco que se pone en la boca y se mastica, se chupa o se
escupe. Puede venir suelto o en bolsitas que se ponen en la boca. Hay muchas clases de tabaco que
no se fuma, como por ejemplo el dip, el rapé o tabaco de inhalar, bolsitas y el tabaco de mascar.
Algunas marcas conocidas son Skoal, Copenhagen, Grizzly, Redman y Levi Garrett.
En las preguntas se usará la frase "tabaco que no se fuma" para referirse a estos productos. Piense
en su consumo de tabaco que no se fuma, sin incluir el snus, cuando conteste estas preguntas.
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS, EXCLUDING SNUS]
BOX ID:
R04_YSR01
New baseline youth respondents, go to R04_YS1001_NB.
Continuing youth respondents, go to R04_YS1002_12M.
PATH ID:
R04_YS1002_12M
En los últimos 12 meses, ¿ha consumido tabaco que no se fuma, como el dip, el rapé o tabaco de
inhalar, bolsitas o el tabaco de mascar, incluso solo fueron una o dos veces?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents.
BOX ID:
R04_YSV03
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_SMKLS_YOUTH = 1 (Ever user) Youth respondents who have ever used
smokeless tobacco.
R04_EVER_NEVER_SMKLS_YOUTH = 2 (Never user) Youth respondents who have not ever used
smokeless tobacco.
R04_INIT_SMKLS_YOUTH = 1 (Initiator) Youth respondents who initiated smokeless tobacco use
between Waves or new baseline youth respondents who have ever used smokeless tobacco.
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BOX ID:
R04_YSR02
New baseline youth respondents who have never heard of smokeless tobacco, go to Box R04_YDT01.
Else, continuing youth respondents who have never used smokeless tobacco and new baseline youth
respondents who have heard of smokeless tobacco but have never used it, go to R04_YS1103.
Else, new baseline youth respondents who have ever used smokeless tobacco, go to R04_YS1006_NB.
Else, continuing youth respondents who initiated smokeless tobacco use since the previous wave, go to
R04_YS1108.
Else, go to Box R04_YSR13.
PATH ID:
R04_YS1103
Alguna vez, ¿ha sentido curiosidad por consumir tabaco que no se fuma?
1
Mucha
2
Algo
3
Muy poca
4
Nada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1206
¿Cree que probará consumir tabaco que no se fuma el próximo año?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1104
¿Cree que probará consumir tabaco que no se fuma pronto?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have heard of but never used smokeless tobacco.
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PATH ID:
R04_YS1105
¿Si uno de sus mejores amigos le ofreciera tabaco que no se fuma, lo probaría?
1
Definitivamente sí
GO TO BOX R04_YDT01
2
Probablemente sí
GO TO BOX R04_YDT01
3
Probablemente no
GO TO BOX R04_YDT01
4
Definitivamente no
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: Youth respondents who have heard of but never used smokeless tobacco.
PATH ID:
R04_YS1108
La primera vez que consumió tabaco que no se fuma, ¿tenía sabor a mentol, menta, wintergreen,
hierbabuena o frost, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor
dulce?
1
Sí
2
No
GO TO BOX R04_YSR13
3
No sé
GO TO BOX R04_YSR13
-8
DON'T KNOW
GO TO BOX R04_YSR13
-7
REFUSED
GO TO BOX R04_YSR13
ASK: Continuing youth respondents who have initiated use since the previous wave and new baseline
youth respondents who have ever used smokeless tobacco.
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PATH ID:
R04_YS1011
¿Qué sabor tenía el primer producto de tabaco que no se fuma que consumió? Escoja todas las
opciones que correspondan.
1
Mentol o menta
2
Wintergreen, hierbabuena o frost
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Caramelos u otros sabores dulces
8
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents whose first smokeless tobacco was flavored.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YSR13
Aged-up and continuing youth respondents who have ever used smokeless tobacco (and had not used
100 or more times in the previous wave) and new cohort youth respondents who have ever used
smokeless tobacco, go to R04_YS1005.
Else, go to Box R04_YSR06.
PATH ID:
R04_YS1005
¿Cuántas veces ha consumido en toda su vida tabaco que no se fuma?
1
Una
2
2 a 10
3
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
-8
DON'T KNOW
-7
REFUSED
ASK: Aged-up and continuing youth respondents who have ever used smokeless tobacco and had not
used 100 or more times in the previous wave, and new cohort youth respondents who have ever used
smokeless tobacco.
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BOX ID:
R04_YSR06
Youth respondents who have ever used smokeless tobacco and had never used smokeless tobacco
fairly regularly in the previous wave, go to R04_YS1100.
Else, go to R04_YS1112.
PATH ID:
R04_YS1100
Alguna vez, ¿ha consumido tabaco que no se fuma habitualmente?
1
Sí
2
No
GO TO R04_YS1112
-8
DON'T KNOW
GO TO R04_YS1112
-7
REFUSED
GO TO R04_YS1112
ASK: Youth respondents who have ever used smokeless tobacco (and had never used fairly regularly in
the previous wave).
PATH ID:
R04_YS1007
¿Qué edad tenía la primera vez que comenzó a consumir tabaco que no se fuma habitualmente?
1
|___|___| Años
-8
DON'T KNOW
GO TO R04_YS1121
-7
REFUSED
GO TO R04_YS1121
ASK: Youth respondents who have ever used smokeless tobacco fairly regularly and did not use fairly
regularly in the previous wave.
DISPLAY: DISPLAY "Años" AS A TITLE.
PATH ID:
R04_YS1007_LC1
La computadora registró que usted comenzó a consumir tabaco que no se fuma de manera habitual a
la edad de [R04_YS1007] años. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1007
2
NEXT
GO TO R04_YS1112
ASK: IF R04_YS1007 < =8 OR R04_YS1007 < R04_YS1006_NB.
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PATH ID:
R04_YS1007_LC2
La computadora registró que usted comenzó a consumir tabaco que no se fuma de manera habitual a
la edad de [R04_YS1007] años. Son más años de los que usted tiene actualmente.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1007
2
NEXT
GO TO R04_YS1112
ASK: IF R04_YS1007 > R04_YOUTHAGE.
PATH ID:
R04_YS1121
La primera vez que comenzó a consumir tabaco que no se fuma habitualmente, ¿tenía...
1
menos de 12 años de edad,
2
entre 12 y 14 años de edad o
3
entre 15 y 17 años de edad?
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not know or refused to report the age when they started using
smokeless tobacco fairly regularly.
PATH ID:
R04_YS1112
¿Cuándo fue la última vez que consumió tabaco que no se fuma, incluso si solo fueron una o dos
veces?
1
Hoy, más temprano
2
No hoy, pero sí en los últimos 7 días
3
No en los últimos 7 días, pero sí en los últimos 30 días
GO TO BOX R04_YSV04
4
No en los últimos 30 días, pero sí en los últimos 6 meses
GO TO BOX R04_YDT01
5
No en los últimos 6 meses, pero sí el año pasado
GO TO BOX R04_YDT01
6
Hace 1 a 4 años
GO TO BOX R04_YDT01
7
Hace 5 años o más
GO TO BOX R04_YDT01
-8
DON'T KNOW
GO TO BOX R04_YDT01
-7
REFUSED
GO TO BOX R04_YDT01
ASK: Youth respondents who have ever used smokeless tobacco.
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PATH ID:
R04_YS0100
¿Cuándo fue la última vez que consumió tabaco que no se fuma (sin incluir snus)?
1
Hace menos de una hora
GO TO R04_YS0103
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YSV04
-8
DON'T KNOW
GO TO BOX R04_YSV04
-7
REFUSED
GO TO BOX R04_YSV04
ASK: Youth respondents who have used smokeless tobacco in the past 7 days.
PATH ID:
R04_YS0102
La última vez que consumió tabaco que no se fuma [FILL BASED ON R04_YS0100] (sin incluir snus),
¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used smokeless tobacco today, yesterday, or the day before
yesterday, but not in the past hour.
DISPLAY: FOR [FILL BASED ON R04_YS0100]:
IF R04_YS0100 = 2, DISPLAY "hoy".
ELSE, IF R04_YS0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YS0100 = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YS0103
¿Cuántas veces [ha consumido/consumió] tabaco que no se fuma [FILL BASED ON R04_YS0100] (sin
incluir snus)?
1
I__I__I
-8
DON'T KNOW
GO TO BOX R04_YSV04
-7
REFUSED
GO TO BOX R04_YSV04
ASK: Youth respondents who have used smokeless tobacco in the past hour, sometime today,
yesterday or the day before yesterday.
DISPLAY: IF R04_YS0100 = 1, 2, DISPLAY "ha" AND "consumido".
ELSE, IF R04_YS0100 = 3, 4, DISPLAY "consumió".
FOR [FILL BASED ON R04_YS0100]:
IF R04_YS0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YS0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YS0100 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YS0103_LC1
La computadora registró que usted consumió tabaco que no se fuma [R04_YS0103] veces
[hoy/ayer/hace dos días]. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS0103
2
NEXT
GO TO BOX R04_YSV04
ASK: IF R04_YS0103 > 20 OR R04_YS0103 = 11.
DISPLAY: IF R04_YS0100 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YS0100 = 3, DISPLAY "ayer".
ELSE, IF R04_YS0100 = 4, DISPLAY "hace dos días".
BOX ID:
R04_YSV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PAST30DAY_SMKLS = ("Past 30 day users") Youth respondents who have used smokeless
tobacco in the past 30 days.
R04_PAST30DAY_SMKLS_LEVEL = 1 (Past 30 day "Very Light" users) Youth respondents who
have used smokeless tobacco in the past 30 days, and have used 10 times or less in their lifetime.
R04_PAST30DAY_SMKLS_LEVEL = 2 (Past 30 day "Not Light" users) Youth respondents who have
used smokeless tobacco in the past 30 days, and have used more than 10 times in their lifetime.
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PATH ID:
R04_YS1022
¿En cuántos de los últimos 30 días consumió usted tabaco que no se fuma?
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
PATH ID:
R04_YS1023
En los últimos 30 días, en los días en que consumió tabaco que no se fuma, ¿cuántas veces consumió
tabaco que no se fuma cada día?
1
|___|___|
-8
DON'T KNOW
GO TO R04_YS1130
-7
REFUSED
GO TO R04_YS1130
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1023_LC1
La computadora registró que en los días en que usted consumió tabaco que no se fuma en los últimos
30 días, usted consumió tabaco que no se fuma (R04_YS1023) veces al día, en promedio.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1023
2
NEXT
GO TO R04_YS1130
ASK: IF R04_YS1023 > 10.
PATH ID:
R04_YS1130
En los últimos 30 días, ¿tenía el tabaco que no se fuma que consumió sabor a mentol, menta,
wintergreen, hierbabuena o frost, clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u
otros sabores dulces?
1
Sí
2
No
GO TO R04_YS1142
3
No sé
GO TO R04_YS1142
-8
DON'T KNOW
GO TO R04_YS1142
-7
REFUSED
GO TO R04_YS1142
ASK: Past 30 day smokeless tobacco users.
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PATH ID:
R04_YS1131
¿Qué sabores ha consumido en los últimos 30 días? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Wintergreen, hierbabuena o frost
3
Clavo de olor o especias
4
Fruta
5
Chocolate
6
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
7
Caramelos u otros sabores dulces
8
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored smokeless tobacco users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YS1147
En los días en que consumió tabaco que no se fuma en los últimos 30 días, ¿con qué frecuencia
consumió tabaco que no se fuma con sabor?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Rara vez
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day flavored smokeless tobacco users.
DISPLAY: UNDERLINE "con sabor".
PATH ID:
R04_YS1142
En los últimos 30 días, ¿le vendió alguien tabaco que no se fuma?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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PATH ID:
R04_YS1123
En los últimos 30 días, ¿le negó alguien la venta de tabaco que no se fuma debido a su edad?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS9041
En los últimos 30 días, ¿qué tipo de tabaco que no se fuma ha consumido?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Tabaco que no se fuma suelto (como dip o tabaco de mascar)
GO TO R04_YS1118
2
Bolsitas o saquitos de tabaco que no se fuma (sin incluir snus)
GO TO R04_YS1118
3
Tabaco que no se fuma suelto y bolsitas de tabaco que no se fuma
-8
DON'T KNOW
GO TO R04_YS1118
-7
REFUSED
GO TO R04_YS1118
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS9042
Usted mencionó que ha consumido tanto tabaco que no se fuma suelto como bolsitas de tabaco que no
se fuma. ¿Qué tipo de tabaco que no se fuma consume con más frecuencia?
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO - BOTH LOOSE AND POUCHES]
1
Tabaco que no se fuma suelto (como dip o tabaco de mascar)
2
Bolsitas o saquitos de tabaco que no se fuma (sin incluir snus)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used both loose and pouched smokeless tobacco.
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PATH ID:
R04_YS1118
En los últimos 30 días, ¿cómo obtuvo su tabaco que no se fuma normalmente?
1
Le dí dinero a otra persona para que me lo compre
2
Yo mismo lo compré en una tienda
3
Se lo pedí a una persona
4
Alguien me lo ofreció
5
Los compré de otra persona
6
Me lo llevé de una tienda o se lo quité a alguien sin que se dieran cuenta
7
Lo obtuve de otra manera (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YSR04
Past 30 day users who usually buy smokeless tobacco themselves or give someone else money to buy
for them, go to R04_YS1030.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS1030
[Cuando le da dinero a alguien, ¿cómo compra esa persona/¿Cómo compra usted] normalmente su
tabaco que no se fuma?
1
En persona
2
En Internet
GO TO BOX R04_YSR20
3
Por teléfono
GO TO BOX R04_YSR20
-8
DON'T KNOW
GO TO BOX R04_YSR20
-7
REFUSED
GO TO BOX R04_YSR20
ASK: Past 30 day smokeless tobacco users (including "very light" users) who buy smokeless tobacco
for themselves or someone else buys for them.
DISPLAY: IF R04_YS1118=1, DISPLAY "Cuando le da dinero a alguien, ¿cómo compra esa persona".
ELSE, IF R04_YS1118=2, DISPLAY "¿Cómo compra usted".
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PATH ID:
R04_YS1033
¿Dónde [compra/le compran] su tabaco que no se fuma la mayoría del tiempo?
1
Una tienda de conveniencia o estación de gasolina
2
Un supermercado, tienda de comestibles o farmacia
3
Una tienda mayorista como Sam's o Costco
4
Una tienda especializada o un almacén de tabaco o una tabaquería
5
Una tienda libre de impuestos o un economato militar
6
Un bar, restaurante, casino o una taberna
7
Un amigo o familiar
8
Un mercadillo o mercado de pulgas
9
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users (including "very light" users) who buy smokeless tobacco
for themselves or someone else buys for them in person.
DISPLAY: IF R04_YS1118=1, DISPLAY "lo compran".
ELSE, IF R04_YS1118=2, DISPLAY "compra"
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
BOX ID:
R04_YSR20
Past 30 day "not-light" smokeless tobacco users who buy smokeless tobacco for themselves or
someone else buys for them, go to R04_YS1034.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS1034
Piense en la última vez que [compró/le dio dinero a alguien para que le compre] tabaco que no se fuma.
¿Cuánto pagó por un envase de tabaco que no se fuma?
1
$ I___I___I___I Dólares . I___I___I Centavos
-8
DON'T KNOW
GO TO BOX R04_YSR18
-7
REFUSED
GO TO BOX R04_YSR18
ASK: Past 30 day "not-light" smokeless tobacco users who buy smokeless tobacco for themselves or
someone else buys for them.
DISPLAY: DISPLAY "$" AS LEFT LABEL; "Dólares" AND "Centavos" AS TITLES.
IF R04_YS1118=1, DISPLAY "le dio dinero a alguien para que le compre".
ELSE, IF YS1118=2, DISPLAY "compró".
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PATH ID:
R04_YS1034_LC1
La computadora registró que usted pagó $[R04_YS1034_D].[R04_YS1034_C] por un envase de tabaco
que no se fuma. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YS1034
2
NEXT
GO TO BOX R04_YSR18
ASK: IF R04_YS1034_D > 6 OR R04_YS1034_D < 1.
BOX ID:
R04_YSR18
Past 30 day "not-light" users of pouched smokeless tobacco who buy for themselves or someone else
buys for them, go to R04_YS9001.
Else, go to Box R04_YSR16.
PATH ID:
R04_YS9001
¿Cuántas bolsitas o saquitos hay en el envase de tabaco que no se fuma que usted compra
normalmente?
1
I___I___I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" users of pouched smokeless tobacco who buy for themselves or someone
else buys for them.
BOX ID:
R04_YSR16
Past 30 day "not light" users, go to R04_YS1047.
Else, past 30 day users, go to R04_YS1945.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1047
¿Tiene una marca habitual de tabaco que no se fuma que normalmente consume?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" smokeless tobacco users.
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PATH ID:
R04_YS1945
¿Sabe el nombre de la marca de tabaco que no se fuma que [consume normalmente/consumió la
última vez]?
1
Sí
2
No
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users.
DISPLAY: IF R04_YS1047 = 1, DISPLAY "consume normalmente".
ELSE, DISPLAY "consumió la última vez".
UNDERLINE "nombre de la marca".
PATH ID:
R04_YS1048
¿Qué marca de tabaco que no se fuma [consume/consumió] [normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who know the brand name.
DISPLAY: IF R04_YS1047 = 1, DISPLAY "consume" AND "normalmente".
ELSE, DISPLAY "consumió" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
BOX ID:
R04_YSR09
If respondent selects brand in R04_YS1048_BRAND, go to R04_YS1070_PRODUCT.
Else, if respondent selects "Something else" in R04_YS1048_BRAND, go to R04_YS1049.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1049
Usted dijo que su marca no estaba en las opciones. ¿Qué marca es?
1
__________________________
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected
"Something else" for their brand.
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PATH ID:
R04_YS1070
Usted seleccionó [BRANDFILL] como su marca. ¿Qué clase de [BRANDFILL] [consume/consumió]
[normalmente/la última vez]?
Seleccione de las opciones a continuación tocando la pantalla. [Si no ve la opción a continuación, toque
el botón que dice "SIGUIENTE"./Si no ve la opción a continuación, toque la casilla que dice "Otra".]
1
Otra
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected a
brand image.
DISPLAY: IF R04_YS1047 = 1, DISPLAY "consume" AND "normalmente".
ELSE, DISPLAY "consumió" AND "la última vez".
[IF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a continuación, toque el botón que dice
"SIGUIENTE".
[IF SINGLE SCREEN OR LAST SCREEN OF MULTIPLE SCREENS] DISPLAY: Si no ve la opción a
continuación, toque la casilla que dice "Otra".
BOX ID:
R04_YSR10
If youth respondent selects "Something else" in R04_YS1070_PRODUCT, go to R04_YS1071.
Else, youth respondents who have used smokeless tobacco today, yesterday, or the day before
yesterday who know the name of their brand AND selected a valid brand AND valid product, go to
R04_YS0104.
Else, go to Box R04_YSD02.
PATH ID:
R04_YS1071
Usted dijo que el tipo de [BRANDFILL] que consume no está en las opciones. ¿Qué tipo es?
1
__________________________
GO TO BOX R04_YSD02
-8
DON'T KNOW
GO TO BOX R04_YSD02
-7
REFUSED
GO TO BOX R04_YSD02
ASK: Past 30 day smokeless tobacco users that know the name of the brand they use who selected a
brand image, but selected "Something else" for their subbrand image.
BOX ID:
R04_YSR19
Youth respondents who used smokeless tobacco today, yesterday or the day before yesterday who
know the name of their brand AND selected a valid brand in R04_YS1048_BRAND AND valid product in
R04_YS1070_PRODUCT, go to R04_YS0104.
Else, go to Box R04_YSD02.
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PATH ID:
R04_YS0104
Anteriormente usted dijo que consumió tabaco que no se fuma [TIME OF LAST USE].
Piense en la última vez que lo consumió. ¿Era la marca [NEQBRAND]?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used smokeless tobacco in the past hour, sometime today,
yesterday or the day before yesterday who know the name of their brand AND selected a product AND
valid sub brand.
DISPLAY: IF R04_YP0100 = 1, FILL [TIME OF LAST USE] WITH "hace menos de una hora".
ELSE, IF R04_YS0100 = 2, FILL [TIME OF LAST USE] WITH "hoy".
ELSE, IF R04_YS0100 = 3, FILL [TIME OF LAST USE] WITH "ayer".
ELSE, IF R04_YS0100 = 4, FILL [TIME OF LAST USE] WITH "hace dos días".
FILL [NEQBRAND] WITH RESPONSE TO R04_YS1070_PRODUCT.
BOX ID:
R04_YSD02
Display question R04_YS1060, R04_YS1085, R04_YS1062, R04_YS1075, R04_YS1063,
R04_YS1064, R04_YS1065, R04_YS1067 on one screen. Show the intro/transition text from
R04_YS1060 first, then show each item with a Sí/No response. As each item is answered, show the
next one.
PROGRAM: Randomize order of R04_YS1060 through R04_YS1067.
PATH ID:
R04_YS1060
Las siguientes preguntas son acerca de las razones por las que la gente consume tabaco que no se
fuma. Seleccione las razones que aplican a usted.
Consumo tabaco que no se fuma porque...
Es económico.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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PATH ID:
R04_YS1085
Puedo consumir tabaco que no se fuma en ocasiones o en lugares donde no se permite fumar
cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1062
Podría ser menos dañino para mí que fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1075
Podría ser menos dañino que los cigarrillos para la gente a mi alrededor.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1063
El tabaco que no se fuma viene en sabores que me gustan.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
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BOX ID:
R04_YSR11
Past 30 day smokeless tobacco users who have also smoked cigarettes in the past year, go to
R04_YS1064.
Else, go to R04_YS1065.
PATH ID:
R04_YS1064
Consumir tabaco que no se fuma le ayuda a la gente a dejar de fumar cigarrillos.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who have also smoked cigarettes in the past year.
PATH ID:
R04_YS1065
El tabaco que no se fuma no huele.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
PATH ID:
R04_YS1067
El tabaco que no se fuma no molesta a las personas que no consumen tabaco.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users.
BOX ID:
R04_YSR12
Past 30 day smokeless tobacco users who have also smoked cigarettes in the past 30 days, go to
R04_YS1086.
Else, go to Box R04_YDT01.
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PATH ID:
R04_YS1086
En los últimos 30 días, ¿ha consumido tabaco que no se fuma en ocasiones o en lugares donde no se
podía fumar cigarrillos?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day smokeless tobacco users who have also smoked cigarettes in the past 30 days.
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DISSOLVABLE TOBACCO
BOX ID:
R04_YDT01
Las siguientes preguntas son acerca de otro producto de tabaco llamado tabaco que se disuelve. Los
productos de tabaco que se disuelve no se fuman - están hechos de tabaco finamente molido y con
sabor añadido que se disuelve en la boca.
Los productos de tabaco que se disuelve vienen en gran variedad de formas incluyendo pastillitas,
palillos y tiritas. Algunas marcas conocidas son Ariva, Stonewall y Orbs, Sticks o Strips de Camel.
[SHOW GENERIC IMAGE OF DISSOLVABLES]
BOX ID:
R04_YDR01
New baseline youth respondents, go to R04_YD1001_NB.
Continuing youth respondents, go to R04_YD1002_12M.
PATH ID:
R04_YD1002_12M
En los últimos 12 meses, ¿ha consumido productos de tabaco que se disuelve, como por ejemplo
Ariva, Stonewall u Orbs, Sticks o Strips de Camel, incluso si solo fueron una o dos veces?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Sí
2
No
GO TO BOX R04_YDV01
-8
DON'T KNOW
GO TO BOX R04_YDV01
-7
REFUSED
GO TO BOX R04_YDV01
ASK: Continuing youth respondents and new baseline youth respondents who have ever used
dissolvable tobacco.
PATH ID:
R04_YD1002_30D
En los últimos 30 días, ¿ha consumido productos de tabaco que se disuelve, como por ejemplo Ariva,
Stonewall u Orbs, Sticks o Strips de Camel, incluso si solo fueron una o dos veces?
[SHOW GENERIC IMAGE OF DISSOLVABLES]
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used dissolvable tobacco in the past 12 months.
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BOX ID:
R04_YDV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_DISSBL_YOUTH = 1 (Ever user) Youth respondents who have ever used
dissolvable tobacco.
R04_EVER_NEVER_DISSBL_YOUTH = 2 (Never user) Youth respondents who have not ever used
dissolvable tobacco.
R04_INIT_DISSBL_YOUTH = 1 (Initiator) Youth respondents who initiated dissolvable tobacco use
between Waves new baseline youth respondents who have ever used dissolvable tobacco.
R04_PAST30DAY_DISS = 1 (Past 30 day dissolvable users) Youth respondents who used
dissolvable tobacco in the past 30 days.
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BIDIS AND KRETEKS
BOX ID:
R04_YBT01
Las siguientes preguntas son acerca de fumar bidis o kreteks. Los bidis son cigarrillitos de color café
envueltos en una hoja y normalmente uno o ambos extremos están amarrados con un hilo. Los kreteks
son cigarrillos con sabor añadido de clavo de olor.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
BOX ID:
R04_YBR01
New baseline youth respondents, go to R04_YB9101_NB.
Continuing youth respondents, go to Box R04_YBR03.
BOX ID:
R04_YBR02
New baseline youth respondents who have heard of bidis and/or kreteks, go to R04_YB9102_NB.
Else, go to Box R04_YBV01.
BOX ID:
R04_YBR03
Continuing youth respondents and new baseline youth respondents who have ever smoked bidis or
kreteks, go to R04_YB9102_12M.
Else, go to Box R04_YBV01.
PATH ID:
R04_YB9102_12M
En los últimos 12 meses, ¿cuál de los siguientes productos de tabaco ha probado, incluso si solo
fueron una o dos veces? Escoja todas las opciones que correspondan.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
No he probado ninguno de estos productos
-8
DON'T KNOW
-7
REFUSED
ASK: Continuing youth respondents and new baseline youth respondents who have ever smoked bidis
and/or kreteks
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BOX ID:
R04_YBR04
Youth respondents who have smoked bidis and/or kreteks in the past 12 months, go to
R04_YB9102_30D.
Else, go to Box R04_YBV01.
PATH ID:
R04_YB9102_30D
En los últimos 30 días, ¿cuál de los siguientes productos de tabaco ha probado, incluso si solo fueron
una o dos veces? Escoja todas las opciones que correspondan.
[SHOW GENERIC IMAGE OF BIDIS AND KRETEKS]
1
Bidis
2
Kreteks
3
No he probado ninguno de estos productos
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have smoked bidis and/or kreteks in the past 12 months.
BOX ID:
R04_YBV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_NEVER_BIDI_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a bidi.
R04_EVER_NEVER_BIDI_YOUTH = 2 (Never user) Youth respondents who have not ever smoked a
bidi.
R04_INIT_BIDI_YOUTH = 1 (Initiator) Youth respondents who initiated bidi use between Waves or new
baseline youth respondents who have ever smoked a bidi.
R04_PAST30DAY_BIDI = 1 Youth respondents who used bidis in the past 30 days.
R04_EVER_NEVER_KRETEK_YOUTH = 1 (Ever user) Youth respondents who have ever smoked a
kretek.
R04_EVER_NEVER_KRETEK_YOUTH = 2 (Never user) Youth respondents who have not ever
smoked a kretek.
R04_INIT_KRETEK_YOUTH = 1 (Initiator) Youth respondents who initiated kretek use between Waves
or new baseline youth respondents who have ever smoked a kretek.
R04_PAST30DAY_KRETEK = 1 Youth respondents who used kreteks in the past 30 days.
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OTHER TOBACCO
PATH ID:
R04_YZ1002
Usted acaba de contestar preguntas acerca de cigarrillos, productos electrónicos con nicotina, puros
tradicionales, puritos, puros con filtro, pipas, hookahs, snus, tabaco que no se fuma, tabaco que se
disuelve, bidis y kreteks.
Aparte de estos productos, ¿alguna vez ha consumido algún otro producto de tabaco? No incluya
productos con nicotina tales como parches con nicotina, chicles de nicotina, inhaladores de nicotina,
espráis nasales con nicotina y pastillas de chupar o píldoras con nicotina.
1
Sí (ESPECIFIQUE)
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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NEW PRODUCT - PLACEHOLDER
BOX ID:
R04_YZV01
CREATE THE FOLLOWING VARIABLE AND SET = 2: R04_NEW_PRODUCT_SECTION.
BOX ID:
R04_YZR01
If R04_NEW_PRODUCT_SECTION = 1, continue with R04_YZ1005.
Else, go to Box R04_YYV01.
PATH ID:
R04_YZ1005
¿Cuántos [units of tobacco product] ha [fumado/consumido] en toda su vida?
1
Una o más [units] pero nunca uno entero
2
1 a 10
2
11 a 20
4
21 a 50
5
51 a 99
6
100 o más
7
Nunca he [fumado/consumido] [tobacco product]
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YYV01
ASK: All youth respondents.
PATH ID:
R04_YZ1008
La primera vez que comenzó a [fumar/consumir] [tobacco product], ¿tenían sabor a mentol, menta,
clavo de olor, especias, dulce, fruta, chocolate, bebidas alcohólicas u otro sabor dulce?
1
Sí
2
No
GO TO R04_YZ9029
3
No sé
GO TO R04_YZ9029
-8
DON'T KNOW
GO TO R04_YZ9029
-7
REFUSED
GO TO R04_YZ9029
ASK: Youth respondents who have ever used [tobacco product].
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PATH ID:
R04_YZ1011
¿Cuál fue el primer sabor que comenzó a consumir? Escoja todas las opciones que correspondan.
1
Mentol o menta
2
Clavo de olor o especias
3
Fruta
4
Chocolate
5
Una bebida alcohólica (como vino, brandy, margarita u otro coctel)
6
Caramelos u otros sabores dulces
7
Otro sabor (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used flavored [tobacco product].
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YZ9029
Aproximadamente, ¿cuánto tiempo hace desde la última vez que [fumó/consumió] [tobacco product]?
1
I___I___I DÍAS
2
I___I___I MESES
3
I___I___I AÑOS
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used [tobacco product].
PATH ID:
R04_YZ1100
Alguna vez, ¿ha [fumado/consumido] [tobacco product] de manera habitual?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used a [tobacco product].
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FIRST TOBACCO PRODUCT
BOX ID:
R04_YYV01
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_EVER_USE_TOB = Youth respondents who have ever used any type of tobacco product(s) in
lifetime.
R04_EVER_USE_CIGSONLY = Youth respondents who have ever used only cigarettes, and no other
products, in lifetime.
R04_EVER_USE_DUAL = Youth respondents who have ever used cigarettes and at least one other
tobacco product in lifetime.
R04_EVER_USE_TOBXCIGS = Youth respondents who have ever used any tobacco products,
excluding cigarettes, in lifetime.
R04_PAST30DAY_TOB = Youth respondents who have used any tobacco product(s) in the past 30
days.
R04_PASTYEAR_TOB_USE = Youth respondents who have used any tobacco product(s) in the past
12 months.
BOX ID:
R04_YYR01
New baseline youth respondents who started using 2 or more products at the same age, go to
R04_YY0601.
Else, continuing youth respondents who had not used any tobacco products at previous wave and
initiated use of 2 or more products at the same age, go to R04_YY0601.
Else, go to the next section.
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PATH ID:
R04_YY0601
Usted mencionó que empezó a consumir [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST
AGE] [en los últimos 12 meses/a los {EARLIEST AGE} años]. ¿Qué tipo de tabaco probó por primera
vez?
1
Cigarrillos
2
Cigarrillos electrónicos u otros productos electrónicos con nicotina
3
Puros tradicionales
4
Puritos
5
Puros con filtro
7
Shisha o tabaco para hookah
9
Snus
8
Tabaco que no se fuma (aparte de snus)
14
Otro (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who used 2 or more products at the age they first started using
any tobacco and continuing youth respondents who initiated two or more products since the previous
wave (not including pipe, dissolvable tobacco, bidis, and kreteks).
DISPLAY: LIST OF ALL PRODUCTS MAY ONLY INCLUDE CIGARETTES, E-PRODUCTS,
TRADITIONAL CIGARS, CIGARILLOS, FILTERED CIGARS, HOOKAH, SNUS, SMOKELESS
TOBACCO.
If R04_YOUTHTYPE = 1, DISPLAY "en los últimos 12 meses"; AND [LIST OF ALL PRODUCTS
INITIATED], FOR ALL PRODUCTS FOR WHICH R04_INIT_[PRODUCT]_YOUTH = 1.
(R04_INIT_CIGS_YOUTH, R04_INIT_EPRODS_YOUTH, R04_INIT_GTRAD_YOUTH,
R04_INIT_GRILLO_YOUTH, R04_INIT_GFILTR_YOUTH, R04_INIT_HOOK_YOUTH,
R04_INIT_SNUS_YOUTH, R04_INIT_SMKLS_YOUTH)
If R04_YOUTHTYPE = 2, 3, DISPLAY "a los {EARLIEST AGE} años" AND FILL {EARLIEST AGE}
WITH THE AGE THE RESPONDENT FIRST STARTED USING TOBACCO; FOR [LIST OF ALL
PRODUCTS USED AT EARLIEST AGE], LIST ALL THE PRODUCTS FOR WHICH R04_Y*1006_NB =
EARLIEST AGE OF TOBACCO USE. (R04_YC1006_NB, R04_YV1006_NB, R04_YG1006TC_NB,
R04_YG1006CL_NB, R04_YG1006FC_NB, R04_YH1006_NB, R04_YU1006_NB, R04_YS1006_NB)
IF [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST AGE] HAS TWO PRODUCTS,
CONNECT THE PRODUCTS WITH "y".
IF [LIST OF ALL PRODUCTS INITIATED/USED AT EARLIEST AGE] HAS THREE OR MORE
PRODUCTS, CONNECT THE PRODUCTS WITH COMMAS AND INCLUDE "y" BEFORE THE FINAL
PRODUCT.
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
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NICOTINE DEPENDENCE AND CESSATION / QUITTER
BOX ID:
R04_YNR04E
Youth respondents who have used any e-products in the past 12 months, go to Box R04_YNT03.
Else, youth respondents who have used any other tobacco product(s) in the past 12 months, go to Box
R04_YNT02.
Else, go to Box R04_YRT01.
BOX ID:
R04_YNT03
IF R04_PASTYEAR_TOB_USE = 2, DISPLAY THE FOLLOWING TEXT:
Las siguientes preguntas son acerca de su experiencia con productos electrónicos con nicotina.
IF R04_PASTYEAR_TOB_USE = 3, DISPLAY THE FOLLOWING TEXT:
Las siguientes preguntas son acerca de su experiencia con productos electrónicos con nicotina. Piense
únicamente acerca de productos electrónicos con nicotina cuando conteste estas preguntas. Más
adelante le haremos preguntas sobre otros productos.
PATH ID:
R04_YN0703E
¿Qué tan pronto después de que se despierta siente el deseo de fumar productos electrónicos con
nicotina?
1
En menos de 5 minutos
2
Entre 6 y 30 minutos
3
Entre más de 30 minutos y una hora
4
Después de más de una hora pero menos de 24 horas
5
Rara vez deseo consumir productos electrónicos con nicotina
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0704E
¿Alguna vez siente un fuerte deseo de fumar productos electrónicos con nicotina?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0705E
¿Alguna vez ha sentido que necesitaba fumar productos electrónicos con nicotina mucho?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0055E
Por favor, califique su nivel de acuerdo con cada una de las siguientes afirmaciones usando la siguiente
escala: 1 = no es cierto en absoluto y 5= es muy cierto
Me doy cuenta que estoy tratando de agarrar productos electrónicos con nicotina sin pensármelo.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
BOX ID:
R04_YND02E
PROGRAM: Randomize order of items R04_YN0025E - R04_YN0080E.
PATH ID:
R04_YN0025E
Con frecuencia tengo un fuerte deseo de fumar productos electrónicos con nicotina.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH ID:
R04_YN0045E
Mi consumo de productos electrónicos con nicotina está fuera de control.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0070E
Fumar productos electrónicos con nicotina me ayuda mucho a sentirme mejor cuando estoy triste.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
PATH ID:
R04_YN0075E
Fumar productos electrónicos con nicotina me ayuda a pensar mejor.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0080E
Me sentiría solo sin mis productos electrónicos con nicotina.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months.
BOX ID:
R04_YNR03E
Youth respondents who reported that they rarely want to use e-products after waking up, go to Box
R04_YNR06.
Else, youth respondents who have used any e-products in the past 12 months, go to R04_YN0060E.
PATH ID:
R04_YN0060E
Normalmente quiero fumar productos electrónicos con nicotina justo después de despertarme.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any e-products in the past 12 months and did not report that
they rarely want to use e-products after waking up.
BOX ID:
R04_YNR06
Youth respondents who are past 30 day “not light” users of any e-products, go to R04_YN0126E.
Else, youth respondents who have used any e-product and at least one other tobacco product in the
past 12 months, go to Box R04_YNT02.
Else, go to R04_YN0330_12M.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0126E
En los últimos 12 meses, ¿ha tratado de dejar de fumar productos electrónicos con nicotina por
completo?
1
Sí
2
No
GO TO R04_YN0127E
-8
DON'T KNOW
GO TO R04_YN0127E
-7
REFUSED
GO TO R04_YN0127E
ASK: Past 30 day "not-light" users of any e-products.
PATH ID:
R04_YN0120E
En los últimos 12 meses, ¿ha dejado de fumar productos electrónicos con nicotina por un día o más
debido a que estaba tratando de dejarlos para siempre?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" users of any e-products who have tried to quit using e-products in the past
12 months.
PATH ID:
R04_YN0127E
¿Está pensando seriamente en dejar de fumar productos electrónicos con nicotina?
1
Sí, dentro de los próximos 30 días
2
Sí, dentro de los próximos 6 meses
3
Sí, dentro de un año
4
Sí, pero no en menos de un año
5
No, no lo estoy pensando seriamente
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" users of any e-products.
BOX ID:
R04_YNR02E
Youth respondents who have used any e-product and at least one other tobacco product in the past 12
months, go to Box R04_YNT02.
Else, go to R04_YN0330_12M.
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Wave 4 (version 4.0)
BOX ID:
R04_YNT02
Usted mencionó que consume [TOBACCO PRODUCT LIST]. Piense acerca de [todos estos
productos/ambos productos/este producto] cuando conteste estas preguntas.
PATH ID:
R04_YN0703
¿Qué tan pronto después de que se despierta siente el deseo de consumir tabaco?
1
En menos de 5 minutos
2
Entre 6 y 30 minutos
3
Entre más de 30 minutos y una hora
4
Después de más de una hora pero menos de 24 horas
5
Rara vez deseo consumir tabaco
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0704
¿Alguna vez siente un fuerte deseo de consumir tabaco?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0705
¿Alguna vez ha sentido que necesitaba consumir tabaco mucho?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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189
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0055
Por favor, califique su nivel de acuerdo con cada una de las siguientes afirmaciones usando la siguiente
escala: 1 = no es cierto en absoluto y 5= es muy cierto
Me doy cuenta que estoy tratando de agarrar un producto de tabaco sin pensármelo.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
BOX ID:
R04_YND04
PROGRAM: Randomize order of items R04_YN0025 - R04_YN0080.
PATH ID:
R04_YN0025
Con frecuencia tengo un fuerte deseo de consumir tabaco.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0045
Mi consumo de tabaco está fuera de control.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0070
Consumir tabaco me ayuda mucho a sentirme mejor cuando estoy triste.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
PATH ID:
R04_YN0075
Consumir tabaco me ayuda a pensar mejor.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0080
Me sentiría solo sin mi tabaco.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product.
BOX ID:
R04_YNR03
Youth respondents who reported that they rarely want to use tobacco after waking up, go to Box
R04_YNR05.
Else, youth respondents who have used tobacco in the past 12 months, go to R04_YN0060.
PATH ID:
R04_YN0060
Normalmente quiero consumir tabaco justo después de despertarme.
1
No es cierto en absoluto
2
3
4
5
Es muy cierto
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product(s) in the past 12 months, including
respondents who used e-products and at least one other tobacco product, and did not report that they
rarely want to use tobacco after waking up.
BOX ID:
R04_YNR05
Youth respondents who have used any tobacco products in the past 30 days, excluding cigarette only
users and e-product only users, go to R04_YN0126.
Else, youth respondents who are past 30 day “not light” users of cigarettes, go to R04_YN0127.
Else, go to R04_YN0330_12M.
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Wave 4 (version 4.0)
PATH ID:
R04_YN0126
En los últimos 12 meses, ¿ha tratado de dejar de consumir productos de tabaco por completo?
1
Sí
2
No
GO TO R04_YN0127
-8
DON'T KNOW
GO TO R04_YN0127
-7
REFUSED
GO TO R04_YN0127
ASK: Youth respondents who have used any tobacco products in the past 30 days, excluding cigarette
only users and e-product only users.
PATH ID:
R04_YN0120
En los últimos 12 meses, ¿ha dejado de consumir productos de tabaco por un día o más debido a que
estaba tratando de dejarlos para siempre?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have tried to quit using all tobacco in the past 12 months, excluding
cigarette only users and e-product only users.
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Wave 4 (version 4.0)
PATH ID:
R04_YN0127
¿Está pensando seriamente en dejar de [fumar cigarrillos/consumir todos los productos de
tabaco/fumar cigarrillos y consumir productos de tabaco]?
1
Sí, dentro de los próximos 30 días
2
Sí, dentro de los próximos 6 meses
3
Sí, dentro de un año
4
Sí, pero no en menos de un año
5
No, no lo estoy pensando seriamente
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco (excluding e-products) in the past 30 days.
DISPLAY: IF CIGARETTE SMOKER ONLY (R04_PAST30DAY_CIGS_LEVEL = 2 AND
(R04_PAST30DAY_GTRAD = 2 AND R04_PAST30DAY_GRILLO = 2 AND R04_PAST30DAY_GFILTR
= 2 AND R04_PAST30DAY_PIPE = 2 AND R04_PAST30DAY_HOOK = 2 AND
R04_PAST30DAY_SNUS = 2 AND R04_PAST30DAY_SMKLS = 2 AND R04_PAST30DAY_DISS = 2
AND R04_PAST30DAY_BIDI = 2 AND R04_PAST30DAY_KRETEK = 2)), DISPLAY "fumar cigarrillos".
IF NON-CIGARETTE TOBACCO USER (R04_PAST30DAY_CIGS = 2 OR
R04_PAST30DAY_CIGS_LEVEL = 1) AND R04_PAST30DAY_TOB = 1, DISPLAY "consumir todos los
productos de tabaco".
IF CIGARETTE AND OTHER TOBACCO PRODUCT USER (R04_PAST30DAY_CIGS_LEVEL = 2 AND
(R04_PAST30DAY_GTRAD_LEVEL = 2 OR R04_PAST30DAY_GRILLO_LEVEL = 2 OR
R04_PAST30DAY_GFILTR_LEVEL = 2 OR R04_PAST30DAY_PIPE = 1 OR
R04_PAST30DAY_HOOK = 1 OR R04_PAST30DAY_SNUS_LEVEL = 2 OR
R04_PAST30DAY_SMKLS_LEVEL = 2 OR R04_PAST30DAY_DISS = 1 OR R04_PAST30DAY_BIDI =
1 OR R04_PAST30DAY_KRETEK = 1)) DISPLAY "fumar cigarrillos y productos de tabaco".
BOX ID:
R04_YNR02
Youth respondents who are past 30 day "not-light" cigarette smokers who have used any other tobacco
products (excluding e-products) in the past 30 days, go to Box R04_YNT05.
Else, youth respondents who are past 30 day “not-light” cigarette smokers and have not used any other
products, go to R04_YC1210.
Else, go to R04_YN0330_12M.
BOX ID:
R04_YNT05
Las siguientes preguntas son acerca de su experiencia con cigarrillos. Piense únicamente acerca de los
cigarrillos cuando conteste estas preguntas.
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1210
¿Quiere dejar de fumar cigarrillos por completo?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
BOX ID:
R04_YNR01
Past 30 day "not-light" cigarette smokers who have not tried to quit using all tobacco in the past 12
months, go to R04_YC1215.
Else, past 30 day “not-light” cigarette smokers who tried to quit using all tobacco in the past 12 months,
go to R04_YC1220.
PATH ID:
R04_YC1215
En los últimos 12 meses, ¿ha tratado de dejar de fumar cigarrillos por completo?
1
Sí
2
No
GO TO R04_YC1230
-8
DON'T KNOW
GO TO R04_YC1230
-7
REFUSED
GO TO R04_YC1230
ASK: Past 30 day "not-light" cigarette smokers who have not tried to quit using all tobacco in the past 12
months.
PATH ID:
R04_YC1220
En los últimos 12 meses, ¿cuántas veces ha dejado de fumar cigarrillos por un día o más debido a que
estaba tratando de dejar de fumar cigarrillos para siempre?
1
I__I__I__I
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have tried to quit smoking in the past 12 months.
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1220_LC1
La computadora registró que usted dejó de fumar por un día o más [R04_YC1220] veces en los últimos
12 meses porque estaba tratando de dejar de fumar cigarrillos para siempre. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YC1220
2
NEXT
GO TO R04_YC1225
ASK: IF R04_YC1220 > 100.
PATH ID:
R04_YC1225
La última vez que trató de dejar de fumar para siempre, ¿por cuánto tiempo dejó de fumar? Elija la
respuesta adecuada.
1
Menos de un día
2
1 a 7 días
3
Más de 7 días pero menos de 30 días
4
Más de 30 días pero menos de 6 meses
5
Más de 6 meses pero menos de un año
6
Un año o más
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers who have tried to quit smoking in the past 12 months.
PATH ID:
R04_YC1230
Si decide dejar de fumar para siempre, ¿qué tan probable cree que sea su éxito?
1
Muy probable
2
Algo probable
3
Es muy poco probable
4
No es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day "not-light" cigarette smokers.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0330_12M
En los últimos 12 meses, ¿ha usado un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina, pastillas de chupar o píldoras con
nicotina?
1
Sí
2
No
GO TO R04_YN0331_12M
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months.
PATH ID:
R04_YN0307
¿Cuándo fue la última vez que usó o tomó un producto con nicotina tal como parches con nicotina,
chicles de nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o
píldoras con nicotina?
1
Hace menos de una hora
GO TO R04_YN0309
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO R04_YN0331_12M
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who has used NRT in the past 12 months.
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197
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0308
La última vez que usó o tomó un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o píldoras con
nicotina [FILL BASED ON R04_YN0307], ¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
used NRT today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307]:
IF R04_YN0307 = 2, DISPLAY "hoy".
ELSE, IF R04_YN0307 = 3, DISPLAY "ayer".
ELSE, IF R04_YN0307 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0309
La última vez que usó o tomó un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o píldoras con
nicotina [FILL BASED ON R04_YN0307], ¿cuántos usó o tomó?
1
I___I___I
-8
DON'T KNOW
GO TO R04_YN0331_12M
-7
REFUSED
GO TO R04_YN0331_12M
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
used NRT in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307]:
IF R04_YN0307 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YN0307 = 3, DISPLAY "ayer".
ELSE, IF R04_YN0307 = 4, DISPLAY "hace dos días".
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0309_LC1
La computadora registró que [hoy/ayer/hace dos días], usted usó o tomó un producto con nicotina, tal
como parches con nicotina, chicles de nicotina, inhaladores de nicotina, espráis nasales con nicotina y
pastillas de chupar o píldoras con nicotina [R04_YN0309] veces.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YN0309
2
NEXT
GO TO R04_YN0331_12M
ASK: IF R04_YN0309 = 0 OR R04_YN0309 > 5.
DISPLAY: IF R04_YN0307 = 1, 2, DISPLAY "hoy".
IF R04_YN0307 = 3, DISPLAY "ayer".
IF R04_YN0307 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0331_12M
En los últimos 12 meses, ¿ha tomado alguno de los siguientes medicamentos de venta con receta
médica? Chantix, vareniclina, Wellbutrin, Zyban o bupropión?
1
Sí
2
No
GO TO BOX R04_YRT01
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months.
PATH ID:
R04_YN0327
¿Cuándo fue la última vez que tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión?
1
Hace menos de una hora
2
Hoy
3
Ayer
4
Hace dos días
5
GO TO R04_YN0329
Hace tres o más días
GO TO BOX R04_YRT01
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug in the past 12 months.
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199
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YN0328
La última vez que tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión [FILL BASED ON
R04_YN0327], ¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327]:
IF R04_YN0327 = 2, DISPLAY "hoy".
ELSE, IF R04_YN0327 = 3, DISPLAY "ayer".
ELSE, IF R04_YN0327 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0329
Cuando tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión [FILL BASED ON R04_YN0327],
¿cuántas píldoras tomó?
1
I___I___I
-8
DON'T KNOW
GO TO BOX R04_YRT01
-7
REFUSED
GO TO BOX R04_YRT01
ASK: Youth respondents who have used any tobacco product or e-product in the past 12 months, and
who have used a prescription drug in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327]:
IF R04_YN0327 = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YN0327 = 3, DISPLAY "ayer"
ELSE, IF R04_YN0327 = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0329_LC1
La computadora registró que [hoy/ayer/hace dos días] usted tomó Chantix, vareniclina, Wellbutrin,
Zyban o bupropión [R04_YN0329] veces.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YN0329
2
NEXT
GO TO BOX R04_YRT01
ASK: IF R04_YN0329 = 0 OR IF R04_YN0329 > 5.
DISPLAY: IF R04_YN0327 = 1, 2, DISPLAY "hoy".
IF R04_YN0327 = 3, DISPLAY "ayer".
IF R04_YN0327 = 4, DISPLAY "hace dos días".
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200
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PACKAGING AND HEALTH WARNINGS
BOX ID:
R04_YRT01
Las siguientes preguntas son acerca de cosas que posiblemente haya visto o leído acerca de los
productos de tabaco.
PATH ID:
R04_YR0142
En los últimos 12 meses, ¿con qué frecuencia ha pensado en las sustancias químicas que contienen
los productos de tabaco?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YR0005
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en las cajetillas de cigarrillos?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR01
If youth respondent has ever smoked cigarettes and has noticed health warnings in the past 30 days, go
to R04_YR0202.
Else, if youth respondent has never smoked cigarettes and has noticed health warnings in the past 30
days, go to R04_YR0055.
Else, go to R04_YR0110.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YR0202
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en las cajetillas de cigarrillos?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0010
En los últimos 30 días, cuando iba a fumar un cigarrillo ¿con qué frecuencia ha dejado de fumar al ver
las advertencias de riesgo para la salud?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0015
En los últimos 30 días, ¿ha tratado de evitar ver o pensar sobre las advertencias de riesgo para la salud
en las cajetillas de cigarrillos? Por ejemplo, ¿las ha tapado o escondido, ha usado un estuche para sus
cajetillas, ha evitado algunas advertencias o hizo otra cosa?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0025
¿Qué tan creíbles cree que son las advertencias de riesgo para la salud en las cajetillas de cigarrillos?
1
No son creíbles en absoluto
2
Son muy poco creíbles
3
Son algo creíbles
4
Son muy creíbles
5
Son extremadamente creíbles
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0035
Las advertencias en las cajetillas de cigarrillos, ¿le hacen pensar acerca de los riesgos para la salud
que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0203
Las advertencias de riesgo para la salud en las cajetillas de cigarrillos, ¿hacen que nunca quiera volver
a fumar un cigarrillo?
1
Para nada
GO TO R04_YR0110
2
Muy poco
GO TO R04_YR0110
3
Algo
GO TO R04_YR0110
4
Mucho
GO TO R04_YR0110
-8
DON'T KNOW
GO TO R04_YR0110
-7
REFUSED
GO TO R04_YR0110
ASK: Youth respondents who have ever smoked a cigarette and have noticed health warnings in the
past 30 days.
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203
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0055
Las advertencias de riesgo para la salud en los paquetes de cigarrillos, ¿disminuyen su probabilidad de
empezar a fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have never smoked a cigarette and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0110
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de cigarrillos electrónicos u otros productos electrónicos con nicotina?
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR16
If youth respondent has ever used e-products and has noticed health warnings in the past 30 days, go
to R04_YR0222.
Else, go to R04_YR0115.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0222
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de cigarrillos electrónicos, líquido electrónico u otros productos
electrónicos con nicotina?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0226
Las advertencias de riesgo para la salud en los paquetes de cigarrillos electrónicos, líquido electrónico
u otros productos electrónicos con nicotina, ¿le hacen pensar acerca de los riesgos para la salud que
implica fumar estos productos?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used e-products and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0115
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de puros tradicionales?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YRR17
If youth respondent has ever smoked traditional cigars and has noticed health warnings in the past 30
days, go to R04_YR0229.
Else, go to R04_YR0120.
PATH ID:
R04_YR0229
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de puros tradicionales?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked traditional cigars and have noticed health warnings in
the past 30 days.
PATH ID:
R04_YR0233
Las advertencias de riesgo para la salud en los paquetes de puros tradicionales, ¿le hacen pensar
acerca de los riesgos para la salud que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked traditional cigars and have noticed health warnings in
the past 30 days.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0120
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de puritos?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR18
If youth respondent has ever smoked cigarillos and has noticed health warnings in the past 30 days, go
to R04_YR0236.
Else, go to R04_YR0125.
PATH ID:
R04_YR0236
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de puritos?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked cigarillos and have noticed health warnings in the past
30 days.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0240
Las advertencias de riesgo para la salud en los paquetes de puritos, ¿le hacen pensar acerca de los
riesgos para la salud que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked cigarillos and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0125
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de puros con filtro?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR19
If youth respondent has ever smoked filtered cigars and has noticed health warnings in the past 30
days, go to R04_YR0243.
Else, go to R04_YR0130.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0243
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de puros con filtro?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked filtered cigars and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0247
Las advertencias de riesgo para la salud en los paquetes de puros con filtro, ¿le hacen pensar acerca
de los riesgos para la salud que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked filtered cigars and have noticed health warnings in the
past 30 days.
PATH ID:
R04_YR0130
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de tabaco para pipa?
[SHOW GENERIC IMAGE OF PIPE AND PIPE TOBACCO]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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209
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0135
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de shisha o tabaco para hookah?
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR20
If youth respondent has ever smoked hookah and has noticed health warnings in the past 30 days, go to
R04_YR0250.
Else, go to R04_YR0206.
PATH ID:
R04_YR0250
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de shisha o tabaco para hookah?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah and have noticed health warnings in the past
30 days.
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210
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0254
Las advertencias de riesgo para la salud en los paquetes de shisha o tabaco para hookah, ¿le hacen
pensar acerca de los riesgos para la salud que implica fumar?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever smoked hookah and have noticed health warnings in the past
30 days.
PATH ID:
R04_YR0206
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los envases de snus?
[SHOW GENERIC IMAGE OF SNUS]
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YRR15
If youth respondent has ever used snus and has noticed health warnings in the past 30 days, go to
R04_YR0207.
Else, go to R04_YR0060.
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211
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YR0207
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los envases de snus?
1
Nunca
2
Rara vez
3
A veces
4
A menudo
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used snus and have noticed health warnings in the past 30
days.
PATH ID:
R04_YR0211
Las advertencias de riesgo para la salud en los envases de snus, ¿le hacen pensar acerca de los
riesgos para la salud que implica el consumo de snus?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used snus and have noticed health warnings in the past 30
days.
PATH ID:
R04_YR0060
En los últimos 30 días, ¿con qué frecuencia se ha dado cuenta de las advertencias de riesgo para la
salud en los paquetes de otros productos de tabaco que no se fuma, tales como el dip, el tabaco de
mascar o el tabaco de inhalar o rapé?
[SHOW GENERIC IMAGE OF SMOKELESS PRODUCTS (EXCLUDING SNUS)]
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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212
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YRR04
If youth respondent has ever used smokeless tobacco and noticed health warnings in the past 30 days,
go to R04_YR0205.
Else, go to Box R04_YXT30.
PATH ID:
R04_YR0205
En los últimos 30 días, ¿con qué frecuencia ha leído o mirado con atención las advertencias de riesgo
para la salud en los paquetes de tabaco que no se fuma?
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
5
Muy a menudo
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used smokeless tobacco and have noticed health warnings in
the past 30 days.
PATH ID:
R04_YR0085
Las advertencias de riesgo para la salud, ¿le hacen pensar en los riesgos que implica para la salud el
consumir productos de tabaco que no se fuma?
1
Para nada
2
Muy poco
3
Algo
4
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have ever used smokeless tobacco and have noticed health warnings in
the past 30 days.
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213
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
RISK PERCEPTIONS AND ATTITUDES
BOX ID:
R04_YXT30
En las siguientes preguntas le pedimos su opinión sobre el consumo de tabaco, incluyendo cigarrillos
electrónicos y otros productos electrónicos con nicotina.
PATH ID:
R04_YN0250
¿Cree usted que la nicotina es la sustancia principal en el tabaco que hace que la gente desee
consumir productos de tabaco?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0667
¿En qué medida está de acuerdo o en desacuerdo con la siguiente afirmación?
Algunos productos de tabaco son más seguros que otros.
1
Completamente de acuerdo
2
De acuerdo
3
Ni de acuerdo ni en desacuerdo
4
En desacuerdo
5
Completamente en desacuerdo
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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214
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0723
¿Cree que un producto de tabaco que se describe como sin aditivos es menos dañino, igual de dañino
o más dañino que un producto normal de tabaco?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "sin aditivos".
PATH ID:
R04_YX0724
¿Cree que un producto de tabaco que se describe como orgánico es menos dañino, igual de dañino o
más dañino que un producto normal de tabaco?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "orgánico".
PATH ID:
R04_YC9050
¿Qué tan dañinos cree que son los cigarrillos para la salud?
1
No son dañinos en absoluto
2
Muy poco dañinos
3
Algo dañinos
4
Muy dañinos
5
Son extremadamente dañinos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
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215
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1149
¿Qué tan dañina cree que es la nicotina en los cigarrillos para la salud?
1
No es dañina en absoluto
2
Muy poco dañina
3
Algo dañina
4
Muy dañina
5
Es extremadamente dañina
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotina".
PATH ID:
R04_YC1125
¿Cuánto daño cree que se hacen las personas cuando fuman cigarrillos?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC1170
¿Cuánto daño cree usted que se hacen las personas cuando fuman cigarrillos algunos días pero no
todos los días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
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216
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC1180
¿Por cuánto tiempo cree que las personas tienen que fumar para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9047
Según su opinión, ¿cree usted que los cigarrillos con niveles más bajos de nicotina son menos dañinos,
igual de dañinos o más dañinos para la salud de una persona que los cigarrillos normales?
1
Menos dañinos
2
Igual de dañinos
3
Más dañinos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9040
¿Cree usted que los cigarrillos con sabor a mentol o menta, son menos dañinos, igual de dañinos o
más dañinos que los cigarrillos normales?
1
Menos dañinos
2
Igual de dañinos
3
Más dañinos
4
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH – Wave 4
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217
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9118
¿Cree usted que los los cigarrillos con sabor a mentol o menta se pueden fumar con más facilidad, con
igual facilidad o con menos facilidad que los cigarrillos normales?
1
Más facilidad
2
Igual facilidad
3
Menos facilidad
4
No sé
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC1124
¿Cuál es la probabilidad de que alguien se vuelva adicto a los cigarrillos?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YC9043
¿Cuál es la probabilidad de que usted se vuelva adicto a los cigarrillos?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "usted".
PATH – Wave 4
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218
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YC9120
¿Cree usted que la nicotina es la sustancia química que causa la mayoría del cáncer causado por el
consumo de cigarrillos?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1125
¿Cuánto daño cree que se hacen las personas cuando fuman cigarrillos electrónicos u otros productos
electrónicos con nicotina?
[SHOW GENERIC IMAGE OF E-PRODUCTS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1149
¿Qué tan dañina cree que es la nicotina en los cigarrillos electrónicos u otros productos electrónicos
con nicotina para la salud?
1
No es dañina en absoluto
2
Muy poco dañina
3
Algo dañina
4
Muy dañina
5
Es extremadamente dañina
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotina".
PATH – Wave 4
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219
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1180
¿Por cuánto tiempo cree que las personas tienen que fumar cigarrillos electrónicos u otros productos
electrónicos con nicotina para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YV1099
¿Cree que fumar cigarrillos electrónicos u otros productos electrónicos con nicotina es menos dañino,
es igual de dañino o es más dañino que fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "cigarrillos electrónicos u otros productos electrónicos con nicotina" AND
"cigarrillos".
PATH ID:
R04_YV1153
¿Cree que se pueden fumar los cigarrillos electrónicos con sabor añadido (aparte de mentol o menta)
con menos facilidad, con igual facilidad o con más facilidad que fumar cigarrillos electrónicos con sabor
a tabaco o sin sabor?
1
Más facilidad
2
Igual facilidad
3
Menos facilidad
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE “con sabor añadido”, "aparte de mentol o menta", "sabor a tabaco" AND "sin
sabor".
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YV1148
¿Cree que fumar cigarrillos electrónicos con sabor a mentol o menta es menos dañino, igual de dañino
o más dañino que fumar cigarrillos electrónicos con sabor a tabaco o sin sabor?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "mentol", "menta", "sabor a tabaco" AND "sin sabor".
PATH ID:
R04_YV1152
¿Cree que fumar cigarrillos electrónicos con otro sabor (aparte de mentol o menta) es menos dañino,
igual de dañino o más dañino que fumar cigarrillos electrónicos con sabor a tabaco o sin sabor?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "con otro sabor", "aparte de mentol o menta", "sabor a tabaco" AND "sin
sabor".
PATH ID:
R04_YV1124
¿Cuál es la probabilidad de que alguien se vuelva adicto a los cigarrillos electrónicos u otros productos
electrónicos con nicotina?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9025
¿Cuánto daño cree que se hacen las personas cuando fuman puros tradicionales?
[SHOW GENERIC IMAGE OF TRADITIONAL CIGARS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG1180
¿Por cuánto tiempo cree que las personas tienen que fumar puros tradicionales para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9097
¿Fumar puros tradicionales es menos dañino, es igual de dañino o es más dañino que fumar
cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "puros tradicionales" AND "cigarrillos".
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9026
¿Cuánto daño cree que se hacen las personas cuando fuman puritos?
[SHOW GENERIC IMAGE OF CIGARILLOS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9047
¿Cuánto daño cree usted que se hacen las personas cuando fuman puritos algunos días pero no todos
los días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9048
¿Por cuánto tiempo cree que las personas tienen que fumar puritos para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9098
¿Fumar puritos es menos dañino, es igual de dañino o es más dañino que fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "puritos" AND "cigarrillos".
PATH ID:
R04_YG9125
¿Cuál es la probabilidad de que alguien se vuelva adicto a los puritos?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9027
¿Cuánto daño cree que se hacen las personas cuando fuman puros con filtro?
[SHOW GENERIC IMAGE OF FILTERED CIGARS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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224
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9054
¿Cuánto daño cree usted que se hacen las personas cuando fuman puros con filtro algunos días pero
no todos los días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9055
¿Por cuánto tiempo cree que las personas tienen que fumar puros con filtro para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YG9099
¿Fumar puros con filtro es menos dañino, es igual de dañino o es más dañino que fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "puros con filtro" AND "cigarrillos".
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225
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YG9126
¿Cuál es la probabilidad de que alguien se vuelva adicto a los puros con filtro?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1125
¿Cuánto daño cree que se hacen las personas cuando fuman shisha o tabaco para hookah?
[SHOW GENERIC IMAGE OF HOOKAH AND SHISHA]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH9044
¿Qué tan dañino cree que es es estar cerca de personas que están fumando shisha o tabaco para
hookah?
1
No es dañino en absoluto
2
Muy poco dañino
3
Algo dañino
4
Muy dañino
5
Es extremadamente dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YH9110
¿La shisha que no contiene tabaco es menos dañina, igual de dañina o más dañina que la shisha que
contiene tabaco?
1
Menos dañina
2
Igual de dañina
3
Más dañina
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "que no contiene tabaco" AND "que contiene tabaco".
PATH ID:
R04_YH1180
¿Por cuánto tiempo cree que las personas tienen que fumar shisha o tabaco para hookah para dañar
su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1099
¿Cree que fumar en hookah es menos dañino, es igual de dañino o es más dañino que fumar
cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "hookah" AND "cigarrillos".
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227
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YH1124
¿Cuál es la probabilidad de que alguien se vuelva adicto a la shisha o tabaco para hookah?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1125
¿Cuánto daño cree que se hacen las personas cuando consumen snus?
[SHOW GENERIC IMAGE OF SNUS]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1170
¿Cuánto daño cree que se hacen las personas cuando consumen snus algunos días, pero no todos los
días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YU1180
¿Por cuánto tiempo cree que las personas tienen que consumir snus para dañar su salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1099
¿Cree que consumir snus es menos dañino, igual de dañino o más dañino que fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "snus" AND "cigarrillos".
PATH ID:
R04_YU1124
¿Cuál es la probabilidad de que alguien se vuelva adicto al snus?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YS1125
¿Cuánto daño cree que se hacen las personas cuando consumen tabaco que no se fuma? (El tabaco
que no se fuma incluye tabaco de mascar, tabaco de inhalar o rapé o dip.)
[SHOW GENERIC IMAGE OF SMOKELESS TOBACCO (EXCLUDING SNUS)]
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YS1170
¿Cuánto daño cree usted que se hacen las personas cuando consumen tabaco que no se fuma
algunos días pero no todos los días?
1
Ningún daño
2
Muy poco daño
3
Algo de daño
4
Mucho daño
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YS1180
¿Por cuánto tiempo cree que las personas tienen que consumir tabaco que no se fuma para dañar su
salud?
1
Nunca dañará la salud
2
Menos de un año
3
Un año
4
5 años
5
10 años
6
20 años o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YS1099
¿Cree que consumir tabaco que no se fuma es menos dañino, es igual de dañino o es más dañino que
fumar cigarrillos?
1
Menos dañino
2
Igual de dañino
3
Más dañino
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "tabaco que no se fuma" AND "cigarrillos".
PATH ID:
R04_YS1124
¿Cuál es la probabilidad de que alguien se vuelva adicto al tabaco que no se fuma?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0759
Algunas veces las personas que están tratando de dejar de consumir tabaco usan productos que
reemplazan la nicotina tales como parches con nicotina, chicles de nicotina, inhaladores de nicotina,
espráis nasales con nicotina y pastillas de chupar o píldoras con nicotina.
¿Qué tan dañina cree que es la nicotina en estos productos para la salud?
1
No es dañina en absoluto
2
Muy poco dañina
3
Algo dañina
4
Muy dañina
5
Es extremadamente dañina
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "nicotina".
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YXV01
CREATE AN ARRAY USEPROD WITH 12 ELEMENTS - ONE FOR EACH TOBACCO TYPE THAT
IDENTIFIES WHETHER THE RESPONDENT IS A PAST 30 DAY USER OF THE SPECIFIC
TOBACCO TYPE.
USEPROD(1-12): Past 30 day users of: (1) cigarrillos; (2) productos electrónicos con nicotina; (3) puros
tradicionales; (4) puritos; (5) puros con filtro; (6) tabaco para pipa (7) shisha o tabaco para hookah; (8)
snus; (9) tabaco que no se fuma; (10) tabaco que se disuelve; (11) bids; (12) kreteks.
DISPLAY: If [USEPROD(1-12)] is a list and contains two products, connect the products with "y". If it
has three or more products, connect the products with commas and include "y" before the final product
in the list. Display all products bold with lowercase letters.
BOX ID:
R04_YYR02
Youth respondents who have ever smoked cigarettes and are past 30 day users of any other product,
go to R04_YX0300.
Else, youth respondents who have ever used e-products and are past 30 day users of any other
product, go to R04_YX0301.
Else, youth respondents who are past 30 day users of any product, go to R04_YX0307.
Else, go to Box R04_YXT05.
PATH ID:
R04_YX0300
¿En qué medida está de acuerdo o en desacuerdo con la siguiente afirmación?
He pensado acerca de cambiar totalmente de [USEPROD(2-12)] a cigarrillos.
1
Completamente de acuerdo
2
De acuerdo
3
Ni de acuerdo ni en desacuerdo
4
En desacuerdo
5
Completamente en desacuerdo
-8
DON'T KNOW
-7
REFUSED
ASK: Ever cigarette smokers who are past 30 days users of at least one non-cigarette tobacco product
[USEPROD(2-12) = 1]. (This question is asked one time about the product(s) the respondent has used
in the past 30 days (USEPROD list), excluding cigarettes, and asks about switching completely from
those product(s) to cigarettes.)
DISPLAY: UNDERLINE "totalmente". BOLD "USEPROD(2-12)".
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
BOX ID:
R04_YXR11
Youth respondents who have ever used e-products and are past 30 day users of any other product, go
to R04_YX0301.
Else, go to Box R04_YXR10.
PATH ID:
R04_YX0301
¿En qué medida está de acuerdo o en desacuerdo con la siguiente afirmación?
He pensado acerca de cambiar totalmente de [USEPROD(1, 3-12)] a cigarrillos electrónicos u otros
productos electrónicos con nicotina.
1
Completamente de acuerdo
2
De acuerdo
3
Ni de acuerdo ni en desacuerdo
4
En desacuerdo
5
Completamente en desacuerdo
-8
DON'T KNOW
-7
REFUSED
ASK: Ever e-product users who are past 30 days users of at least one tobacco product [USEPROD(1,
3-12) = 1]. (This question is asked one time about the product(s) the respondent has used in the past
30 days, excluding e-products, and asks about switching completely from those product(s) to eproducts.)
DISPLAY: UNDERLINE "totalmente". BOLD "USEPROD(1, 3-12)".
BOX ID:
R04_YXR10
Youth respondents who are past 30 day users of any product, go to R04_YX0307.
Else, go to Box R04_YXT05.
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233
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0307
¿Ha pensado acerca de cambiar de [USEPROD(1-12)] a cualquiera de los siguientes productos?
Escoja todas las opciones que correspondan.
1
No he pensado acerca de cambiar a otro producto
2
Cigarrillos
3
Cigarrillos electrónicos u otros productos electrónicos con nicotina
4
Puros tradicionales
5
Puritos
6
Puros con filtro
10
Pipas
7
Hookahs
8
Snus
9
[Otro tabaco/Tabaco] que no se fuma como tabaco de inhalar o rapé, dip, spit o tabaco de
mascar
13
Tabaco que se disuelve
11
Bidis
12
Kreteks
-8
DON'T KNOW
-7
REFUSED
ASK: Past 30 day users of [USEPROD(1-12)]. (This question is repeated for each product the
respondent has used in the past 30 days. The response options are the products the respondent has
not used in the past 30 days. If the respondent has used every product in the past 30 days, resulting in
no options presented, this question is not asked.)
DISPLAY: UNDERLINE "cambiar". BOLD [USEPROD(1-12)].
IF R04_PAST30DAY_SNUS = 1 AND R04_PAST30DAY_SMKLS != 1, DISPLAY option 9 as "Otro
tabaco que no se fuma como tabaco de inhalar o rapé, dip, spit o tabaco de mascar".
ELSE, IF R04_PAST30DAY_SMKLS != 1, DISPLAY "Tabaco que no se fuma como tabaco de inhalar o
rapé, dip, spit o tabaco de mascar".
PATH – Wave 4
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234
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
MEDIA USE
BOX ID:
R04_YXT05
Las siguientes preguntas son acerca de su uso de televisión, radio, Internet y teléfonos celulares.
PATH ID:
R04_YX0494
En un día normal entre semana, ¿aproximadamente cuánto tiempo pasa mirando televisión y videos en
Internet que incluyen comerciales?
1
Ninguno
2
Media hora o menos
3
Aproximadamente una hora
4
Aproximadamente 2 horas
5
Aproximadamente 3 horas
6
Aproximadamente 4 horas
7
Aproximadamente 5 horas
8
Aproximadamente 6 horas
9
7 horas o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "entre semana".
PATH ID:
R04_YX0495
En un día normal de fin de semana, ¿aproximadamente cuánto tiempo pasa mirando televisión y videos
en Internet que incluyen comerciales?
1
Ninguno
2
Menos de una hora
3
Una a 2 horas
4
3 a 4 horas
5
5 a 6 horas
6
7 a 8 horas
7
9 a 10 horas
8
11 horas o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "fin de semana".
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235
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0060
En un día normal entre semana, ¿cuánto tiempo pasa oyendo la radio u oyendo emisoras de radio en
Internet que incluyen comerciales?
1
Ninguno
2
Media hora o menos
3
Aproximadamente una hora
4
Aproximadamente 2 horas
5
Aproximadamente 3 horas
6
Aproximadamente 4 horas
7
Aproximadamente 5 horas
8
Aproximadamente 6 horas
9
7 horas o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "entre semana".
PATH ID:
R04_YX0061
En un día normal de fin de semana, ¿cuánto tiempo pasa oyendo la radio u oyendo emisoras de radio
en Internet que incluyen comerciales?
1
Ninguno
2
Menos de una hora
3
Una a 2 horas
4
3 a 4 horas
5
5 a 6 horas
6
7 a 8 horas
7
9 a 10 horas
8
11 horas o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "fin de semana".
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0062
Algunas veces la gente usa el Internet para comunicarse con otras personas en línea mediante redes
sociales como Facebook, Google Plus, YouTube, LinkedIn, Twitter, Tumblr, Instagram, Pinterest o
Snapchat. A esto se le suele llamar "redes sociales".
¿Tiene una cuenta en una red social?
1
Sí
2
No
GO TO BOX R04_YXR12
-8
DON'T KNOW
GO TO BOX R04_YXR12
-7
REFUSED
GO TO BOX R04_YXR12
ASK: All youth respondents.
PATH ID:
R04_YX0317
¿Con que frecuencia visita sus cuentas en redes sociales?
1
Más de una vez al día
2
Una vez al día
3
3 a 5 días a la semana
4
1 a 2 días a la semana
5
Cada pocas semanas
6
Con menos frecuencia
7
Nunca
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YXR12
ASK: Youth respondents who have a social media account.
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237
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0686
En los últimos 12 meses, ¿ha hecho clic en "Me gusta" o en "Seguir" a alguna de las siguientes marcas
de un producto de tabaco, cigarrillo electrónico u otro producto electrónico con nicotina en Facebook,
Twitter u otros sitios de redes sociales? Escoja todas las opciones que correspondan.
0
No he hecho clic en "Me gusta" ni en "Seguir" a ninguna marca en redes sociales
1
Camel
2
Marlboro
3
Newport
4
American Spirit
5
Vuse
6
Blu
7
Logic
8
MarkTen
9
NJOY
10
eGo
11
iTaste
12
Black & Mild
13
Swisher Sweets
14
Dutch Masters
15
Phillies Blunts
16
Zig Zag
17
Skoal
18
Redman
19
Grizzly
20
Copenhagen
21
Otra marca (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have a social media account (excluding those who never visit their social
media account).
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
BOX ID:
R04_YXR12
New baseline youth respondents, go to R04_YX0496_NB.
Else, go to Box R04_YXT02.
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SECONDHAND SMOKE EXPOSURE
BOX ID:
R04_YXT02
Las siguientes preguntas son acerca de las normas o reglas de consumo de tabaco dentro de su casa.
PATH ID:
R04_YX0671
Sin incluirse a usted, ¿ha hecho alguna de las siguientes actividades alguna de las personas que viven
con usted actualmente? Escoja todas las opciones que correspondan.
1
Fumar cigarrillos
2
Fumar cigarrillos electrónicos u otro tipo de producto electrónico con nicotina
3
Consumir snus
4
Consumir otro tipo de tabaco que no se fuma, tal como tabaco de mascar, tabaco de inhalar o
rapé o dip
5
Fumar puros tradicionales, puritos o puros con filtro
6
Fumar en hookah
7
Consumir otro tipo de tabaco
8
Nadie que viva conmigo actualmente consume ningún formato de tabaco
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "actualmente".
PATH ID:
R04_YX0068
En los últimos 7 días, aproximadamente ¿cuántas horas estuvo alrededor de personas que estaban
fumando[, ya sea o no que usted mismo también estuviera fumando]? Incluya el tiempo en su casa, en
un carro, en el trabajo o en la calle.
1
I__I__I__I Cantidad de horas
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "de personas".
IF R04_PAST30DAY_CIGS = 1 OR R04_PAST30DAY_GTRAD= 1 OR R04_PAST30DAY_GRILLO = 1
OR R04_PAST30DAY_GFILTR= 1 OR R04_PAST30DAY_PIPE = 1 OR R04_PAST30DAY_HOOK = 1
OR R04_PAST30DAY_BIDI = 1 OR R04_PAST30DAY_KRETEK = 1, DISPLAY, ", ya sea o no que
usted mismo también estuviera fumando".
DISPLAY "Cantidad de horas" AS A TITLE.
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Wave 4 (version 4.0)
PATH ID:
R04_YX0068_LC1
La computadora registró que durante los últimos siete días, usted estuvo por [R04_YX0068] horas muy
cerca de otras personas mientras fumaban. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0068
2
NEXT
GO TO BOX R04_YXT01
ASK: IF R04_YX0068 > 120 OR R04_YX0068 = 11, 22, 33, 44, 55, 66, 77, 88, 99, 111.
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HEALTH
BOX ID:
R04_YXT01
Las siguientes preguntas son acerca de alguna información médica básica que es importante para el
estudio.
BOX ID:
R04_YMD06
Display questions R04_YX0090 through R04_YX0088 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0090 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YX0090
En general, ¿cómo calificaría su...
salud física?
1
Excelente
2
Muy buena
3
Buena
4
Regular
5
Mala
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0091
salud mental, la cual incluye el estrés, la depresión y los problemas emocionales?
1
Excelente
2
Muy buena
3
Buena
4
Regular
5
Mala
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0088
salud en general?
1
Excelente
2
Muy buena
3
Buena
4
Regular
5
Mala
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YMD05
Display questions R04_YX0090_12M through R04_YX0088_12M using the expanded WVB stem-leaf
screen. The introduction text from R04_YX0090_12M is the stem. Show all leaves on the screen at
once.
PATH ID:
R04_YX0090_12M
En comparación con hace 12 meses, ¿diría que...
actualmente su salud física es?
1
Mejor
2
Peor
3
Igual
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0091_12M
actualmente su salud mental es?
1
Mejor
2
Peor
3
Igual
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
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PATH ID:
R04_YX0088_12M
actualmente su salud en general es?
1
Mejor
2
Peor
3
Igual
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0726
En general, ¿cómo calificaría la salud de sus dientes y encías?
1
Excelente
2
Muy buena
3
Buena
4
Regular
5
Mala
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0310
Las siguientes preguntas son acerca de su estatura y peso. ¿Prefiere contestar estas preguntas en...
1
pies y libras o en
2
metros y kilogramos?
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YX0311
ASK: All youth respondents.
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PATH ID:
R04_YT0007
¿Aproximadamente cuánto mide usted sin zapatos?
1
I___I Pies
2
I__I__I Pulgadas
-8
DON'T KNOW
GO TO R04_YT0008
-7
REFUSED
GO TO R04_YT0008
ASK: Youth respondents who prefer to answer height in feet and inches or did not choose a system of
measurement.
DISPLAY: DISPLAY "Pies" AND "Pulgadas" AS TITLES.
PATH ID:
R04_YT0007_LC1
La computadora registró que usted mide [R04_YT0007_FT] pies [y R04_YT0007_IN pulgadas]. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YT0007
2
NEXT
GO TO R04_YT0008
ASK: IF R04_YT0007_FT < 5 OR (R04_YT0007_FT = 6 AND R04_YT0007_IN > 0) OR
R04_YT0007_FT > 6.
PATH ID:
R04_YX0311
¿Aproximadamente cuánto mide usted sin zapatos?
1
I__I__I.I__I__I Metros
-8
DON'T KNOW
GO TO R04_YX0312
-7
REFUSED
GO TO R04_YX0312
ASK: Youth respondents who prefer to answer height in meters.
DISPLAY: DISPLAY "Metros" AS A TITLE.
PATH ID:
R04_YX0311_LC1
La computadora registró que usted mide [R04_YX0311] metros. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0311
2
NEXT
GO TO R04_YX0312
ASK: IF R04_YX0311 < 1.5 OR R04_YX0311 > 1.8.
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PATH ID:
R04_YT0008
Aproximadamente, ¿cuánto pesa usted sin ropa ni zapatos?
1
I___I___I___I Libras
-8
DON'T KNOW
GO TO R04_YX0241
-7
REFUSED
GO TO R04_YX0241
ASK: Youth respondents who prefer to answer weight in pounds or did not choose a system of
measurement.
DISPLAY: DISPLAY "Libras" AS A TITLE.
PATH ID:
R04_YT0008_LC1
La computadora registró que usted pesa [R04_YT0008] libras. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YT0008
2
NEXT
GO TO R04_YX0241
ASK: IF (R04_YOUTHAGE < 15 AND (R04_YT0008 < 85 OR R04_YT0008 > 170)) OR
(R04_YOUTHAGE >= 15 AND (R04_YT0008 < 105 OR R04_YT0008 > 200)).
PATH ID:
R04_YX0312
Aproximadamente, ¿cuánto pesa usted sin ropa ni zapatos?
1
I___I___I___I Kilos
-8
DON'T KNOW
GO TO R04_YX0241
-7
REFUSED
GO TO R04_YX0241
ASK: Youth respondents who prefer to answer weight in kilograms.
DISPLAY: DISPLAY "Kilos" AS A TITLE.
PATH ID:
R04_YX0312_LC1
La computadora registró que usted pesa [R04_YX0312] kilos. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0312
2
NEXT
GO TO R04_YX0241
ASK: IF (R04_YOUTHAGE < 15 AND (R04_YX0312 < 38.6 OR R04_YX0312 > 77.1)) OR
(R04_YOUTHAGE >= 15 AND (R04_YX0312 < 47.6 OR R04_YX0312 > 90.7)).
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PATH ID:
R04_YX0241
En los últimos 7 días, ¿cuántos días se mantuvo físicamente activo al día por lo menos por 60
minutos al día? (Incluya todo el tiempo que pasó en cualquier tipo de actividad física que aumentó su
ritmo cardíaco y respiración parte del tiempo).
1
Cero días
2
Un día
3
2 días
4
3 días
5
4 días
6
5 días
7
6 días
8
7 días
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "'últimos 7 días"; BOLD "por lo menos 60 minutos al día".
PATH ID:
R04_YX0242
¿En cuántos de los últimos 7 días hizo ejercicio o participó en una actividad física por lo menos por 20
minutos que lo hizo sudar y aumentó su respiración, tal como baloncesto, fútbol, correr, nadar,
bicicleta rápida, baile movido o ejercicios aeróbicos similares?
1
Cero días
2
Un día
3
2 días
4
3 días
5
4 días
6
5 días
7
6 días
8
7 días
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: Bold "por lo menos por 20 minutos que lo hizo sudar y aumentó su respiración".
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PATH ID:
R04_YX0243
¿En cuántos de los últimos 7 días hizo ejercicio para fortalecer o tonificar sus músculos, tal como
lagartijas o planchas, abdominales o levantar pesas?
1
Cero días
2
Un día
3
2 días
4
3 días
5
4 días
6
5 días
7
6 días
8
7 días
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR43
New baseline youth respondents, go to R04_YX0046_NB.
Else,continuing youth respondents, go to R04_YX0047_12M.
PATH ID:
R04_YX0047_12M
¿Ha tenido silbidos o sibilancias en el pecho en los últimos 12 meses?
1
Sí
2
No
GO TO R04_YX0052
-8
DON'T KNOW
GO TO R04_YX0052
-7
REFUSED
GO TO R04_YX0052
ASK: New baseline youth respondents who had wheezing or whistling in the chest at any time in the
past and continuing youth respondents.
DISPLAY: UNDERLINE "últimos 12 meses".
PATH ID:
R04_YX0048
¿Cuántos ataques de silbidos o sibilancias ha tenido en los últimos 12 meses?
1
Ninguno
2
1a3
3
4 a 12
4
Más de 12
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
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PATH ID:
R04_YX0049
En los últimos 12 meses, ¿con qué frecuencia en promedio no ha podido dormir bien debido a los
silbidos o sibilancias?
1
Nunca se ha despertado con silbidos o sibilancias
2
Menos de una noche a la semana
3
Una o más noches a la semana
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0050
En los últimos 12 meses, ¿alguna vez han sido los silbidos o sibilancias tan intensos que le limitaron al
hablar y solo podía decir una o dos palabras entre respiros?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had wheezing or whistling in the chest in the past 12 months.
PATH ID:
R04_YX0052
En los últimos 12 meses, ¿le han sonado silbidos o sibilancias en el pecho durante o después de hacer
ejercicio?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0053
Una tos seca es una tos sin flema ni mucosidad. En los últimos 12 meses, ¿ha tenido una tos seca en
la noche?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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BOX ID:
R04_YXR18
Continuing youth respondents, go to R04_YT0031_12M.
Else, go to R04_YT0031_NB.
PATH ID:
R04_YT0031_12M
En los últimos 12 meses, ¿le ha dicho un médico, una enfermera u otro profesional de la salud que
usted tiene asma?
1
Sí
GO TO BOX R04_YXV03
2
No
GO TO BOX R04_YXV03
-8
DON'T KNOW
GO TO BOX R04_YXV03
-7
REFUSED
GO TO BOX R04_YXV03
ASK: Continuing youth respondents.
BOX ID:
R04_YXV03
PROGRAM: CREATE DERIVED VARIABLE (SEE APPENDIX)
R04_YOUTH_ASTHMA = All youth respondents who have ever had asthma.
BOX ID:
R04_YXR09
New baseline youth respondents that have asthma, go to R04_YT0038_NB.
Else, continuing youth respondents that have asthma, go to R04_YX0227.
Else, go to Box R04_YXD06.
PATH ID:
R04_YX0227
En los últimos 30 días, ¿cuánto tiempo el asma le impidió hacer gran parte de sus actividades en el
trabajo, la escuela o en casa?
1
Todo el tiempo
2
Casi siempre
3
A veces
4
Un poco
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "'últimos 30 días".
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PATH ID:
R04_YX0228
En los últimos 30 días, ¿con qué frecuencia ha tenido dificultad para respirar o ha sentido que le falta el
aire?
1
Más de una vez al día
2
Una vez al día
3
3 a 6 veces a la semana
4
Una o dos veces a la semana
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
PATH ID:
R04_YX0229
En los últimos 30 días, ¿con qué frecuencia sus síntomas de asma (como silbidos en el pecho, tos,
dificultad para respirar, sentir el pecho apretado o dolor) lo despiertan en la noche o antes de lo usual
en la mañana?
1
4 o más noches a la semana
2
2 o 3 noches
3
Una vez a la semana
4
Una o dos veces
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
PATH ID:
R04_YT0022
En los últimos 12 meses, ¿ha tomado medicamentos para el asma de manera habitual?
(De manera habitual quiere decir de acuerdo con las instrucciones de un profesional del cuidado de la
salud.)
1
Sí
2
No
GO TO R04_YT0127
-8
DON'T KNOW
GO TO R04_YT0127
-7
REFUSED
GO TO R04_YT0127
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "últimos 12 meses".
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BOX ID:
R04_YMD01
DISPLAY INSTRUCTION:
For R04_YT0036, display as a stem and leaf question. For each leaf, display a sí/no response.
PATH ID:
R04_YT0036
En los últimos 12 meses, ¿cuál de los siguientes medicamentos tomó de manera habitual para el
asma?
1
Inhalador de alivio inmediato - por ejemplo: albuterol (ProAir, Ventolin, Xopenex), ipratropio
(Atrovent) o un inhalador de combinación (Combivent)
2
Controlador o inhalador de acción a largo plazo, incluyendo inhaladores de esteroides - por
ejemplo: beclometasona (Qvar), fluticasona (Flovent), salmeterol (Serevent), tiotropio (Spiriva) o
un inhalador de combinación (Advair)
3
Otro medicamento para controlar el asma - por ejemplo: Montelukast (Singulair), zafirlukast
(Accolate), teofilina, roflumilast (Daliresp)
4
Otro medicamento para el asma
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma that have taken medications regularly in the past 12 months.
PATH ID:
R04_YT0125
En los últimos 12 meses, ¿ha tenido un ataque de asma en el que se necesitó usar un medicamento
esteroide por vía oral o en inyección en el momento del ataque? Ejemplos de medicamentos esteroides
por vía oral o en inyección incluyen a prednisona, prednisolona (Orapred) y dexametasona (Decadrón).
1
Sí
2
No
GO TO R04_YT0127
-8
DON'T KNOW
GO TO R04_YT0127
-7
REFUSED
GO TO R04_YT0127
ASK: Youth respondents who have asthma that have taken medications regularly in the past 12 months.
PATH ID:
R04_YT0039
En los últimos 12 meses, ¿cuántos ataques de asma ha tenido en los que se necesitaba usar un
medicamento esteroide oral o en inyección en el momento del ataque?
1
|___|___|___|
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who had an asthma attack in the past 12 months that needed oral or injected
steroid medication.
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PATH ID:
R04_YT0127
En los últimos 12 meses, ¿ha tenido que visitar una sala de emergencias o un centro de atención de
urgencias debido al asma?
1
Sí
2
No
GO TO R04_YX0230
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who have asthma.
PATH ID:
R04_YT0282
En los últimos 12 meses, ¿cuántas veces ha ido a la sala de emergencias o centro de atención de
urgencias debido al asma?
1
|___|___|___|
-8
DON'T KNOW
GO TO BOX R04_YXR42
-7
REFUSED
GO TO BOX R04_YXR42
ASK: Youth respondents who had to go to the emergency room for asthma in the past 12 months.
PATH ID:
R04_YT0282_LC1
La computadora registró que usted fue a la sala de emergencias o centro de atención de urgencias
[R04_YT0282] veces en los últimos 12 meses debido al asma. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YT0282
2
NEXT
GO TO BOX R04_YXR42
ASK: IF R04_YT0282 > 20.
BOX ID:
R04_YXR42
Youth respondents who had to go to the emergency room for asthma once in the past 12 months, go to
R04_YX0695.
Else, youth respondents who had to go to the emergency room for asthma multiple times in the past 12
months, go to R04_YX0720.
Else, youth respondents who have asthma, go to R04_YX0230.
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PATH ID:
R04_YX0695
¿Fue esa visita debido a un ataque de asma?
1
Sí
GO TO R04_YX0230
2
No
GO TO R04_YX0230
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who had to go to the emergency room for asthma once in the past 12 months.
PATH ID:
R04_YX0720
¿Cuántas de esas visitas fueron debido a un ataque de asma?
1
|___|___|___|
-8
DON'T KNOW
GO TO R04_YX0230
-7
REFUSED
GO TO R04_YX0230
ASK: Youth respondents who had to go to the emergency room for asthma multiple times in the past 12
months.
PATH ID:
R04_YX0720_LC1
La computadora registró que usted fue a la sala de emergencias o centro de atención de urgencias
[R04_YX0720] veces en los últimos 12 meses debido a un ataque de asma. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0720
2
NEXT
GO TO R04_YX0230
ASK: IF R04_YX0720 > R04_YT0282.
PATH ID:
R04_YX0230
En los últimos 30 días, ¿con qué frecuencia ha usado un inhalador de rescate, un tratamiento con
nebulizador u otro medicamento de control (como albuterol)?
1
3 o más veces al día
2
Una o 2 veces al día
3
2 o 3 veces a la semana
4
Una vez a la semana o menos
5
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
DISPLAY: UNDERLINE "últimos 30 días".
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PATH ID:
R04_YX0231
¿Cómo calificaría el control de su asma durante los últimos 30 días?
1
Sin ningún control
2
Mal controlada
3
Un poco controlada
4
Bien controlada
5
Totalmente controlada
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have asthma.
BOX ID:
R04_YXD06
DISPLAY INSTRUCTION:
For R04_YX0158, display a ‘Sí' and ‘No' column with options for each response category.
PATH ID:
R04_YX0158
En los últimos 12 meses, ¿tomó alguno de los siguientes medicamentes, incluso si solo fue una vez?
1
Ibuprofeno (Motrin, Advil, Naprosyn o Aleve)
2
Acetaminofén o paracetamol (Tylenol)
3
Aspirina
4
Inhibidores Cox-2 (Celebrex)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR50
If youth respondent has not used any tobacco or e-product in the past 12 months, go to
R04_YN0330_12MH.
Else, go to Box R04_YXR19.
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PATH ID:
R04_YN0330_12MH
En los últimos 12 meses, ¿ha usado un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o píldoras con
nicotina?
1
Sí
2
No
GO TO R04_YN0331_12MH
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth respondents who have not used any tobacco or e-product in the past 12 months.
PATH ID:
R04_YN0307H
¿Cuándo fue la última vez que usó o tomó un producto con nicotina tal como parches con nicotina,
chicles de nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o
píldoras con nicotina?
1
Hace menos de una hora
GO TO R04_YN0309H
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO R04_YN0331_12MH
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth respondents who have used NRT in the past 12 months.
PATH ID:
R04_YN0308H
La última vez que usó o tomó un producto con nicotina tal como parches con nicotina, chicles de
nicotina, inhaladores de nicotina, espráis nasales con nicotina y pastillas de chupar o píldoras con
nicotina [FILL BASED ON R04_YN0307H], ¿fue…?
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used NRT today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307H]:
IF R04_YN0307H = 2, DISPLAY "hoy".
ELSE, IF R04_YN0307H = 3, DISPLAY "ayer".
ELSE, IF R04_YN0307H = 4, DISPLAY "hace dos días".
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Wave 4 (version 4.0)
PATH ID:
R04_YN0309H
La última vez que usó o tomó parches con nicotina, chicles de nicotina, inhaladores de nicotina, espráis
nasales con nicotina y pastillas de chupar o píldoras con nicotina [FILL BASED ON R04_YN0307H],
¿cuántos usó o tomó?
1
I___I___I
-8
DON'T KNOW
GO TO R04_YN0331_12MH
-7
REFUSED
GO TO R04_YN0331_12MH
ASK: Youth who have used NRT in the past hour, today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0307H]:
IF R04_YN0307H = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YN0307H = 3, DISPLAY "ayer".
ELSE, IF R04_YN0307H = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0309H_LC1
La computadora registró que [hoy/ayer/hace dos días] usted usó o tomó el producto con nicotina como
parches con nicotina, chicles de nicotina, inhaladores de nicotina, espráis nasales con nicotina y
pastillas de chupar o píldoras con nicotina [R04_YN0309H] veces.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YN0309H
2
NEXT
GO TO R04_YN0331_12MH
ASK: IF R04_YN0309H = 0 OR R04_YN0309H > 5.
DISPLAY: IF R04_YN0307H = 1, 2, DISPLAY "hoy".
IF R04_YN0307H = 3, DISPLAY "ayer".
IF R04_YN0307H = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0331_12MH
En los últimos 12 meses, ¿ha tomado alguno de los siguientes medicamentos de venta con receta
médica? Chantix, vareniclina, Wellbutrin, Zyban o bupropión?
1
Sí
2
No
GO TO BOX R04_YXR19
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have not used any tobacco or e-product in the past 12 months.
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Wave 4 (version 4.0)
PATH ID:
R04_YN0327H
¿Cuándo fue la última vez que tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión?
1
Hace menos de una hora
GO TO R04_YN0329H
2
Hoy
3
Ayer
4
Hace dos días
5
Hace tres o más días
GO TO BOX R04_YXR19
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have used a prescription drug in the past 12 months.
PATH ID:
R04_YN0328H
La última vez que tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión [FILL BASED ON
R04_YN0327H], ¿fue…
1
Entre la medianoche y las 6 de la mañana
2
Entre las 6 de la mañana y el mediodía
3
Entre el mediodía y las 6 de la tarde
4
Entre las 6 de la tarde y la medianoche
-8
DON'T KNOW
-7
REFUSED
ASK: Youth who have used a prescription drug today, yesterday or the day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327H]:
IF R04_YN0327H = 2, DISPLAY "hoy".
ELSE, IF R04_YN0327H = 3, DISPLAY "ayer".
ELSE, IF R04_YN0327H = 4, DISPLAY "hace dos días".
PATH ID:
R04_YN0329H
Cuando tomó Chantix, vareniclina, Wellbutrin, Zyban o bupropión [FILL BASED ON R04_YN0327H],
¿cuántas píldoras tomó?
1
I___I___I
-8
DON'T KNOW
GO TO BOX R04_YXR19
-7
REFUSED
GO TO BOX R04_YXR19
ASK: Youth respondents who have used a prescription drug in the past hour, today, yesterday or the
day before yesterday.
DISPLAY: FOR [FILL BASED ON R04_YN0327H]:
IF R04_YN0327H = 1, 2, DISPLAY "hoy".
ELSE, IF R04_YN0327H = 3, DISPLAY "ayer"
ELSE, IF R04_YN0327H = 4, DISPLAY "hace dos días".
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PATH ID:
R04_YN0329H_LC1
La computadora registró que [hoy/ayer/hace dos días] usted tomó Chantix, vareniclina, Wellbutrin,
Zyban o bupropión [R04_YN0329H] veces.
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
2
NEXT
GO TO R04_YN0329H
ASK: IF R04_YN0329H = 0 OR R04_YN0329H > 5.
DISPLAY: IF R04_YN0327H = 1, 2, DISPLAY "hoy".
IF R04_YN0327H = 3, DISPLAY "ayer".
IF R04_YN0327H = 4, DISPLAY "hace dos días".
BOX ID:
R04_YXR19
Female youth respondents aged 15 or older, go to R04_YX0136.
Else, go to Box R04_YXT03.
PATH ID:
R04_YX0136
¿Está embarazada ahora?
1
Sí
2
No
GO TO BOX R04_YXT03
-8
DON'T KNOW
GO TO BOX R04_YXT03
-7
REFUSED
GO TO BOX R04_YXT03
ASK: Female youth respondents aged 15 years or older.
PATH ID:
R04_YX0137
¿Cuántos meses o semanas de embarazo tiene? Anote el número de meses o semanas.
1
I___I___I Meses
2
I___I___I Semanas
-8
DON'T KNOW
-7
REFUSED
ASK: Female youth respondents aged 15 years or older who are currently pregnant.
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PATH ID:
R04_YX0137_LC1
La computadora registró que usted tiene [R04_YX0137_NN] [meses/semanas] de embarazo. ¿Es
correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0137
2
NEXT
GO TO BOX R04_YXT03
ASK: IF (R04_YX0134_NN > 10 AND R04_YX0137_UN = 1) OR (R04_YX0134_NN > 42 AND
R04_YX0137_UN = 2).
DISPLAY: IF R04_YX0137_UN = 1, DISPLAY "meses".
ELSE, IF R04_YX0137_UN = 2, DISPLAY "semanas".
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PATH
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Wave 4 (version 4.0)
MARKETING, ADVERTISING AND PROMOTION
BOX ID:
R04_YXT03
Las siguientes preguntas son acerca de los anuncios de tabaco que puede haber visto o recibido.
PATH ID:
R04_YX0708
En los últimos 12 meses, ¿ha recibido descuentos o cupones por alguno de los siguientes productos?
Escoja todas las opciones que correspondan.
1
Cigarrillos
2
Cigarrillos electrónicos u otros productos electrónicos con
nicotina (incluyendo líquido electrónico)
3
Puros
4
Shisha o tabaco para hookah
5
Snus
6
Otros tipos de tabaco que no se fuma (como dip, spit o
tabaco de mascar)
7
Algún otro tipo de productos de tabaco
8
Ninguno de los anteriores
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0678
En los últimos 30 días, ¿ha recibido una muestra gratuita de un cigarrillo electrónico u otro producto
electrónico con nicotina (incluyendo líquido electrónico)?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE " cigarrillo electrónico u otro producto electrónico con nicotina".
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PATH ID:
R04_YX0182
En los últimos 30 días, ¿con qué frecuencia fue a una tienda de conveniencia, un supermercado
pequeño o una tienda de licores?
1
Nunca
2
Una vez en los últimos 30 días
3
2 a 3 veces en los últimos 30 días
4
Una vez a la semana
5
2 a 3 veces a la semana
6
Casi todos los días
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YX0203
ASK: All youth respondents.
PATH ID:
R04_YX0183
En los últimos 30 días, cuando fue a una tienda de conveniencia, un supermercado pequeño o una
tienda de licores, ¿con qué frecuencia vio anuncios de cigarrillos electrónicos u otros productos
electrónicos con nicotina?
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have visited a store or market in the past 30 days.
DISPLAY: BOLD AND UNDERLINE "cigarrillos electrónicos u otros productos electrónicos con
nicotina".
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Wave 4 (version 4.0)
PATH ID:
R04_YX0203
En los últimos 30 días, ¿se ha dado cuenta de anuncios de cigarrillos electrónicos u otros
productos electrónicos con nicotina en alguno de los siguientes lugares? Escoja todas las opciones
que correspondan.
1
No he visto ningún anuncio en los últimos 30 días
2
En estaciones de gasolina, tiendas de conveniencia o
almacenes
3
En vallas publicitarias
4
En periódicos o revistas
5
En la radio
6
En la televisión
7
En eventos como ferias, festivales o eventos deportivos
8
En discotecas, bares o conciertos
9
En páginas Web o redes sociales
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "cigarrillos electrónicos u otros productos electrónicos con
nicotina".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
PATH ID:
R04_YX0709
¿Tiene un anuncio preferido de cigarrillos electrónicos o de productos electrónicos con nicotina?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0481
En los últimos 30 días, ¿ha recibido una muestra gratuita de un producto de tabaco (sin incluir
cigarrillos electrónicos u otros productos electrónicos con nicotina)?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "producto de tabaco (sin incluir cigarrillos electrónicos u otros
productos electrónicos con nicotina)"
BOX ID:
R04_YXR24
Youth respondents who have visited a store or market in the past 30 days, go to R04_YX0178.
Else, go to R04_YX0677.
PATH ID:
R04_YX0178
En los últimos 30 días, cuando fue a una tienda de conveniencia, un supermercado pequeño o una
tienda de licores, ¿con qué frecuencia vio anuncios de cigarrillos u otros productos de tabaco (sin
incluir cigarrillos electrónicos ni productos electrónicos con nicotina)?
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have visited a store or market in the past 30 days.
DISPLAY: BOLD AND UNDERLINE "cigarrillos u otros productos de tabaco".
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Wave 4 (version 4.0)
PATH ID:
R04_YX0677
En los últimos 30 días, ¿se ha dado cuenta de anuncios de cigarrillos u otros productos de tabaco
(sin incluir cigarrillos electrónicos u otros productos electrónicos con nicotina) en alguno de los
siguientes lugares? Escoja todas las opciones que correspondan.
1
No he visto ningún anuncio en los últimos 30 días
2
En estaciones de gasolina, tiendas de conveniencia o
almacenes
3
En vallas publicitarias
4
En periódicos o revistas
5
En la radio
6
En la televisión
7
En eventos como ferias, festivales o eventos deportivos
8
En discotecas, bares o conciertos
9
En páginas Web o redes sociales
10
En otra parte (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD AND UNDERLINE "cigarrillos u otros productos de tabaco".
IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY QUESTION TEXT
AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la computadora."
PATH ID:
R04_YX0710
¿Tiene un anuncio preferido de tabaco?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0777
En los últimos 12 meses, ¿con qué frecuencia vio campañas publicitarias en contra del tabaco?
1
Nunca
2
Rara vez
3
A veces
4
Con frecuencia
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
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Wave 4 (version 4.0)
SOCIAL NORMS, PEER AND FAMILY INFLUENCES
PATH ID:
R04_YX0008
En general, ¿cree que la mayoría de la gente está en contra del consumo de cigarrillos?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "cigarrillos".
PATH ID:
R04_YX0012
En general, ¿cree que la mayoría de la gente está en contra del consumo de cigarrillos electrónicos
u otros productos electrónicos con nicotina?
1
Definitivamente sí
2
Probablemente sí
3
Probablemente no
4
Definitivamente no
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: BOLD "cigarrillos electrónicos u otros productos electrónicos con nicotina".
PATH ID:
R04_YX0071
Al pensar en las personas que son importantes para usted, ¿cómo describiría la opinión de ellos sobre
el consumo de tabaco en general?
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "personas que son importantes para usted"; BOLD "tabaco en general".
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PATH
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Wave 4 (version 4.0)
BOX ID:
R04_YXD89
Display questions R04_YC1143 through R04_YS1143 using the expanded WVB stem-leaf screen. The
introduction text from R04_YC1143 is the stem. Show all leaves on the screen at once.
PATH ID:
R04_YC1143
Al pensar en las personas que son importantes para usted, ¿cómo describiría la opinión de ellos
sobre lo siguiente?
El consumo de cigarrillos
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "personas que son importantes para usted"; BOLD "opinión de ellos".
PATH ID:
R04_YV1143
El consumo de cigarrillos electrónicos u otros productos electrónicos con nicotina
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YG1143
El consumo de puros tradicionales, puritos o puros con filtro
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YH1143
El consumo de shisha o tabaco para hookah
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YU1143
El consumo de snus
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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Wave 4 (version 4.0)
PATH ID:
R04_YS1143
El consumo de otros tipos de tabaco que no se fuma (como dip, spit o tabaco de mascar)
1
Muy positiva
2
Positiva
3
Ni positiva ni negativa
4
Negativa
5
Muy negativa
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0741
Piense en las personas que son importantes para usted. ¿Alguna de ellas consume alguno de los
siguientes productos? Escoja todas las opciones que correspondan.
1
Cigarrillos
2
Cigarrillos electrónicos u otros productos electrónicos con
nicotina
3
Puros tradicionales o "grandes"
4
Puritos
5
Puros con filtro
6
Tabaco para pipa
7
Shisha o tabaco para hookah
8
Snus
9
Otros tipos de tabaco que no se fuma (como dip, spit o
tabaco de mascar)
10
Ninguno de los anteriores
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "personas que son importantes para usted".
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PATH
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Wave 4 (version 4.0)
PATH ID:
R04_YX0680
¿Cuántos de sus mejores amigos fuman cigarrillos?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0681
¿Cuántos de sus mejores amigos fuman cigarrillos electrónicos u otros productos electrónicos con
nicotina?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0683
¿Cuántos de sus mejores amigos fuman puritos?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
PATH ID:
R04_YX0693
¿Cuántos de sus mejores amigos consumen snus?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0685
¿Cuántos de sus mejores amigos consumen otros tipos de tabaco que no se fuma (como dip, spit o
tabaco de mascar)?
1
Ninguno
2
Muy pocos
3
Algunos
4
La mayoría
5
Todos
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXV04
PROGRAM - DEFINE THE FOLLOWING USER GROUPS (SEE APPENDIX):
R04_PASTYEAR_TOB_USE_LEVEL = 2 (Past year "not light" tobacco users) Youth respondents
who are "not light" users of any tobacco product and have used in the past year.
R04_PASTYEAR_TOB_USE_LEVEL = 1 (Past year "very light" tobacco users) Youth respondents
who have used any tobacco product in the last year, and are not "not light" users of any product.
BOX ID:
R04_YXR40
Past year "not light" tobacco users, go to R04_YX0742.
Else, past year "very light" tobacco users, go to R04_YX0743.
Else, go to R04_YX0714.
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PATH ID:
R04_YX0742
En los últimos 12 meses, ¿hasta qué punto la desaprobación de sus amigos cercanos y sus familiares
le hizo pensar en dejar de fumar?
1
No he pensado en eso
GO TO R04_YX0714
2
Algo
GO TO R04_YX0714
3
Mucho
GO TO R04_YX0714
-8
DON'T KNOW
GO TO R04_YX0714
-7
REFUSED
GO TO R04_YX0714
ASK: Past year "not light" tobacco users.
DISPLAY: UNDERLINE "amigos cercanos y sus familiares".
PATH ID:
R04_YX0743
En los últimos 12 meses, ¿hasta qué punto la desaprobación de sus amigos cercanos y sus familiares
le ha hecho pensar en no consumir?
1
No he pensado en eso
2
Algo
3
Mucho
-8
DON'T KNOW
-7
REFUSED
ASK: Past year "very light" tobacco users.
DISPLAY: UNDERLINE "amigos cercanos y sus familiares".
PATH ID:
R04_YX0714
En los últimos 12 meses, ¿le han hablado sus padres o tutores, aunque fuera una sola vez, acerca de
que no debe fumar cigarrillos electrónicos u otros productos electrónicos con nicotina?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0694
Si sus padres o tutores lo encontraran fumando cigarrillos electrónicos u otros productos electrónicos
con nicotina, ¿cómo cree que reaccionarían? Ellos estarían...
1
muy alterados
2
no muy alterados
3
como si nada
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0500
En los últimos 12 meses, ¿le han hablado sus padres o tutores, aunque fuera una sola vez, acerca de
que no debe consumir ningún tipo de tabaco?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0200
Si sus padres o tutores lo encontraran consumiendo tabaco, ¿cómo cree que reaccionarían? Ellos
estarían...
1
muy alterados
2
no muy alterados
3
como si nada
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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ACCESSIBILITY
PATH ID:
R04_YX0715
¿Qué tan fácil cree que es para las personas de su edad comprar cigarrillos electrónicos u otros
productos electrónicos con nicotina en una tienda?
1
Muy fácil
2
Un poco fácil
3
Un poco difícil
4
Muy difícil
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0716
¿Cuál es la probabilidad de que usted trate de comprar un cigarrillo electrónico u otros productos
electrónicos con nicotina en los próximos 30 días?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0499
¿Qué tan fácil cree que es para las personas de su edad comprar productos de tabaco en una tienda?
1
Muy fácil
2
Un poco fácil
3
Un poco difícil
4
Muy difícil
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0501
¿Cuál es la probabilidad de que usted trate de comprar cigarrillos en los próximos 30 días?
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1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0502
¿Cuál es la probabilidad de que usted trate de comprar productos de tabaco (sin incluir cigarrillos) en los
próximos 30 días?
1
No es muy probable
2
Es muy poco probable
3
Ni probable ni improbable
4
Es algo probable
5
Es muy probable
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PSYCHOSOCIAL
PATH ID:
R04_YX0488
Las siguientes preguntas son acerca de problemas comunes psicológicos, conductuales y personales.
A estos problemas se les considera como graves cuando los tiene por dos semanas o más, cuando
vuelven, cuando le impiden cumplir con sus responsabilidades o cuando le hacen sentir que ya no
puede más.
Después de cada una de las siguientes preguntas, díganos cuándo fue la última vez que ocurrió este
problema indicando si fue el mes pasado, hace 2 a 12 meses, hace más de un año o nunca.
1
NEXT
ASK: All youth respondents.
DISPLAY: UNDERLINE "graves".
BOX ID:
R04_YXD07
Display questions R04_YX0161 through R04_YX0164 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0161 is the stem. As each question is answered, show the next one.
PATH ID:
R04_YX0161
¿Cuándo fue la última vez que tuvo serios problemas como...
sentirse atrapado, solo, triste, melancólico, deprimido o desesperado?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "serios problemas".
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PATH ID:
R04_YX0162
problemas para dormir, como tener pesadillas, dormir sin descansar o quedarse dormido a lo largo del
día?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0163
sentirse muy ansioso, nervioso, tenso, asustado, con pánico o sentía que algo malo iba a pasar?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0164
angustiarse mucho o molestarse cuando se acordaba de algo que ocurrió en el pasado?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXD08
Display questions R04_YX0165 through R04_YX0251 using the expanded WVB stem-leaf screen. The
introduction text from R04_YX0165 is the stem. As each question is answered, show the next one.
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PATH ID:
R04_YX0165
¿Cuándo fue la última vez que pasó algo de lo siguiente dos o más veces...
mintió o engañó para obtener lo que deseaba o para dejar de hacer algo?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
DISPLAY: UNDERLINE "dos o más veces".
PATH ID:
R04_YX0166
tuvo dificultad al prestar atención en la escuela, el trabajo o en casa?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0167
tuvo dificultad al escuchar las instrucciones en la escuela, el trabajo o en casa?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0168
intimidó o amenazó a otras personas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0169
inició una pelea física con otra persona?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
PATH ID:
R04_YX0250
se sintió inquieto o con la necesidad de ir de un lado a otro o de treparse en las cosas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YX0251
respondió a una pregunta antes de que la persona termine de hacer la pregunta?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YXR34
If new baseline youth respondent, go to Box R04_YXD90.
Else, go to Box R04_YXR05.
BOX ID:
R04_YXD90
Display questions R04_YX0510_NB through R04_YX0520_NB using the expanded WVB stem-leaf
screen. The introduction text from R04_YX0510_NB is the stem. Show all leaves on the screen at once.
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SUBSTANCE USE
BOX ID:
R04_YXR05
Continuing youth respondents, go to R04_YX0084_12M.
New baseline youth respondents, go to R04_YX0084_NB.
BOX ID:
R04_YXR26
If new baseline youth respondent has ever used any form of tobacco and reported valid age of first drink
and onset of tobacco use precedes onset of alcohol use, go to R04_YX0077_NB.
Else, go to R04_YX0084_12M.
PATH ID:
R04_YX0084_12M
[Las siguientes preguntas son acerca de su consumo de alcohol y otras drogas. Recuerde que toda la
información que usted le dé al Estudio PATH se mantendrá en privado.
]En los últimos 12 meses, ¿ha consumido algún tipo de bebidas alcohólicas, incluyendo pequeñas
probaditas o sorbos?
1
Sí
2
No
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: New baseline youth respondents who have ever used alcohol and continuing youth respondents.
DISPLAY: IF R04_YOUTHTYPE = 1, DISPLAY "Las siguientes preguntas son sobre su consumo de
alcohol y otras drogas. Recuerde que toda la información que usted le dé al Estudio PATH se
mantendrá en privado."
ELSE, DO NOT DISPLAY THIS TEXT.
PATH ID:
R04_YX0673
¿Ha consumido alcohol en los últimos 30 días?
1
Sí
2
No
GO TO BOX R04_YXR06
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: Youth respondents who have used alcohol in the past 12 months.
DISPLAY: UNDERLINE "últimos 30 días".
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PATH ID:
R04_YX0075
En los últimos 30 días, ¿cuántos días se ha tomado al menos una bebida alcohólica?
Una bebida es una lata o botella de cerveza; una bebida a base de vino (wine cooler) o una copa de
vino, champán o jerez; un trago de licor o un cóctel.
1
|___|___| DÍAS
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used alcohol in the past 30 days.
DISPLAY: DISPLAY 'DÍAS' AS A TITLE.
BOX ID:
R04_YXR46
Youth respondents who have used alcohol on none of the past 30 days or did not know or refused to
report on how many days they have used alcohol in the past 30 days, go to Box R04_YXR06.
Else, go to R04_YX0076.
PATH ID:
R04_YX0076
En promedio, en esos días en los que tomó bebidas alcohólicas en los últimos 30 días, ¿cuántas
bebidas alcohólicas consumió normalmente cada día?
Una bebida alcohólica puede ser una lata o una botella de cerveza; una bebida a base de vino (wine
cooler) o una copa de vino, champán o jerez; un trago de licor o un cóctel.
1
|___|___|
-8
DON'T KNOW
GO TO BOX R04_YXR06
-7
REFUSED
GO TO BOX R04_YXR06
ASK: Youth respondents who have used alcohol one day or more in the past 30 days.
PATH ID:
R04_YX0076_LC1
La computadora registró que usted normalmente tomó [R04_YX0076] bebidas alcohólicas en los días
que bebió en los últimos 30 días. ¿Es correcto?
Si esto es correcto, por favor oprima el botón SIGUIENTE para continuar. Si esto NO es correcto, por
favor oprima el botón que dice ATRÁS y vuelva a seleccionar su respuesta.
1
BACK
GO TO R04_YX0076
2
NEXT
GO TO BOX R04_YXR06
ASK: IF R04_YX0076 > 30.
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BOX ID:
R04_YXR06
New baseline youth respondents who have never smoked a blunt, smoked marijuana from a hookah, or
used marijuana in an e-product, go to R04_YX0085_NB.
Else, new baseline youth respondents who have ever smoked a blunt, smoked marijuana from a
hookah, or used marijuana in an e-product, go to R04_YX0079_NB.
Else, continuing youth respondents who have not smoked a blunt in the past 12 months, go to
R04_YX0085_12M.
Else, continuing youth respondents who have smoked a blunt in the past 30 days, go to Box
R04_YXR28.
Else, continuing youth respondents who have smoked a blunt in the past 12 months, go to
R04_YX0675.
BOX ID:
R04_YXR27
If new baseline youth respondent reported valid age of first marijuana use and has ever used any form
of tobacco, and onset of tobacco use precedes onset of marijuana use, go to R04_YX0080_NB.
Else, youth respondents who have smoked a blunt in the past 30 days, go to Box R04_YXR28.
Else, new baseline youth who have ever used marijuana, go to R04_YX0085_12M.
Else, go to Box R04_YXR41.
BOX ID:
R04_YXR41
Youth respondents who have smoked a blunt in the past 30 days, go to Box R04_YXR28.
Else, youth respondents who have smoked a blunt in the past 12 months, go to R03_YX0675.
Else, go to R04_YX0085_12M.
PATH ID:
R04_YX0085_12M
En los últimos 12 meses, ¿ha consumido marihuana, hachís, THC, mota, maría o hierba?
1
Sí
2
No
GO TO BOX R04_YXR28
-8
DON'T KNOW
GO TO BOX R04_YXR28
-7
REFUSED
GO TO BOX R04_YXR28
ASK: Continuing youth respondents who did not previously report smoking a blunt in the past 12 months
and new baseline youth respondents who ever used marijuana and did not previously report smoking a
blunt in the past 12 months.
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PATH ID:
R04_YX0675
¿Ha consumido marihuana, hachís, THC, mota, maría o hierba en los últimos 30 días?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used marijuana in the past 12 months and did not report smoking
blunts in the past 30 days.
DISPLAY: UNDERLINE "últimos 30 días".
BOX ID:
R04_YXR28
New baseline youth respondents, go to Box R04_YXD02.
Continuing youth respondents, go to Box R04_YXD03.
BOX ID:
R04_YXD02
DISPLAY INSTRUCTION:
For R04_YX0089_NB and R04_YX0220_NB, display a "Sí" and "No" column with options for each
response category.
BOX ID:
R04_YXR07
PROGRAM: Items R04_YX0082_NB[_01/.../_05], R04_YX0272_NB[_01/.../_05],
R04_YX0083_NB[_01/.../_05], and R04_YX0676[_01/.../_05] are asked for each substance the
respondent uses in R04_YX0089_NB[_01/_02] and R04_YX0220_NB[_01/_02/_03]. If respondent uses
more than one substance, repeat items in a loop.
If no substances are selected in R04_YX0089_NB[_01/_02] or R04_YX0220_NB[_01/_02/_03], go to
Box R04_YXV02.
BOX ID:
R04_YXD05
PROGRAM: CREATE [SUBSTANCEFILL] If R04_YX0089_NB_01 = 1, display "Ritalin® o Adderall®".
If R04_YX0089_NB_02 = 1, display "analgésicos, sedantes o tranquilizantes".
If R04_YX0220_NB_01 = 1, display "cocaína o crack".
If R04_YX0220_NB_02 = 1, display "medicamentos estimulantes como metanfetaminas o anfetaminas
(speed)".
If R04_YX0220_NB_03 = 1, display "alguna otra droga tal como la heroína, inhalantes, disolventes o
alucinógenos".
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BOX ID:
R04_YXR30
If new baseline youth respondent reported valid age of first use and has ever used any form of tobacco,
and onset of tobacco use precedes onset of substance use, go to R04_YX0083_NB.
Else, go to Box R04_YXR47.
BOX ID:
R04_YXR47
New baseline youth respondents who have remaining substance loops to complete, go back to
R04_YX0082_NB and repeat for remaining substances.
Else, if new baseline youth respondent has no remaining substance loops to complete, go to Box
R04_YXD03.
BOX ID:
R04_YXD03
DISPLAY INSTRUCTIONS
For R04_YX0089_12M and R04_YX0220_12M, display a "Sí" and "No" column with options for each
response category.
BOX ID:
R04_YXR48
New baseline youth respondents who have ever used Ritalin® or Adderall®, or painkillers, sedatives, or
tranquilizers and continuing youth respondents, go to R04_YX0089_12M.
Else, new baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs,
go to R04_YX0220_12M.
PATH ID:
R04_YX0089_12M
En los últimos 12 meses, ¿ha tomado alguno de los siguientes medicamentos que se venden con
receta médica y que no le recetaron o que ha tomado únicamente por las sensaciones que dan?
1
Ritalin® o Adderall®
2
Analgésicos, sedantes o tranquilizantes
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used Ritalin® or Adderall®, or painkillers,
sedatives, or tranquilizers and continuing youth respondents.
DISPLAY: UNDERLINE "no" AND "únicamente".
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0089_NB_01 = 1, DISPLAY OPTION 1; ELSE, DO NOT
DISPLAY OPTION 1.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0089_NB_02 = 1, DISPLAY OPTION 2; ELSE, DO NOT
DISPLAY OPTION 2.
IF R04_YOUTHTYPE = 1, DISPLAY ALL RESPONSE OPTIONS.
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BOX ID:
R04_YXR49
New baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs and
continuing youth respondents, go to R04_YX0220_12M.
Else, go to Box R04_YXR08.
PATH ID:
R04_YX0220_12M
En los últimos 12 meses, ¿ha consumido alguna de las siguientes sustancias?
1
Cocaína o crack
2
Medicamentos estimulantes como metanfetaminas o anfetaminas (speed)
3
Alguna otra droga tal como la heroína, inhalantes, disolventes o alucinógenos
-8
DON'T KNOW
-7
REFUSED
ASK: New baseline youth respondents who have ever used cocaine or crack, stimulants, or other drugs
and continuing youth respondents.
DISPLAY: IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_01 = 1, DISPLAY RESPONSE OPTION
1; ELSE, DO NOT DISPLAY OPTION 1.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_02 = 1, DISPLAY RESPONSE OPTION 2; ELSE,
DO NOT DISPLAY OPTION 2.
IF R04_YOUTHTYPE = 2, 3 AND R04_YX0220_NB_03 = 1, DISPLAY RESPONSE OPTION 3; ELSE,
DO NOT DISPLAY OPTION 3.
IF R04_YOUTHTYPE = 1, DISPLAY ALL RESPONSE OPTIONS.
BOX ID:
R04_YXR08
PROGRAM: Repeat R04_YX0676[_01/.../_05] for each substance selected in
R04_YX0089_12M[_01/_02] and R04_YX0220_12M[_01/_02/_03].
If no substances are selected in R04_YX0089_12M[_01/_02] and R04_YX0220_12M[_01/_02/_03], go
to Box R04_YXV02.
PATH ID:
R04_YX0676
¿Ha consumido [SUBSTANCEFILL] en los últimos 30 días?
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who have used a substance in the past 12 months.
DISPLAY: UNDERLINE "'últimos 30 días".
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BOX ID:
R04_YXR01
Youth respondents who have remaining substance loops to complete, go back to R04_YX0676 and
repeat for remaining substances.
Else, if youth respondent has no remaining substance loops to complete, go to Box R04_YXV02.
BOX ID:
R04_YXV02
PROGRAM: CREATE THE FOLLOWING DERIVED VARIABLES (SEE APPENDIX):
R04_EVER_USER_ALC = Has ever used alcohol
R04_EVER_USER_MJ = Has ever used marijuana
R04_EVER_USER_RIT = Has ever used Ritalin® or Adderall®
R04_EVER_USER_PK = Has ever used painkillers, sedatives, or tranquilizers
R04_EVER_USER_COC = Has ever used cocaine or crack
R04_EVER_USER_STIM = Has ever used stimulants like methamphetamine or speed
R04_EVER_USER_OTH = Has ever used other drugs like heroin, inhalants, solvents, or hallucinogens
R04_SUBSTANCE_COUNT = Count of the number of substances ever used
BOX ID:
R04_YXR02
If youth respondent has used at least one substance, go to R04_YX0170.
Else, go to Box R04_YMT01.
PATH ID:
R04_YX0170
¿Cuándo fue la última vez que...
consumió alcohol u otras drogas semanalmente o con mayor frecuencia?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
BOX ID:
R04_YXR03
If youth respondent has used two or more substances and has used alcohol or drugs weekly or more
often, go to R04_YX0175.
Else, go to R04_YX0171.
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PATH ID:
R04_YX0175
Usted mencionó que en el pasado consumió alcohol o drogas por lo menos semanalmente. ¿Qué
sustancias consumió semanalmente o con mayor frecuencia? No incluya los medicamentos que le
recetaron. Escoja todas las opciones que correspondan.
1
Alcohol
2
Marihuana, hachís, THC, mota, maría o hierba
3
Ritalin® o Adderall®
4
Analgésicos, sedantes o tranquilizantes
5
Cocaína o crack
6
Medicamentos estimulantes como metanfetaminas o anfetaminas (speed)
7
Alguna otra droga tal como la heroína, inhalantes, disolventes o alucinógenos
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who used alcohol or other drugs weekly or more often AND report ever using
two or more substances.
PATH ID:
R04_YX0171
¿Cuándo fue la última vez que...
pasó mucho tiempo comprando alcohol u otras drogas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0172
¿Cuándo fue la última vez que...
seguía consumiendo alcohol u otras drogas a pesar de que le provocaba problemas sociales, originaba
peleas o lo metía en problemas con otras personas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
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PATH ID:
R04_YX0173
¿Cuándo fue la última vez que...
su consumo de alcohol u otras drogas disminuyó su compromiso con el trabajo, la escuela, la casa o
eventos sociales?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0193
¿Cuándo fue la última vez que...
pasó mucho tiempo recuperándose de los efectos del alcohol u otras drogas?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
PATH ID:
R04_YX0174
¿Cuándo fue la última vez que...
tuvo síntomas de abstinencia al alcohol u otras drogas como manos temblorosas, vómitos, dificultad
para estar quieto o dificultad para dormir?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
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PATH ID:
R04_YX0194
¿Cuándo fue la última vez que...
consumió alcohol u otras drogas para dejar de sentirse enfermo o para evitar sentir los síntomas de
abstinencia?
1
El mes pasado
2
Hace 2 a 12 meses
3
Hace más de un año
4
Nunca
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who report ever using alcohol or ever using drugs.
BOX ID:
R04_YXR31
Youth respondents who use two or more substances and who indicated alcohol or drugs caused
problems for them, go to R04_YX0176.
Else, go to Box R04_YMT01.
PATH ID:
R04_YX0176
Usted mencionó que el alcohol o las drogas le han provocado problemas. ¿Qué sustancias le
provocaron estos problemas? No incluya los medicamentos que le recetaron. Escoja todas las opciones
que correspondan.
1
Alcohol
2
Marihuana, hachís, THC, mota, maría o hierba
3
Ritalin® o Adderall®
4
Analgésicos, sedantes o tranquilizantes
5
Cocaína o crack
6
Medicamentos estimulantes como metanfetaminas o anfetaminas (speed)
7
Alguna otra droga tal como la heroína, inhalantes, disolventes o alucinógenos
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who use two or more substances and who indicated alcohol or drugs caused
problems for them.
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ADDITIONAL DEMOGRAPHICS
BOX ID:
R04_YMT01
Por último, tenemos algunas preguntas adicionales para usted.
PATH ID:
R04_YM0019
En los últimos 12 meses, ¿ha ido a la escuela en algún momento?
1
Sí
2
No
GO TO R04_YM0020
-8
DON'T KNOW
GO TO R04_YM0020
-7
REFUSED
GO TO R04_YM0020
ASK: All youth respondents.
PATH ID:
R04_YM0018
¿En qué grado está? Si está en vacaciones de verano o en feriado, elija el grado o año al que ingresará
cuando vuelva a la escuela.
1
4° grado o menos
GO TO R04_YM0032
2
5°
GO TO R04_YM0032
3
6°
GO TO R04_YM0032
4
7°
GO TO R04_YM0032
5
8°
GO TO R04_YM0032
6
9°
GO TO R04_YM0032
7
10°
GO TO R04_YM0032
8
11°
GO TO R04_YM0032
9
12° grado
GO TO R04_YM0032
10
Universidad, escuela vocacional o técnica
GO TO R04_YM0032
11
No está matriculado
GO TO R04_YM0032
12
Recibo mi educación en casa
GO TO R04_YM0032
13
En mi escuela no hay grados
GO TO R04_YM0032
-8
DON'T KNOW
GO TO R04_YM0032
-7
REFUSED
GO TO R04_YM0032
ASK: Youth respondents who went to school in the past 12 months.
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PATH ID:
R04_YM0020
¿Qué grado o año de escuela completó?
1
4° grado o menos
2
5°
3
6°
4
7°
5
8°
6
9°
7
10°
8
11°
9
12° grado
10
Universidad, escuela vocacional o técnica
11
Me educan en casa
12
En mi escuela no hay grados
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who did not go to school in the past 12 months.
PATH ID:
R04_YM0032
En los últimos 30 días, ¿hizo algún trabajo pagado fuera de casa? Esto incluye tanto a los trabajos
habituales como a trabajos de cuidado de niños o jardinería.
1
Sí
2
No
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
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PATH ID:
R04_YM0008
En una semana normal, ¿cuánto dinero recibe en total? Incluya el dinero que recibió de un trabajo,
familiar, como propina o de otras fuentes.
1
Ninguno
2
Menos de un dólar
3
1 a 5 dólares
4
6 a 10 dólares
5
11 a 20 dólares
6
21 a 50 dólares
7
51 a 100 dólares
8
101 a 150 dólares
9
151 dólares o más
-8
DON'T KNOW
-7
REFUSED
ASK: All youth respondents.
BOX ID:
R04_YMR04
Youth respondents aged 17 and older, go to R04_YM0007.
Else, youth respondents aged 14 and older, go to R04_YM0021.
Else, go to R04_YX00769.
PATH ID:
R04_YM0007
¿Ha prestado alguna vez servicio militar en las Fuerzas Armadas, la Reserva o la Guardia Nacional de
Estados Unidos?
Nota: El servicio militar activo para la Reserva o la Guardia Nacional no incluye el entrenamiento
regular para la Reserva o la Guardia. Sí incluye estar activo para misiones militares, como por ejemplo
la Guerra de Iraq.
1
Sí. Actualmente está en servicio activo
2
Sí. Estuvo en servicio activo en el pasado pero no actualmente
3
No. Únicamente en entrenamiento para la Reserva o la Guardia Nacional
GO TO R04_YM0021
4
No. Nunca ha prestado el servicio militar
GO TO R04_YM0021
-8
DON'T KNOW
GO TO R04_YM0021
-7
REFUSED
GO TO R04_YM0021
ASK: Youth respondents aged 17 and older.
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PATH ID:
R04_YM0011
¿En qué rama o ramas militares [presta/prestó] el servicio militar? Escoja todas las opciones que
correspondan.
1
Ejército
2
Marina
3
Fuerza Aérea
4
Cuerpo de Marines
5
Guardia Costera
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 17 and older who have been on active duty, both currently or in the past.
DISPLAY: IF R04_YM0007 = 1, DISPLAY "presta".
ELSE, IF R04_YM0007 = 2, DISPLAY "prestó".
PATH ID:
R04_YM0021
Las siguientes preguntas son acerca de su nivel de atracción sexual a AMBOS sexos, hombres y
mujeres.
Por favor, responda las preguntas cuidadosamente, ya que es importante que las entienda y que sea lo
más honesto posible.
¿Por quién se ha sentido atraído sexualmente, incluso si no hizo nada al respecto?
1
Solo por mujeres, nunca por hombres
2
Mayormente por mujeres y por lo menos una vez por hombres
3
Casi con la misma frecuencia por mujeres y hombres
4
Mayormente por hombres y por lo menos una vez por mujeres
5
Solo por hombres, nunca por mujeres
6
Nunca me he sentido atraído sexualmente por nadie
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older.
DISPLAY: FOR MALE RESPONDENTS, DISPLAY RESPONSE OPTIONS 1-5 IN THE SPECIFIED
ORDER. FOR FEMALE RESPONDENTS, DISPLAY RESPONSE OPTIONS 1-5 IN REVERSE ORDER,
WHERE RESPONSE OPTION 5 IS PRESENTED FIRST, OPTION 4 SECOND, ETC. IF SEX IS
UNKNOWN, DEFAULT TO ORDER SHOWN FOR MALE RESPONDENTS.
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PATH ID:
R04_YM0063
¿Se considera…
1
Heterosexual (le atraen personas del otro sexo)
2
Lesbiana o gay (le atraen personas del mismo sexo)
3
Bisexual (le atraen ambos sexos)
4
Otra cosa
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older.
PATH ID:
R04_YM0061
Algunas personas se describen a sí mismas como transgéneros o transexuales cuando se identifican
con un género distinto al de su sexo biológico al nacer. Por ejemplo, una persona transgénero o
transexual sería alguien que nació varón, pero que se siente mujer o que vive como una mujer.
¿Se considera transgénero o transexual?
1
Sí
2
No
GO TO R04_YX0769
-8
DON'T KNOW
GO TO R04_YX0769
-7
REFUSED
GO TO R04_YX0769
ASK: Youth respondents aged 14 and older.
PATH ID:
R04_YM0062
¿Se considera a sí mismo o a sí misma hombre a mujer, mujer a hombre o de género no conforme?
1
Sí, transgénero o transexual, hombre a mujer
1
Sí, transgénero o transexual, mujer a hombre
1
Sí, transgénero o transexual, de género no conforme
4
No
5
No está seguro
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents aged 14 and older who are transgender.
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PATH ID:
R04_YX0769
En el futuro, es posible que el cuestionario de PATH se pueda contestar por Internet en su
computadora de escritorio, computadora portátil o tableta. Debido a su longitud, el cuestionario no se
podrá contestar en teléfonos inteligentes o smartphones.
Usted podrá contestar el cuestionario cuando le convenga, sin la presencia de un entrevistador. El
incentivo llegaría por correo unos días después de que conteste el cuestionario.
Cree que contestar el cuestionario PATH por Internet en su computadora de escritorio, computadora
portátil o tableta, ¿le interesaría mucho, un poco o en absoluto?
1
Me interesa mucho
GO TO R04_YL3000
2
Me interesa algo
GO TO R04_YL3000
3
No estoy interesado en absoluto
4
No estoy seguro
GO TO R04_YL3000
-8
DON'T KNOW
GO TO R04_YL3000
-7
REFUSED
GO TO R04_YL3000
ASK: All youth respondents.
PATH ID:
R04_YX0770
¿Por qué no? Escoja todas las opciones que correspondan.
1
No tengo computadora de escritorio, computadora portátil, ni tableta con acceso a Internet
2
Me preocupan las dificultades técnicas
3
Prefiero contar con la presencia de un entrevistador
4
Me preocupa la confidencialidad de mi información
5
Me preocupa no recibir mi incentivo
6
Otro (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Youth respondents who would not be interested in doing PATH questionnaires online in the future.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YL3000
Ha terminado[ esta parte en] el cuestionario. Por favor entréguele la computadora al entrevistador.
1
CONTINUE
ASK: All youth respondents.
DISPLAY: IF R04_E_YOUTH = 1, DISPLAY "esta parte en ";
ELSE, DO NOT DISPLAY THIS TEXT.
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PATH ID:
R04_YL3001
Ahora el entrevistador tendrá que ingresar la clave de la computadora.
1
I__I__I__I__I MONITOR PASSWORD
ASK: All youth respondents.
PATH ID:
R04_ERR_YL3001
The password you entered was incorrect.
Please press the BACK button and re-enter. Don't forget to press the ERASE button before you re-enter
your answer.
1
BACK
GO TO R04_YL3001
ASK: If interviewer entered monitor password incorrectly.
BOX ID:
R04_YLR04
Emancipated youth respondents, go to R04_YL3002.
Else, go to R04_LCYS01.
PATH ID:
R04_YL3002
YOU MUST COLLECT CONTACT INFORMATION FROM THE RESPONDENT.
THE RESPONDENT IS AN EMANCIPATED YOUTH.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: Interviewers
DISPLAY: Display interviewer instructions in blue font.
BOLD "MUST".
BOX ID:
R04_YLR05
Emancipated youth, go to contact information section R04_YXT04.
Else, go to R04_LCYS01
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CONTACT INFORMATION – EMANCIPATED YOUTH
BOX ID:
R04_YXT04
CONTACT INFORMATION SECTION IS ASKED OF EMANCIPATED YOUTH ONLY.
PATH ID:
R04_YL0041
Ya que su continua participación en el Estudio PATH es importante para el éxito del estudio, quisiera
confirmar su información de contacto para mis registros. Únicamente usaremos esta información para
contactarle acerca de su participación en el estudio.
PRESS 1 TO CONTINUE.
1
CONTINUE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR01
Emancipated youth respondents who have a valid Wave 4 physical address, go to R04_YL0001.
Else, go to R04_YL0037.
PATH ID:
R04_YL0001
Tengo anotado que su dirección es...
READ ADDRESS ALOUD.
ADDRESS
APT #
CITY, STATE ZIP CODE
¿Es correcto?
1
SÍ
2
NO
GO TO R04_YL0002
ASK: Emancipated youth respondents who have a valid physical address on file.
DISPLAY: DISPLAY ADDRESS IN EASY TO READ FORMAT. DISPLAY INSTRUCTIONAL TEXT IN
BLUE.
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PATH ID:
R04_YL0037
¿Cuál es su dirección?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
GO TO R04_YL0035
-7
REFUSED
GO TO R04_YL0035
ASK: Emancipated youth respondents who need to correct their physical address or who do not have a
valid physical address on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0002
¿Recibe usted el correo en esta dirección?
1
SÍ
2
NO
GO TO R04_YL0035
-8
DON'T KNOW
GO TO R04_YL0035
-7
REFUSED
GO TO R04_YL0035
ASK: Emancipated youth respondents who confirmed or provided their physical address.
PATH ID:
R04_YL0003
¿Me podría dar su dirección postal?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who do not receive mail at their physical address.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0035
¿Tiene otra vivienda en la que viva durante el año?
1
SÍ
2
NO
GO TO BOX R04_YLR02
-8
DON'T KNOW
GO TO BOX R04_YLR02
-7
REFUSED
GO TO BOX R04_YLR02
ASK: Emancipated youth respondents.
PATH ID:
R04_YL0036
¿Cuál es la dirección de la otra vivienda?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who have a second home.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR02
Emancipated youth respondents who have a valid telephone number on file, go to R04_YL0004_12M.
Else, go to R04_YL0004.
PATH ID:
R04_YL0004_12M
Tengo anotado que su número de teléfono es [(XXX)-XXX-XXXX].
¿Es correcto?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YL0038
GO TO R04_YL0012
ASK: Emancipated youth respondents who have a valid telephone number on file.
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PATH ID:
R04_YL0004
¿Cuál es el mejor número de teléfono para comunicarse con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who need to correct their telephone number, who don't know if
the telephone number provided is correct, or who do not have a valid telephone number on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR14
Emancipated youth respondents who provided their telephone number, go to R04_YL0038.
Else, emancipated youth respondents who did not provide, did not know, or refused to report a valid
telephone number, go to R04_YL0012.
PATH ID:
R04_YL0038
¿Es este número de un celular?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO BOX R04_YLR03
ASK: Emancipated youth respondents who confirmed or provided their telephone number.
PATH ID:
R04_YL0032
¿Podemos comunicarnos con usted con mensajes de texto por este número?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who said their telephone number is a cell phone or did not know
or refused to report whether it is a cell phone.
BOX ID:
R04_YLR03
Emancipated youth respondents who have a valid second telephone number on file, go to R04_YL0005.
Else, go to R04_YL0006.
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PATH ID:
R04_YL0005
Tengo anotado que su otro número de teléfono es [(XXX)-XXX-XXXX].
¿Es correcto?
IF SP DOES NOT WANT TO PROVIDE A SECOND PHONE NUMBER, ENTER REFUSED.
1
SÍ
2
NO
GO TO R04_YL0039
-8
DON'T KNOW
GO TO R04_YL0012
-7
REFUSED
GO TO R04_YL0012
ASK: Emancipated youth respondents who have a valid second telephone number on file.
PATH ID:
R04_YL0006
¿Cuál es un número alterno que podamos utilizar para comunicarnos con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who need to correct their second telehone number or who do not
have a valid second telephone number on file.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR15
Emancipated youth respondents who provided their second phone number, go to R04_YL0039.
Else, emancipated youth respondents who did not provide, did not know, or refused to report a valid
second phone number, go to R04_YL0012.
PATH ID:
R04_YL0039
¿Es este número de un celular?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
GO TO R04_YL0012
ASK: Emancipated youth respondents who confirmed their phone number in R04_YL0005 or provided a
phone number in R04_YL0006.
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PATH ID:
R04_YL0033
¿Podemos comunicarnos con usted con mensajes de texto por este número?
1
SÍ
2
NO
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who said their second number is a cell phone or did not know or
refused to report whether it is a cell phone.
PATH ID:
R04_YL0012
¿Me podría dar su correo electrónico?
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.
1
EMAIL NAME
2
EMAIL PROVIDER
-8
DON'T KNOW
-7
REFUSE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
BOX ID:
R04_YLR09
Emancipated youth respondents who provided more than one mode of contact information, go to
R04_YL0017.
Else, go to R04_YL0018.
PATH ID:
R04_YL0017
¿Cuál es la mejor manera para comunicarse con usted?
1
PHONE
2
TEXT MESSAGE
3
E-MAIL
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided more than one mode of contact information.
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PATH ID:
R04_YL0018
¿Tiene pensado mudarse ya sea de manera permanente o temporal dentro de los próximos 12 meses?
1
SÍ
2
NO
3
QUIZÁS
GO TO R04_YL0020
-8
DON'T KNOW
GO TO R04_YL0020
-7
REFUSED
GO TO R04_YL0020
ASK: Emancipated youth respondents.
PATH ID:
R04_YL0019
¿Me podría decir un poco más acerca de sus planes de mudanza?
IF NEEDED: [Por ejemplo, su nueva dirección o la ciudad o el estado a donde tiene pensado mudarse.]
PROBE FOR AND RECORD ANY KNOWN INFORMATION.
1
[TEXT FIELD]
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who plan to move in the next 12 months.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0020
Ya que quisiéramos volver a entrevistarlo es importante que podamos contactarlo en aproximadamente
un año. En caso de que no podamos contactarlo, ¿tiene algún familiar o amigo que no viva con usted y
que sepa cómo comunicarse con usted?
IF NEEDED: [Tenga la certeza de que solo usaremos esta información si no podemos comunicarnos
con usted.]
¿Cómo se llama esa persona?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE AND BOLD "FIRST NAME".
BOX ID:
R04_YLR10
If FIRST NAME is don’t know or refused, go to R04_YL3003.
Else, go to R04_YL0022.
PATH ID:
R04_YL0022
¿Cuál es la dirección de esa persona?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0023
¿Cuál es el número de teléfono de esa persona?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0021
¿Qué relación o parentesco tiene con usted?
1
ESPOSO O ESPOSA
2
PADRE O MADRE (INCLUYENDO LOS SUEGROS)
4
ABUELO O ABUELA
8
HERMANO O HERMANA (INCLUYENDO CUÑADOS O CUÑADAS)
13
AMIGO O AMIGA/VECINO O VECINA
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who who provided a first name for a proxy contact in
R04_YL0020.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
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PATH ID:
R04_YL0025
¿Podría darme el nombre de otro familiar o amigo que sepa cómo comunicarse con usted?
VERIFY ALL SPELLING.
IF SP IS UNABLE TO PROVIDE A FIRST NAME MARK AS DON'T KNOW / REFUSED.
1
FIRST NAME
2
LAST NAME
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0020.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE AND BOLD "FIRST NAME".
BOX ID:
R04_YLR11
If FIRST NAME is don’t know or refused, go to R04_YL3003.
Else, go to R04_YL0027
PATH ID:
R04_YL0027
¿Cuál es la dirección de esa persona?
VERIFY ALL SPELLING.
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_YL0028
¿Cuál es el número de teléfono de esa persona?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
PATH ID:
R04_YL0026
¿Qué relación o parentesco tiene con usted?
1
ESPOSO O ESPOSA
2
PADRE O MADRE (INCLUYENDO LOS SUEGROS)
4
ABUELO O ABUELA
8
HERMANO O HERMANA (INCLUYENDO CUÑADOS O CUÑADAS)
13
AMIGO O AMIGA/VECINO O VECINA
91
OTRO PARIENTE (ESPECIFIQUE)
92
OTRA PERSONA NO EMPARENTADA (ESPECIFIQUE)
-8
DON'T KNOW
-7
REFUSED
ASK: Emancipated youth respondents who provided a first name for a proxy contact in R04_YL0025.
DISPLAY: IF OS FIELD SELECTED AND ADDITIONAL OS SCREEN IS SHOWN, DISPLAY
QUESTION TEXT AND ADD THE FOLLOWING TEXT: "Escriba su respuesta usando el teclado de la
computadora."
PATH ID:
R04_YL3003
Si se muda o cambia de número de teléfono sírvase actualizar su información de contacto en la página
en Internet del Estudio PATH o llamando a nuestra línea directa y gratuita. Cada año podría recibir 5
dólares en su tarjeta de débito como agradecimiento por actualizar su información de contacto.
Gracias por su tiempo y por contestar estas preguntas.
ENTER 1 TO CONTINUE.
1
CONTINUE
ASK: Emancipated youth respondents.
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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PATH ID:
R04_LCYS01
INTERVIEWER: IN WHAT LANGUAGE DID YOU MOSTLY CONDUCT THE CAPI PORTIONS OF
THIS INTERVIEW?
1
ENGLISH
END INTERVIEW AND RETURN TO IMS
2
SPANISH
END INTERVIEW AND RETURN TO IMS
ASK: All youth respondents (asked of Interviewer).
DISPLAY: DISPLAY INSTRUCTIONAL TEXT IN BLUE.
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APPENDIX: USER GROUPS
Variable Name
Variable Description
User Group Definition
Ever or Never users - Cigarettes
R04_EVER_NEVER_CIGS_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a cigarette.
(2) Never user = Youth respondents who have
not ever smoked a cigarette.
IF (R04_YC1002_NB = 1 OR
R04_YC1002_12M = 1 OR
R03_EVER_NEVER_CIGS = 1), THEN
R04_EVER_NEVER_CIGS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_CIGS_YOUTH !=
1, THEN R04_EVER_NEVER_CIGS_YOUTH =
2.
Initiators - Cigarettes
R04_INIT_CIGS_YOUTH
(1) Initiator = Youth respondents who initiated
cigarette use between Waves or new baseline
youth respondents who have ever smoked a
cigarette.
(2) Non-initiator = Youth respondents who did
not initiate cigarette use between Waves or new
baseline youth respondent who have not ever
smoked a cigarette.
IF R03_EVER_NEVER_CIGS ! = 1 AND
R04_EVER_NEVER_CIGS_YOUTH = 1, THEN
R04_INIT_CIGS_YOUTH = 1.
ELSE, R04_INIT_CIGS_YOUTH = 2.
Past 30 Day Users - Cigarettes
R04_PAST30DAY_CIGS
(1) Past 30 day user = Youth respondents who
have smoked a cigarette in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarette in the past 30
days.
IF R04_YC1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_CIGS = 1.
ELSE, R04_PAST30DAY_CIGS = 2.
Past 30 Day "Very Light" or "Not Light" Cigarettes
R04_PAST30DAY_CIGS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a cigarette in the
past 30 days, and have smoked 10 or less
cigarettes in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a cigarette in the
past 30 days, and have smoked more than 10
cigarettes in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YC1005 = 1 OR 2 OR 3 AND
R03_NUMLIFE_CIGS != 1) AND (R04_YC1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_CIGS_LEVEL = 1.
ELSE, IF (R04_YC1005 > 3 OR R04_YC1005 =
-8, -7 OR R03_NUMLIFE_CIGS = 1) AND
(R04_YC1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_CIGS_LEVEL= 2.
ELSE, R04_PAST30DAY_CIGS_LEVEL = 8.
CIGARETTES
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Electronic Nicotine
Products
R04_EVER_NEVER_EPRODS_YOUTH
(1) Ever user = Youth respondents who have
ever used an electronic nicotine product.
(2) Never user = Youth respondents who have
not ever used an electronic nicotine product.
IF (R03_EVER_NEVER_EPRODS = 1 OR
(R04_YV1001_NB = 1 AND R04_YV1002_NB =
1) OR R04_YV1002_12M = 1), THEN
R04_EVER_NEVER_EPRODS_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_EPRODS_YOUTH != 1,
THEN R04_EVER_NEVER_EPRODS_YOUTH
= 2.
Initiators - E-Products
R04_INIT_EPRODS_YOUTH
(1) Initiator = Youth respondents who initiated eproduct use between Waves or new baseline
youth respondents who have ever used an eproduct.
(2) Non-initiator = Youth respondents who have
not initiated e-product use between Waves or
new baseline youth respondents who have not
ever used an e-product.
IF R03_EVER_NEVER_EPRODS != 1 AND
R04_EVER_NEVER_EPRODS = 1, THEN
R04_INIT_EPRODS_YOUTH = 1.
ELSE, R04_INIT_EPRODS_YOUTH = 2.
Past 30 Day Users - E-Products
R04_PAST30DAY_EPRODS
(1) Past 30 day user = Youth respondents who
have used an e-product in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not used an e-product in the past 30
days.
IF R04_YV1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_EPRODS = 1.
ELSE, R04_PAST30DAY_EPRODS = 2.
Past 30 Day "Very Light" or "Not Light
Users - E-Products
R04_PAST30DAY_EPRODS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used an e-product in the
past 30 days, and have used an e-product only
once in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used an e-product in the
past 30 days, and have used e-products more
than once in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YV1005 = 1 AND
R03_NUMLIFE_EPROD != 1) AND
(R04_YV1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_EPRODS_LEVEL = 1.
ELSE, IF (R04_YV1005 > 1 OR R04_YV1005 =
-8, -7 OR R03_NUMLIFE_EPROD = 1) AND
(R04_YV1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_EPRODS_LEVEL= 2.
ELSE, R04_PAST30DAY_EPRODS_LEVEL =
8.
ENDS
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Variable Name
Variable Description
User Group Definition
Ever or Never Smokers – Traditional
Cigars
R04_EVER_NEVER_GTRAD_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a traditional cigar.
(2) Never user = Youth respondents who have
not ever smoked a traditional cigar.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_01 = 1) OR
R04_YG9104_12M_01 = 1 OR
R03_EVER_NEVER_GTRAD = 1, THEN
R04_EVER_NEVER_GTRAD_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_GTRAD_YOUTH
!= 1, THEN
R04_EVER_NEVER_GTRAD_YOUTH = 2.
Initiators – Traditional Cigars
R04_INIT_GTRAD_YOUTH
(1) Initiator = Youth respondents who initiated
traditional cigar use between Waves or new
baseline youth respondents who have ever
smoked a traditional cigar.
(2) Non-initiator = Youth respondents who did
not initiate traditional cigar use between Waves
or new baseline youth respondents who have
not ever smoked a traditional cigar.
IF R03_EVER_NEVER_GTRAD != 1 AND
R04_EVER_NEVER_GTRAD_YOUTH = 1,
THEN R04_INIT_GTRAD_YOUTH = 1.
ELSE, R04_INIT_GTRAD_YOUTH = 2.
Past 30 Day Smokers - Traditional
Cigars
R04_PAST30DAY_GTRAD
(1) Past 30 day user = Youth respondents who
have smoked a traditional cigar in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a traditional cigar in the
past 30 days.
IF R04_YG1112TC = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GTRAD = 1.
ELSE, R04_PAST30DAY_GTRAD = 2.
Past 30 Day "Very Light" or "Not Light"
Smokers - Traditional Cigars
R04_PAST30DAY_GTRAD_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a traditional
cigar in the past 30 days, and have smoked 10
or less traditional cigars in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a traditional
cigar in the past 30 days, and have smoked
more than 10 traditional cigars in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005TC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GTRAD != 1) AND
(R04_YG1112TC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GTRAD_LEVEL = 1.
ELSE, IF (R04_YG1005TC > 3 OR
R04_YG1005TC = -8, -7 OR
R03_NUMLIFE_GTRAD = 1) AND
(R04_YG1112TC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GTRAD_LEVEL = 2.
ELSE, R04_PAST30DAY_GTRAD_LEVEL = 8.
CIGARS
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Variable Name
Variable Description
User Group Definition
Past 12 Month Blunt-Only Smokers –
Traditional Cigars
R04_12MBLUNT_ONLY_BTRAD
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke traditional cigars as
blunts every time when smoked in the past 12
months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke traditional cigars
as blunts every time when smoked in the past
12 months.
IF R04_YG9106_01 = 1 AND R04_YG1095_01
= 1, THEN R04_12MBLUNT_ONLY_BTRAD =
1.
ELSE, R04_12MBLUNT_ONLY_BTRAD = 2.
Past 30 Day Blunt-Only Smokers –
Traditional Cigars
R04_30DBLUNT_ONLY_BTRAD
(1) Past 30 day user = Youth respondents who
have smoked a traditional cigar as a blunt in the
past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a traditional cigar as a
blunt in the past 30 days.
IF R04_12MBLUNT_ONLY_BTRAD = 1 AND
R04_YJ1112TC = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BTRAD = 1.
ELSE, R04_30DBLUNT_ONLY_BTRAD = 2.
Initiators – Traditional Cigars as Blunts
R04_INIT_BLUNT_BTRAD_YOUTH
(1) Initiator = Youth respondents who initiated
smoking traditional cigars as blunts between
Waves or new baseline youth respondents who
have ever used traditional cigars as blunts every
time in the past 12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking traditional cigars as blunts
between Waves or new baseline youth
respondents who have not ever used traditional
cigars as blunts.
(1) Ever user = Youth respondents who have
ever smoked a cigarillo.
(2) Never user = Youth respondents who have
not ever smoked a cigarillo.
IF R03_EVER_NEVER_BTRAD != 1 AND
R04_YG1095_01 = 1 AND R04_YG9106_01 =
1, THEN R04_INIT_BLUNT_BTRAD_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BTRAD_YOUTH = 2.
Ever or Never Smokers – Cigarillos
R04_EVER_NEVER_GRILLO_YOUTH
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IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_02 = 1 AND
(R04_YG9009_NB_01= 1 OR
R04_YG9009_NB_03 = 1)) OR
R04_YG9009_12M_01 = 1 OR
R04_YG9009_12M_03 = 1 OR
R03_EVER_NEVER_GRILLO = 1, THEN
R04_EVER_NEVER_GRILLO_YOUTH = 1.
ELSE, IF
R04_EVER_NEVER_GRILLO_YOUTH != 1,
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Youth Questionnaire (Spanish) - Extended Interview
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Variable Name
Variable Description
User Group Definition
THEN R04_EVER_NEVER_GRILLO_YOUTH =
2.
Initiators – Cigarillos
R04_INIT_GRILLO_YOUTH
(1) Initiator = Youth respondents who initiated
cigarillo use between Waves or new baseline
youth respondents who have ever smoked a
cigarillo.
(2) Non-initiator = Youth respondents who did
not initiate cigarillo use between Waves or new
baseline youth respondents who have not ever
smoked a cigarillo.
IF R03_EVER_NEVER_GRILLO != 1 AND
R04_EVER_NEVER_GRILLO_YOUTH = 1,
THEN R04_INIT_GRILLO_YOUTH = 1.
ELSE, R04_INIT_GRILLO_YOUTH = 2.
Past 30 Day Smokers - Cigarillos
R04_PAST30DAY_GRILLO
(1) Past 30 day user = Youth respondents who
have smoked a cigarillo in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarillo in the past 30
days.
IF R04_YG1112CL = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GRILLO = 1.
ELSE, R04_PAST30DAY_GRILLO = 2.
Past 30 Day "Very Light" or "Not Light"
Smokers - Cigarillos
R04_PAST30DAY_GRILLO_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a cigarillo in the
past 30 days, and have smoked 10 or less
cigarillos in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a cigarillo in the
past 30 days, and have smoked more than 10
cigarillos in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005CL = 1 OR 2 OR 3 AND
R03_NUMLIFE_GRILLO != 1) AND
(R04_YG1112CL = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GRILLO_LEVEL = 1.
ELSE, IF (R04_YG1005CL > 3 OR
R04_YG1005CL = -8, -7 OR
R03_NUMLIFE_GRILLO = 1) AND
(R04_YG1112CL = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GRILLO_LEVEL = 2.
ELSE, R04_PAST30DAY_GRILLO_LEVEL = 8.
Past 12 Month Blunt-Only Smokers –
Cigarillos
R04_12MBLUNT_ONLY_BRILLO
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke cigarillos as blunts
every time when smoked in the past 12 months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke cigarillos as
blunts every time when smoked in the past 12
months.
IF R04_YG9106_02 = 1 AND R04_YG1095_02
= 1, THEN R04_12MBLUNT_ONLY_BRILLO =
1.
ELSE, R04_12MBLUNT_ONLY_BRILLO = 2.
Past 30 Day Blunt-Only Smokers –
Cigarillos
(1) Past 30 day user = Youth respondents who
have smoked a cigarillo as a blunt in the past 30
IF R04_12MBLUNT_ONLY_BRILLO = 1 AND
R04_YJ1112CG = 1 OR 2 OR 3, THEN
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Variable Name
Variable Description
User Group Definition
R04_30DBLUNT_ONLY_BRILLO
days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a cigarillo as a blunt in the
past 30 days.
R04_30DBLUNT_ONLY_BRILLO = 1.
ELSE, R04_30DBLUNT_ONLY_BRILLO = 2.
Initiators – Cigarillos as Blunts
R04_INIT_BLUNT_BRILLO_YOUTH
(1) Initiator = Youth respondents who initiated
smoking cigarillos as blunts between Waves or
new baseline youth respondents who have ever
used cigarillos as blunts every time in the past
12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking cigarillos as blunts between
Waves or new baseline youth respondents who
have not ever used cigarillos as blunts.
IF R03_EVER_NEVER_BRILLO != 1 AND
R04_YG1095_02 = 1 AND R04_YG9106_02 =
1, THEN R04_INIT_BLUNT_BRILLO_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BRILLO_YOUTH = 2.
Ever or Never Smokers – Filtered Cigars
R04_EVER_NEVER_GFILTR_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a filtered cigar.
(2) Never user = Youth respondents who have
not ever smoked a filtered cigar.
IF (R04_YG9101_NB = 1 AND
R04_YG1002_NB = 1 AND
R04_YG9104_NB_02 = 1 AND
R04_YG9009_NB_02 = 1) OR
R04_YG9009_12M_02 = 1 OR
R03_EVER_NEVER_GFILTR = 1, THEN
R04_EVER_NEVER_GFILTR_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_GFILTR_YOUTH
!= 1, THEN
R04_EVER_NEVER_GFILTR_YOUTH = 2.
Initiators – Filtered Cigars
R04_INIT_GFILTR_YOUTH
(1) Initiator = Youth respondents who initiated
filtered cigar use between Waves or new
baseline youth respondents who ever smoked a
filtered cigar.
(2) Non-initiator = Youth respondents who did
not initiate filtered cigar use between Waves or
new baseline youth respondents who have not
ever smoked a filtered cigar.
IF R03_EVER_NEVER_GFILTR != 1 AND
R04_EVER_NEVER_GFILTR_YOUTH = 1,
THEN R04_INIT_GFILTR_YOUTH = 1.
ELSE, R04_INIT_GFILTR_YOUTH = 2.
Past 30 Day Users – Filtered Cigars
R04_PAST30DAY_GFILTR
(1) Past 30 day user = Youth respondents who
have smoked a filtered cigar in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a filtered cigar in the past
IF R04_YG1112FC = 1 OR 2 OR 3, THEN
R04_PAST30DAY_GFILTR = 1.
ELSE, R04_PAST30DAY_GFILTR = 2.
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Variable Name
Variable Description
User Group Definition
30 days.
Past 30 Day "Very Light" or "Not light"
Smokers - Filtered Cigars
R04_PAST30DAY_GFILTR_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have smoked a filtered cigar in
the past 30 days, and have smoked 10 or less
filtered cigars in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have smoked a filtered cigar in
the past 30 days, and have smoked more than
10 filtered cigars in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YG1005FC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GFILTR != 1) AND
(R04_YG1112FC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GFILTR_LEVEL = 1.
ELSE, IF (R04_YG1005FC > 3 OR
R04_YG1005FC = -8, -7 OR
R03_NUMLIFE_GFILTR = 1) AND
(R04_YG1112FC = 1 OR 2 OR 3), THEN
R04_PAST30DAY_GFILTR_LEVEL = 2.
ELSE, R04_PAST30DAY_GFILTR_LEVEL = 8.
Past 12 Month Blunt-Only Smokers –
Filtered Cigars
R04_12MBLUNT_ONLY_BFILTR
(1) Past 12 month blunt-only smoker = Youth
respondents who smoke filtered cigars as blunts
every time when smoked in the past 12 months.
(2) Not a blunt-only smoker = Youth
respondents who do not smoke filtered cigars as
blunts every time when smoked in the past 12
months.
IF R04_YG9106_03 = 1 AND R04_YG1095_03
= 1, THEN R04_12MBLUNT_ONLY_BFILTR =
1.
ELSE, R04_12MBLUNT_ONLY_BFILTR = 2.
Past 30 Day Blunt-Only Smokers –
Filtered Cigars
R04_30DBLUNT_ONLY_BFILTR
(1) Past 30 day user = Youth respondents who
have smoked a filtered cigar as a blunt in the
past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a filtered cigar as a blunt
in the past 30 days.
IF R04_12MBLUNT_ONLY_BFILTR = 1 AND
R04_YJ1112FC = 1 OR 2 OR 3, THEN
R04_30DBLUNT_ONLY_BFILTR = 1.
ELSE, R04_30DBLUNT_ONLY_BFILTR = 2.
Initiators – Filtered Cigars as Blunts
R04_INIT_BLUNT_BFILTR_YOUTH
(1) Initiator = Youth respondents who initiated
smoking filtered cigars as blunts between
Waves or new baseline youth respondents who
have ever used filtered cigars as blunts every
time in the past 12 months.
(2) Non-initiator = Youth respondents who did
not initiate smoking filtered cigars as blunts
between Waves or new baseline youth
respondents who have not ever used filtered
cigars as blunts.
IF R03_EVER_NEVER_BFILTR != 1 AND
R04_YG9106_03 = 1 AND R04_YG1095_03 =
1, THEN R04_INIT_BLUNT_BFILTR_YOUTH =
1.
ELSE, R04_INIT_BLUNT_BFILTR_YOUTH = 2.
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Variable Name
Variable Description
User Group Definition
Ever or Never Users - Pipe
R04_EVER_NEVER_PIPE_YOUTH
(1) Ever user = Youth respondents who have
ever smoked pipe tobacco.
(2) Never user = Youth respondents who have
not ever smoked pipe tobacco.
IF (R04_YP1001_NB = 1 AND
R04_YP1002_NB = 1) OR R04_YP1002_12M =
1 OR R03_EVER_NEVER_PIPE = 1, THEN
R04_EVER_NEVER_PIPE_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_PIPE_YOUTH !=
1, THEN R04_EVER_NEVER_PIPE_YOUTH =
2.
Initiator - Pipe
R04_INIT_PIPE_YOUTH
(1) Initiator = Youth respondents who initiated
pipe use between Waves or new baseline youth
respondents who have ever smoked a pipe.
(2) Non-initiator = Youth respondents who did
not initiate pipe use between Waves or new
baseline youth respondents who have not ever
smoked a pipe.
IF R03_EVER_NEVER_PIPE != 1 AND
R04_EVER_NEVER_PIPE_YOUTH = 1, THEN
R04_INIT_PIPE_YOUTH = 1.
ELSE, R04_INIT_PIPE_YOUTH = 2.
Past 30 Day Users - Pipe
R04_PAST30DAY_PIPE
(1) Past 30 day user = Youth respondents who
have smoked a pipe in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked a pipe in the past 30
days.
IF R04_YP1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_PIPE = 1.
ELSE, R04_PAST30DAY_PIPE = 2.
Ever or Never Users - Hookah
R04_EVER_NEVER_HOOK_YOUTH
(1) Ever user = Youth respondents who have
ever smoked hookah.
(2) Never user = Youth respondents who have
not ever smoked hookah.
IF (R04_YH1001_NB = 1 AND
R04_YH1002_NB = 1) OR R04_YH1002_12M =
1 OR R03_EVER_NEVER_HOOK = 1, THEN
R04_EVER_NEVER_HOOK_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_HOOK_YOUTH
!= 1, THEN
R04_EVER_NEVER_HOOK_YOUTH = 2.
Initiator - Hookah
R04_INIT_HOOK_YOUTH
(1) Initiator = Youth respondents who initiated
hookah use between Waves or new baseline
youth respondents who have ever smoked a
hookah.
(2) Non-initiator = Youth respondents who have
IF R03_EVER_NEVER_HOOK != 1 AND
R04_EVER_NEVER_HOOK_YOUTH = 1,
THEN R04_INIT_HOOK_YOUTH = 1.
ELSE, R04_INIT_HOOK_YOUTH = 2.
PIPES
HOOKAH
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Variable Name
Variable Description
User Group Definition
did not initiate hookah use between Waves or
new baseline youth respondents who have not
ever smoked a hookah.
Past 30 Day Users - Hookah
R04_PAST30DAY_HOOK
(1) Past 30 day user = Youth respondents who
have smoked hookah in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not smoked hookah in the past 30
days.
IF R04_YH1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_HOOK = 1.
ELSE, R04_PAST30DAY_HOOK = 2.
Ever or Never Users - Snus
R04_EVER_NEVER_SNUS_YOUTH
(1) Ever user = Youth respondents who have
ever used snus.
(2) Never user = Youth respondents who have
not ever used snus.
IF (R04_YU1001_NB = 1 AND
R04_YU1002_NB = 1) OR R04_YU1002_12M =
1 OR R03_EVER_NEVER_SNUS = 1, THEN
R04_EVER_NEVER_SNUS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_SNUS_YOUTH
!= 1, THEN
R04_EVER_NEVER_SNUS_YOUTH = 2.
Initiator - Snus
R04_INIT_SNUS_YOUTH
(1) Initiator = Youth respondents who initiated
snus use between Waves or new baseline youth
respondents who have ever used snus.
(2) Non-initiator = Youth respondents who did
not initiate snus use between Waves or new
baseline youth respondents who have not ever
used snus.
IF R03_EVER_NEVER_SNUS != 1 AND
R04_EVER_NEVER_SNUS_YOUTH = 1, THEN
R04_INIT_SNUS_YOUTH = 1.
ELSE, R04_INIT_SNUS_YOUTH = 2.
Past 30 Day Users - Snus
R04_PAST30DAY_SNUS
(1) Past 30 day user = Youth respondents who
have used snus in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have not used snus in the past 30 days.
IF R04_YU1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SNUS = 1.
ELSE, R04_PAST30DAY_SNUS = 2.
SNUS
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Variable Name
Variable Description
User Group Definition
Past 30 Day "Very Light" or "Not Light"
Users - Snus
R04_PAST30DAY_SNUS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used snus in the past 30
days, and have used snus 10 or fewer times in
their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used snus in the past 30
days, and have used snus more than 10 times in
their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YU1005 = 1 OR 2) AND (R04_YU1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_SNUS_LEVEL = 1.
ELSE, IF (R04_YU1005> 2 OR R04_YU1005 = 8, -7 OR R03_NUMLIFE_SNUS = 1) AND
(R04_YU1112 = 1 OR 2 OR 3), THEN
R04_PAST30DAY_SNUS_LEVEL = 2.
ELSE, R04_PAST30DAY_SNUS_LEVEL = 8.
Ever or Never Users - Smokeless
Tobacco
R04_EVER_NEVER_SMKLS_YOUTH
(1) Ever user = Youth respondents who have
ever used smokeless tobacco.
(2) Never user = Youth respondents who have
not ever used smokeless tobacco.
IF (R04_YS1001_NB = 1 AND
R04_YS1002_NB = 1) OR R04_YS1002_12M =
1 OR R03_EVER_NEVER_SMKLS = 1, THEN
R04_EVER_NEVER_SMKLS_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_SMKLS_YOUTH
!= 1, THEN
R04_EVER_NEVER_SMKLS_YOUTH = 2.
Initiator - Smokeless Tobacco
R04_INIT_SMKLS_YOUTH
(1) Initiator = Youth respondents who initiated
smokeless tobacco use between Waves or new
baseline youth respondents who have ever used
smokeless tobacco.
(2) Non-initiator = Youth respondents who did
not initiate smokeless tobacco use between
Waves or new baseline youth respondents who
have not ever used smokeless tobacco.
IF R03_EVER_NEVER_SMKLS != 1 AND
R04_EVER_NEVER_SMKLS_YOUTH = 1,
THEN R04_INIT_SMKLS_YOUTH = 1.
ELSE, R04_INIT_SMKLS_YOUTH = 2.
SMOKELESS TOBACCO
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Variable Name
Variable Description
User Group Definition
Past 30 Day Users – Smokeless
Tobacco
R04_PAST30DAY_SMKLS
(1) Past 30 day user = Youth respondents who
have used smokeless tobacco in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not used smokeless tobacco in the
past 30 days.
IF R04_YS1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SMKLS = 1.
ELSE, R04_PAST30DAY_SMKLS = 2.
Past 30 Day "Very Light" or "Not Light"
Users - Smokeless Tobacco
R04_PAST30DAY_SMKLS_LEVEL
(1) Past 30 day "very light" user = Youth
respondents who have used smokeless tobacco
in the past 30 days, and have used 10 times or
less in their lifetime.
(2) Past 30 day "not light" user = Youth
respondents who have used smokeless tobacco
in the past 30 days, and have used more than
10 times in their lifetime.
(8) Unknown / missing = Unknown or missing
IF (R04_YS1005 = 1 OR 2) AND (R04_YS1112
= 1 OR 2 OR 3), THEN
R04_PAST30DAY_SMKLS_LEVEL = 1.
ELSE, IF (R04_YS1005 > 2 OR R04_YS1005 =
-8, -7 OR R03_NUMLIFE_SMKLS = 1) AND
R04_YS1112 = 1 OR 2 OR 3, THEN
R04_PAST30DAY_SMKLS_LEVEL = 2.
ELSE, R04_PAST30DAY_SMKLS_LEVEL = 8.
Ever or Never Users - Dissolvable
Tobacco
R04_EVER_NEVER_DISSBL_YOUTH
(1) Ever user = Youth respondents who have
ever used dissolvable tobacco.
(2) Never user = Youth respondents who have
not ever used dissolvable tobacco.
IF (R04_YD1001_NB = 1 AND
R04_YD1002_NB = 1) OR R04_YD1002_12M =
1 OR R03_EVER_NEVER_DISSBL = 1, THEN
R04_EVER_NEVER_DISSBL_YOUTH = 1.
ELSE, IF R04_EVER_NEVER_DISSBL_YOUTH
!= 1, THEN
R04_EVER_NEVER_DISSBL_YOUTH = 2.
Initiator - Dissolvable Tobacco
R04_INIT_DISSBL_YOUTH
(1) Initiator = Youth respondents who initiated
dissolvable tobacco use between Waves new
baseline youth respondents who have ever used
dissolvable tobacco.
(2) Non-initiator = Youth respondents who did
not initiate dissolvable tobacco use between
Waves or new baseline youth respondents who
have not ever used dissolvable tobacco.
IF R03_EVER_NEVER_DISSBL != 1 AND
R04_EVER_NEVER_DISSBL_YOUTH = 1,
THEN R04_INIT_DISSBL_YOUTH = 1.
ELSE, R04_INIT_DISSBL_YOUTH = 2.
DISSOLVABLE TOBACCO
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Variable Name
Variable Description
User Group Definition
Past 30 Day Users - Dissolvable
Tobacco
R04_PAST30DAY_DISS
(1) Past 30 day user = Youth respondents who
have used dissolvable tobacco in the past 30
days.
(2) Not a past 30 day user = Youth respondents
who have not used dissolvable tobacco in the
past 30 days.
IF R04_YD1002_30D = 1, THEN
R04_PAST30DAY_DISS = 1.
ELSE, R04_PAST30DAY_DISS = 2.
Ever or Never Users - Bidis
R04_EVER_NEVER_BIDI_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a bidi.
(2) Never user = Youth respondents who have
not ever smoked a bidi.
IF ((R04_YB9101_NB_01 = 1 OR
R04_YB9101_NB_02 = 1) AND
R04_YB9102_NB_01 = 1) OR
R04_YB9102_12M_01 = 1 OR
R03_EVER_NEVER_BIDI = 1, THEN
R04_EVER_NEVER_BIDI_YOUTH= 1.
ELSE, IF R04_EVER_NEVER_BIDI_YOUTH !=
1, THEN R04_EVER_NEVER_BIDI_YOUTH =
2.
Initiator - Bidis
R04_INIT_BIDI_YOUTH
(1) Initiator = Youth respondents who initiated
bidi use between Waves or new baseline youth
respondents who have ever smoked a bidi.
(2) Non-initiator = Youth respondents who did
not initiate bidi use between Waves or new
baseline youth respondents who have not ever
smoked a bidi.
IF R03_EVER_NEVER_BIDI != 1 AND
R04_EVER_NEVER_BIDI_YOUTH = 1, THEN
R04_INIT_BIDI_YOUTH = 1.
ELSE, R04_INIT_BIDI_YOUTH = 2.
Past 30 Day Users - Bidis
R04_PAST30DAY_BIDI
(1) Past 30 day user = Youth respondents who
have smoked a bidi in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have never smoked a bidi in the past 30
days.
IF R04_YB9102_30D_01 = 1, THEN
R04_PAST30DAY_BIDI = 1.
ELSE, R04_PAST30DAY_BIDI = 2.
Ever or Never Users - Kreteks
R04_EVER_NEVER_KRETEK_YOUTH
(1) Ever user = Youth respondents who have
ever smoked a kretek.
(2) Never user = Youth respondents who have
not ever smoked a kretek.
IF ((R04_YB9101_NB_01 = 1 OR
R04_YB9101_NB_02 = 1) AND
R04_YB9102_NB_02 = 1) OR
R04_YB9102_12M_02 = 1 OR
R03_EVER_NEVER_KRETEK = 1, THEN
R04_EVER_NEVER_KRETEK_YOUTH = 1.
BIDIS AND KRETEKS
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Variable Name
Variable Description
User Group Definition
ELSE, IF
R04_EVER_NEVER_KRETEK_YOUTH != 1,
THEN R04_EVER_NEVER_KRETEK_YOUTH =
2.
Initiator - Kreteks
R04_INIT_KRETEK_YOUTH
(1) Initiator = Youth respondents who initiated
kretek use between Waves or new baseline
youth respondents who have ever smoked a
kretek.
(2) Non-initiator = Youth respondents who did
not initiate smokeless tobacco use between
Waves or new baseline youth respondents who
have not ever smoked a kretek.
IF R03_EVER_NEVER_KRETEK != 1 AND
R04_EVER_NEVER_KRETEK_YOUTH = 1,
THEN R04_INIT_KRETEK_YOUTH = 1.
ELSE, R04_INIT_KRETEK_YOUTH = 2.
Past 30 Day Users - Kreteks
R04_PAST30DAY_KRETEK
(1) Past 30 day user = Youth respondents who
have smoked a kretek in the past 30 days.
(2) Not a past 30 day user = Youth respondents
who have never smoked a kretek in the past 30
days.
IF R04_YB9102_30D_02 = 1, THEN
R04_PAST30DAY_KRETEK = 1.
ELSE, R04_PAST30DAY_KRETEK = 2.
(1) Ever user = Youth respondents who have
ever used any type of tobacco product(s) in
lifetime.
(2) Never user = Youth respondents who have
not ever used any type of tobacco product(s) in
lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 OR
R04_EVER_NEVER_EPRODS_YOUTH = 1 OR
(R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
R04_EVER_NEVER_PIPE_YOUTH = 1 OR
R04_EVER_NEVER_HOOK_YOUTH = 1 OR
R04_EVER_NEVER_SMKLS_YOUTH = 1 OR
R04_EVER_NEVER_SNUS_YOUTH = 1 OR
R04_EVER_NEVER_DISSBL_YOUTH = 1 OR
R04_EVER_NEVER_BIDI_YOUTH = 1 OR
R04_EVER_NEVER_KRETEK_YOUTH = 1,
THEN R04_EVER_USE_TOB=1.
TOBACCO (GENERAL)
Ever Users - Tobacco
R04_EVER_USE_TOB
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Variable Name
Variable Description
User Group Definition
ELSE, R04_EVER_USE_TOB=2.
Ever Users – Cigarettes Only
R04_EVER_USE_CIGSONLY
(1) Ever user = Youth respondents who have
ever used only cigarettes, and no other
products, in lifetime.
(2) Never user = Youth respondents who have
not ever used only cigarettes, and no other
products, in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 AND
R04_EVER_NEVER_EPRODS_YOUTH != 1
AND R04_EVER_NEVER_GTRAD_YOUTH != 1
AND R04_EVER_NEVER_GRILLO_YOUTH !=
1 AND R04_EVER_NEVER_GFILTR_YOUTH
!= 1 AND R04_EVER_NEVER_PIPE_YOUTH !=
1 AND R04_EVER_NEVER_HOOK_YOUTH !=
1 AND R04_EVER_NEVER_SMKLS_YOUTH !=
1 AND R04_EVER_NEVER_SNUS_YOUTH !=
1 AND R04_EVER_NEVER_DISSBL_YOUTH
!= 1 AND R04_EVER_NEVER_BIDI_YOUTH !=
1 AND R04_EVER_NEVER_KRETEK_YOUTH
!= 1, THEN R04_EVER_USE_CIGSONLY= 1.
ELSE, R04_EVER_USE_CIGSONLY= 2.
Ever Users - Dual
R04_EVER_USE_DUAL
(1) Ever user = Youth respondents who have
ever used cigarettes and at least one other
tobacco product in lifetime.
(2) Never user = Youth respondents who have
not ever used cigarettes and at least one other
tobacco product in lifetime.
IF R04_EVER_NEVER_CIGS_YOUTH = 1 AND
((R04_EVER_NEVER_EPRODS_YOUTH = 1)
OR (R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
(R04_EVER_NEVER_PIPE_YOUTH = 1) OR
(R04_EVER_NEVER_HOOK_YOUTH = 1) OR
(R04_EVER_NEVER_SMKLS_YOUTH = 1) OR
(R04_EVER_NEVER_SNUS_YOUTH = 1) OR
(R04_EVER_NEVER_DISSBL_YOUTH = 1) OR
(R04_EVER_NEVER_BIDI_YOUTH = 1) OR
(R04_EVER_NEVER_KRETEK_YOUTH = 1)),
THEN R04_EVER_USE_DUAL= 1.
ELSE, R04_EVER_USE_DUAL= 2.
Ever Users – Tobacco (Excluding
Cigarettes)
(1) Ever user = Youth respondents who have
ever used any tobacco products, excluding
IF R04_EVER_NEVER_CIGS_YOUTH = 2 AND
(R04_EVER_NEVER_EPRODS_YOUTH = 1
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Variable Name
Variable Description
User Group Definition
R04_EVER_USE_TOBXCIGS
cigarettes, in lifetime.
(2) Never user = Youth respondents who have
not ever used any tobacco products, excluding
cigarettes, in lifetime.
OR (R04_EVER_NEVER_GTRAD_YOUTH = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2) OR
(R04_EVER_NEVER_GRILLO_YOUTH = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2) OR
(R04_EVER_NEVER_GFILTR_YOUTH = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2) OR
(R04_EVER_NEVER_PIPE_YOUTH = 1) OR
(R04_EVER_NEVER_HOOK_YOUTH = 1) OR
(R04_EVER_NEVER_SMKLS_YOUTH = 1) OR
(R04_EVER_NEVER_SNUS_YOUTH = 1) OR
(R04_EVER_NEVER_DISSBL_YOUTH = 1) OR
(R04_EVER_NEVER_BIDI_YOUTH = 1) OR
(R04_EVER_NEVER_KRETEK_YOUTH = 1)),
THEN R04_EVER_USE_TOBXCIGS = 1.
ELSE, R04_EVER_USE_TOBXCIGS = 2.
Past 30 Day Users - Tobacco
R04_PAST30DAY_TOB
(1) Past 30 day user = Youth respondents who
have used any tobacco product(s) in the past 30
days.
(2) Not past 30 day user = Youth respondents
who have not ever used any tobacco product(s)
in the past 30 days.
IF R04_PAST30DAY_CIGS = 1 OR
R04_PAST30DAY_EPRODS = 1 OR
R04_PAST30DAY_GTRAD = 1 OR
R04_PAST30DAY_GRILLO = 1 OR
R04_PAST30DAY_GFILTR = 1 OR
R04_PAST30DAY_PIPE = 1 OR
R04_PAST30DAY_HOOK = 1 OR
R04_PAST30DAY_SMKLS = 1 OR
R04_PAST30DAY_SNUS = 1 OR
R04_PAST30DAY_DISS = 1 OR
R04_PAST30DAY_BIDI = 1 OR
R04_PAST30DAY_KRETEK = 1,
THEN R04_PAST30DAY_TOB = 1.
ELSE, R04_PAST30DAY_TOB = 2.
Past Year Level - Tobacco
R04_PASTYEAR_TOB_USE_LEVEL
(1) Very light = Youth respondents who have
used any tobacco product in the last year, and
are not "not light" users of any product.
(2) Not light = Youth respondents who are not
light users of any tobacco product and have
used in the past year.
IF R04_EVER_USE_TOB = 1 AND
(((R04_YC1005 = 1 OR 2 OR 3 AND
R03_NUMLIFE_CIGS != 1) AND (R04_YC1112
= 1, 2, 3, 4, OR 5)) OR ((R04_YV1005 = 1 AND
R03_NUMLIFE_ECIG != 1) AND (R04_YV1112
= 1, 2, 3, 4, OR 5)) OR ((R04_YG1005TC = 1
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Variable Description
User Group Definition
OR 2 OR 3 AND R03_NUMLIFE_GTRAD != 1)
AND (R04_YG1112TC = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005CL = 1 OR 2 OR 3 AND
R03_NUMLIFE_GRILLO != 1) AND
(R04_YG1112CL = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005FC = 1 OR 2 OR 3 AND
R03_NUMLIFE_GFILTR != 1) AND
(R04_YG1112FC = 1, 2, 3, 4, OR 5)) OR
(R04_YP1112 = 1, 2, 3, 4, OR 5) OR
(R04_YH1112 = 1, 2, 3, 4, OR 5) OR
((R04_YU1005 = 1 OR 2) AND (R04_YU1112 =
1, 2, 3, 4, OR 5)) AND ((R04_YS1005 = 1 OR 2)
AND (R04_YS1112 = 1, 2, 3, 4, OR 5)) OR
R04_YD1002_12M = 1 OR R04_YB9102_01 = 1
OR R04_YB9102_02 = 1), THEN
R04_PASTYEAR_TOB_USE_LEVEL = 1.
IF ((R04_YC1005 > 3 OR R04_YC1005 = -8, -7
OR R03_NUMLIFE_CIGS = 1) AND
(R04_YC1112 = 1 OR 2 OR 3 OR 4 OR 5)) OR
((R04_YV1005 > 1 OR R04_YV1005 = -8, -7 OR
R03_NUMLIFE_ECIG = 1) AND (R04_YV1112 =
1, 2, 3, 4, OR 5)) OR ((R04_YG1005TC > 3 OR
R04_YG1005TC = -8, -7 OR
R03_NUMLIFE_GTRAD = 1) AND
(R04_YG1112TC = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005CL > 3 OR R04_YG1005CL = -8,
-7 OR R03_NUMLIFE_GRILLO = 1) AND
(R04_YG1112CL = 1, 2, 3, 4, OR 5)) OR
((R04_YG1005FC > 3 OR R04_YG1005FC = -8,
-7 OR R03_NUMLIFE_GFILTR = 1) AND
(R04_YG1112FC = 1, 2, 3, 4, OR 5)) OR
((R04_YU1005 > 2 OR R04_YU1005 = -8, -7
OR R03_NUMLIFE_SNUS = 1) AND
(R04_YU1112 = 1, 2, 3, 4, OR 5)) OR
((R04_YS1005 > 2 OR R04_YS1005 = -8, -7 OR
R03_NUMLIFE_SMKLS = 1) AND
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Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
User Group Definition
(R04_YS1112 = 1, 2, 3, 4, OR 5)), THEN
R04_PASTYEAR_TOB_USE_LEVEL = 2.
Past Year Users - Tobacco
R04_PASTYEAR_TOB_USE
PATH – Wave 4
Youth Questionnaire – Extended Interview
(1) Past year tobacco = (Past year users of
tobacco only) Youth respondents who have
used any tobacco product(s) in the past 12
months, but have not used any e-products in the
past 12 months.
(2) Past year e-product = (Past year users of eproducts only) Youth respondents who have
used any e-product in the past 12 months, but
have not used any other tobacco product(s) in
the past 12 months.
(3) Past year both = (Past year users of tobacco
and e-products) Youth respondents who have
used any e-product in the past 12 months and
have used at least one other tobacco product in
the past 12 months.
(4) Past year non-user = (Past year non-users of
any tobacco or e-product) Youth respondents
who have not used any e-product in the past 12
months and have not used any other tobacco
product in the past 12 months.
326
IF [R04_YV1112 != 1, 2, 3, 4, 5] AND
[(R04_YC1112 = 1, 2, 3, 4, 5) OR
(R04_YG1112TC = 1, 2, 3, 4, 5) OR
(R04_YG1112CL = 1, 2, 3, 4, 5) OR
(R04_YG1112FC = 1, 2, 3, 4, 5) OR
(R04_YP1112 = 1, 2, 3, 4, 5) OR (R04_YH1112
= 1, 2, 3, 4, 5) OR (R04_YU1112 = 1, 2, 3, 4, 5)
OR (R04_YS1112 = 1, 2, 3, 4, 5) OR
R04_YB9102_12M_01 = 1 OR
R04_YB9102_12M_02 = 1 OR
R04_YD1002_12M = 1], THEN
R04_PASTYEAR_TOB_USE = 1.
ELSE, IF [R04_YV1112 = 1, 2, 3, 4, 5] AND
[(R04_YC1112 != 1, 2, 3, 4, 5) AND
(R04_YG1112TC != 1, 2, 3, 4, 5) AND
(R04_YG1112CL != 1, 2, 3, 4, 5) AND
(R04_YG1112FC != 1, 2, 3, 4, 5) AND
(R04_YP1112 != 1, 2, 3, 4, 5) AND
(R04_YH1112 != 1, 2, 3, 4, 5) AND
(R04_YU1112 != 1, 2, 3, 4, 5) AND
(R04_YS1112 != 1, 2, 3, 4, 5) AND
R04_YB9102_12M_01 != 1 AND
R04_YB9102_12M_02 != 1 AND
R04_YD1002_12M != 1], THEN
R04_PASTYEAR_TOB_USE = 2.
ELSE, IF [R04_YV1112 = 1, 2, 3, 4, 5] AND
[(R04_YC1112=1, 2, 3, 4, 5) OR
(R04_YG1112TC = 1, 2, 3, 4, 5) OR
(R04_YG1112CL = 1, 2, 3, 4, 5) OR
(R04_YG1112FC = 1, 2, 3, 4, 5) OR
(R04_YP1112 = 1, 2, 3, 4, 5) OR (R04_YH1112
= 1, 2, 3, 4, 5) OR (R04_YU1112 = 1, 2, 3, 4, 5)
OR (R04_YS1112 = 1, 2, 3, 4, 5) OR
R04_YB9102_12M_01 = 1 OR
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
User Group Definition
R04_YB9102_12M_02 = 1 OR
R04_YD1002_12M = 1], THEN
R04_PASTYEAR_TOB_USE = 3.
ELSE, IF [R04_YV1112 != 1, 2, 3, 4, 5] AND
[(R04_YC1112 != 1, 2, 3, 4, 5) AND
(R04_YG1112TC != 1, 2, 3, 4, 5) AND
(R04_YG1112CL != 1, 2, 3, 4, 5) AND
(R04_YG1112FC != 1, 2, 3, 4, 5) AND
(R04_YP1112 != 1, 2, 3, 4, 5) AND
(R04_YH1112 != 1, 2, 3, 4, 5) AND
(R04_YU1112 != 1, 2, 3, 4, 5) AND
(R04_YS1112 != 1, 2, 3, 4, 5) AND
R04_YB9102_12M_01 != 1 AND
R04_YB9102_12M_02 != 1 AND
R04_YD1002_12M != 1], THEN
R04_PASTYEAR_TOB_USE = 4.
PATH – Wave 4
Youth Questionnaire – Extended Interview
327
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
APPENDIX: DERIVED VARIABLES
Variable Name
Variable Description
Variable Definition
R04_YOUTHAGE
Youth respondent age.
IF R04_E_YOUTH = 1, THEN R04_YOUTHAGE
= R04_CURRENT_AGE_LD.
ELSE, R04_YOUTHAGE = R04_PARYTHAGE.
R04_EPRODCOUNT
The number of different electronic nicotine
products used.
R04_EPRODCOUNT = 0;
IF R04_YV9035_01 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_02 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_03 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_04 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1;
IF R04_YV9035_05 = 1, SET
R04_EPRODCOUNT = R04_EPRODCOUNT +
1.
R04_EDEVICETYPE
Electronic nicotine product device type.
IF R04_YV9005 = 2, -8 OR -7 AND
R04_YV9008 = 2, -8 OR -7 AND R04_YV9038 =
2, 3, -8 OR -7 AND R04_YV9009 = 2, -8 OR -7,
THEN R04_EDEVICETYPE = 1 (Disposable).
ELSE, IF R04_YV9005 = 1 AND R04_YV9008 =
1 AND R04_YV9038 = 2, 3, -8 OR -7 AND
R04_YV9009 = 2, -8 OR -7, THEN
R04_EDEVICETYPE = 2 (Non-Refillable
Cartridge).
ELSE, IF R04_YV9005 = 1 AND R04_YV9008 =
PATH – Wave 4
Youth Questionnaire – Extended Interview
328
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
Variable Definition
1 AND R04_YV9038 != 1 AND R04_YV9009 =
1, THEN R04_EDEVICETYPE = 3 (Refillable
Cartridge).
ELSE, IF R04_YV9005 = 1 AND R04_YV9038 =
1 AND R04_YV9009 = 1, THEN
R04_EDEVICETYPE = 4 (Refillable Tank
System).
ELSE, IF R04_YV9005 = 1, 2, -8 OR -7 AND
R04_YV9008 = 2, -8 OR -7 AND R04_YV9038 =
2, 3, -8 OR -7 AND R04_YV9009 = 1, THEN
R04_EDEVICETYPE = 5 (Refillable Mod
System).
ELSE, R04_EDEVICETYPE = 6 (Unknown).
CIGARFILL
Fill to be shown in question text to indicate the
cigar type.
Fill with "traditional cigar" for traditional
cigar/blunt smokers
Fill with "cigarillo" for cigarillo/blunt smokers
Fill with "filtered cigar" for filtered cigar/blunt
smokers
IF R04_EVER_NEVER_GTRAD = 1 OR
R04_12MBLUNT_ONLY_GTRAD = 1, THEN
CIGARFILL = "traditional cigar".
IF R04_EVER_NEVER_GRILLO = 1 OR
R04_12MBLUNT_ONLY_GRILLO = 1, THEN
CIGARFILL = "cigarillo".
IF R04_EVER_NEVER_GFILTR = 1 OR
R04_12MBLUNT_ONLY_GFILTR = 1, THEN
CIGARFILL = "filtered cigar".
CIGARLOOP
Cigars as Non-Blunts:
GTRAD = Youth respondents who have ever
smoked traditional cigars and have not smoked
traditional cigars as blunts every time when
smoked in the past 12 months.
GRILLO = Youth respondents who have ever
smoked cigarillos and have not smoked
cigarillos as blunts every time when smoked in
the past 12 months.
GFILTR = Youth respondents who have ever
smoked filtered cigars and have not smoked
Cigars as Non-Blunts:
GTRAD: IF R04_EVER_NEVER_GTRAD = 1
AND R04_12MBLUNT_ONLY_BTRAD = 2,
THEN LOOP = GTRAD.
GRILLO: IF R04_EVER_NEVER_GRILLO = 1
AND R04_12MBLUNT_ONLY_BRILLO = 2,
THEN LOOP = GRILLO.
GFILTR: IF R04_EVER_NEVER_GFILTR = 1
AND R04_12MBLUNT_ONLY_BFILTR = 2,
THEN LOOP = GFILTR.
PATH – Wave 4
Youth Questionnaire – Extended Interview
329
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
Variable Definition
filtered cigars as blunts every time when smoked
in the past 12 months.
Cigars as Blunts-Only:
BTRAD = Youth respondents who smoke
traditional cigars as blunts every time when
smoked in the past 12 months.
BRILLO = Youth respondents who smoke
cigarillos as blunts every time when smoked in
the past 12 months.
BFILTR = Youth respondents who smoke filtered
cigars as blunts every time when smoked in the
past 12 months.
Cigars as Blunts-Only:
BTRAD: IF R04_12MBLUNT_ONLY_BTRAD =
1, THEN LOOP = BTRAD.
BRILLO: IF R04_12MBLUNT_ONLY_BRILLO =
1, THEN LOOP = BRILLO.
BFILTR: IF R04_12MBLUNT_ONLY_BFILTR =
1, THEN LOOP = BFILTR.
R04_YOUTH_ASTHMA
(1) Asthma = Youth respondent has ever had
asthma.
(2) No asthma = Youth respondent has never
had asthma.
IF R03_ASTHMA = 1 OR R04_YT0031_NB = 1
OR R04_YT0031_12M = 1, THEN
R04_YOUTH_ASTHMA = 1.
ELSE, R04_YOUTH_ASTHMA = 2.
R04_SUBSTANCE_COUNT
Number of substances the youth respondent has
ever used.
R04_SUBSTANCE_COUNT = 0;
IF R04_EVER_USER_ALC = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_MJ = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_RIT = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_PK = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_COC = 1, SET
PATH – Wave 4
Youth Questionnaire – Extended Interview
330
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
Variable Definition
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_STIM = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
IF R04_EVER_USER_OTH = 1, SET
R04_SUBSTANCE_COUNT =
R04_SUBSTANCE_COUNT + 1;
R04_EVER_USER_ALC
Youth respondent has ever used alcohol.
IF R03_EVER_USER_ALCOHOL = 1 OR
R04_YX0084_NB = 1 OR R04_YX0084_12M =
1, THEN R04_EVER_USER_ALC = 1. ELSE
R04_EVER_USER_ALC = 2.
R04_EVER_USER_MJ
Youth respondent has ever used marijuana.
IF R03_EVER_USER_MARIJUANA = 1 OR
R04_YX0085_NB =1 OR R04_YG9105_NB = 1
OR R04_YH9031 = 1 OR R04_YV9042 = 1 OR
R04_YX0085_12M = 1 OR R04_YG9107 = 1,
THEN R04_EVER_USER_MJ = 1. ELSE,
R04_EVER_USER_MJ = 2.
R04_EVER_USER_RIT
Youth respondent has ever used Ritalin® or
Adderall®.
IF R03_EVER_USER_RITALIN = 1 OR
R04_YX0089_NB_01= 1 OR
R04_YX0089_12M_01 = 1, THEN
R04_EVER_USER_RIT = 1. ELSE
R04_EVER_USER_RIT = 2.
R04_EVER_USER_PK
Youth respondent has ever used painkillers,
sedatives, or tranquilizers.
IF R03_EVER_USER_PAINKILLERS = 1 OR
R04_YX0089_NB_02 = 1 OR
R04_YX0089_12M_02 = 1 , THEN
R04_EVER_USER_PK = 1. ELSE
R04_EVER_USER_PK = 2.
R04_EVER_USER_COC
Youth respondent has ever used cocaine or
crack.
IF R03_EVER_USER_COCAINE = 1 OR
R04_YX0220_NB_01 = 1 OR
R04_YX0220_12M_01 = 1, THEN
R04_EVER_USER_COC = 1. ELSE,
PATH – Wave 4
Youth Questionnaire – Extended Interview
331
PATH
Youth Questionnaire (Spanish) - Extended Interview
Wave 4 (version 4.0)
Variable Name
Variable Description
Variable Definition
R04_EVER_USER_COC = 2.
R04_EVER_USER_STIM
Youth respondent has ever used stimulants like
methamphetamine or speed.
IF R03_EVER_USER_STIMULANTS = 1 OR
R04_YX0220_NB_02 = 1 OR
R04_YX0220_12M_02 = 1, THEN
R04_EVER_USER_STIM = 1. ELSE,
R04_EVER_USER_STIM = 2.
R04_EVER_USER_OTH
Youth respondent has ever used other drugs like
heroin, inhalants, solvents, or hallucinogens.
IF R03_EVER_USER_OTHERDRUG = 1 OR
R04_YX0220_NB_03 = 1 OR
R04_YX0220_12M_03 = 1, THEN
R04_EVER_USER_OTH = 1. ELSE,
R04_EVER_USER_OTH = 2.
PATH – Wave 4
Youth Questionnaire – Extended Interview
332
PATH Study Tobacco Use Form
OMB Control Number:
0925-0664
Expiration Date:
XX/XX/20XX
All information you give to the PATH Study will be kept private, and will only be used for research purposes.
Have you used any of the following products today, yesterday, or the day before yesterday?
(If you don’t know an answer or don’t want to provide one, you may leave the question blank.)
1 Cigarettes
YES
NO
2 Electronic nicotine
products that
contain nicotine
YES
3 Traditional cigars
YES
NO
(such as e-cigarettes, e-hookahs,
e-cigars or e-pipes)
(including when smoked with
tobacco OR with marijuana
such as a “blunt”)
4 Cigarillos
(including when smoked with
tobacco OR with marijuana
such as a “blunt”)
5 Filtered cigars
(including when smoked with
tobacco OR with marijuana
such as a “blunt”)
6 Pipe filled with tobacco
NO
YES
NO
YES
NO
YES
NO
45658.0316.8954040201–RS18–V3
When did you last smoke a cigarette?
In the past hour
Sometime today
Yesterday
Day before yesterday
When did you last use an e-product?
In the past hour
Sometime today
Yesterday
Day before yesterday
When did you last smoke a cigar?
In the past hour
Sometime today
Yesterday
Day before yesterday
When did you last smoke a cigarillo?
In the past hour
Sometime today
Yesterday
Day before yesterday
When did you last smoke a filtered cigar?
In the past hour
Sometime today
Yesterday
Day before yesterday
When did you last smoke a pipe filled with tobacco?
In the past hour
Sometime today
Yesterday
Day before yesterday
What time of day did you last smoke a cigarette?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
What time of day did you last use an e-product?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
What time of day did you last smoke a cigar?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
What time of day did you last smoke a cigarillo?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
What time of day did you last smoke a filtered cigar?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
What time of day did you last smoke a pipe
filled with tobacco?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
During the day you last smoked
a cigarette, how many cigarettes
did you smoke?
During the day you last used
an e-product, how many puffs
did you take?
During the day you last smoked
a cigar, how many did you
smoke?
During the day you last smoked
a cigarillo, how many did you
smoke?
During the day you last smoked
a filtered cigar, how many did
you smoke?
During the day you last smoked
a pipe, how many bowls filled
with tobacco did you smoke?
Page 1 of 2
PATH Study Tobacco Use Form
All information you give to the PATH Study will be kept private, and will only be used for research purposes.
Have you used any of the following products today, yesterday, or the day before yesterday?
(If you don’t know an answer or don’t want to provide one, you may leave the question blank.)
7 Hookah filled with
tobacco
YES
8 Snus
YES
When did you last smoke hookah?
In the past hour
Sometime today
Yesterday
Day before yesterday
NO
9 Smokeless tobacco
What time of day did you last use snus?
When did you last use smokeless tobacco?
What time of day did you last use smokeless tobacco?
In the past hour
Sometime today
Yesterday
Day before yesterday
NO
10 Nicotine patch, nicotine
gum, nicotine inhaler,
nicotine nasal spray,
lozenge, or pill
YES
11 Chantix, varenicline,
Wellbutrin, Zyban,
or bupropion
YES
NO
NO
During the day you last smoked
hookah, how many puffs did
you take?
During the day you last used snus,
how many times did you use it?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
In the past hour
Sometime today
Yesterday
Day before yesterday
YES
(such as moist snuff,
dip, spit, or chew)
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
When did you last use snus?
NO
What time of day did you last smoke hookah?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
During the day you last used
smokeless tobacco, how many
times did you use it?
When did you last use a nicotine patch, nicotine gum,
nicotine inhaler, nicotine nasal spray, lozenge, or pill?
In the past hour
Sometime today
Yesterday
Day before yesterday
What time of day did you last use nicotine patch, nicotine
gum, nicotine inhaler, nicotine nasal spray, lozenge, or pill?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
During the day you last used a
nicotine patch, nicotine gum,
nicotine inhaler, nicotine nasal
spray, lozenge, or pill, how many
did you use?
When did you last use Chantix, varenicline,
Wellbutrin, Zyban, or bupropion?
In the past hour
Sometime today
Yesterday
Day before yesterday
What time of day did you last use Chantix, varenicline,
Wellbutrin, Zyban, or bupropion?
Between midnight and 6AM
After 6AM but before noon
Between noon and 6PM
After 6PM but before midnight
During the day you last used
Chantix, varenicline, Wellbutrin,
Zyban, or bupropion, how many
did you take?
Public reporting burden for this collection of information is estimated to average 5 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 20892-7974, ATTN: PRA (0925-0664). Do not return the completed form to this address.
Date:
m
m
d
d
2
y
0
y
Time:
y
y
h
h
m
m
AM
PM
Participant ID:
Page 2 of 2
Formulario sobre el consumo de tabaco - Estudio PATH
Número de control de la OMB:
0925-0664
Fecha de vencimiento:
XX/XX/20XX
Toda la información que usted le dé al Estudio PATH se mantendrá en privado y se usará únicamente con fines de estudios de investigación.
¿Ha consumido alguno de los siguientes productos hoy, ayer o hace dos días?
(Si no sabe la respuesta o no desea responder, puede dejar la respuesta en blanco).
1 Cigarrillos
SI
NO
2 Productos electrónicos
con nicotina que
contienen nicotina
SI
3 Puros tradicionales
SI
NO
(como cigarrillos electrónicos,
hookahs electrónicas, puros
electrónicos o pipas electrónicas)
(incluyendo cuando se fuman
con tabaco O con marihuana,
como si fuera un “toque o blunt”)
4 Puritos
(incluyendo cuando se fuman
con tabaco O con marihuana,
como si fuera un “toque o blunt”)
5 Puros con filtro
(incluyendo cuando se fuman
con tabaco O con marihuana,
como si fuera un “toque o blunt”)
6 Pipa con tabaco
NO
SI
NO
SI
NO
SI
NO
43425.0916.8954050201–RS18–S–V4
¿Cuándo fue la última vez que fumó un cigarrillo?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
¿A qué hora fumó un cigarrillo por última vez?
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
En el día en que fumó un
cigarrillo por última vez,
¿cuántos fumó?
¿Cuándo fue la última vez que fumó un producto
electrónico con nicotina?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
¿A qué hora fumó un producto electrónico
con nicotina por última vez?
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
En el día en que fumó un
producto electrónico con
nicotina por última vez,
¿cuántas probaditas le dio?
¿Cuándo fue la última vez que fumó un puro?
¿A qué hora fumó un puro por última vez?
En el día en que fumó un
puro por última vez,
¿cuántos fumó?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
¿Cuándo fue la última vez que fumó un purito?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
¿A qué hora fumó un purito por última vez?
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
¿Cuándo fue la última vez que fumó un puro
con filtro?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
¿A qué hora fumó un puro con filtro por última vez?
¿Cuándo fue la última vez que fumó pipa con tabaco?
¿A qué hora fumó pipa con tabaco por última vez?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
En el día en que fumó
un purito por última vez,
¿cuántos fumó?
En el día en que fumó un
puro con filtro por última vez
¿cuántos fumó?
En el día en que fumó pipa
con tabaco por última vez,
¿cuántas cazoletas con
tabaco fumó?
Página 1 de 2
Formulario sobre el consumo de tabaco - Estudio PATH
Toda la información que usted le dé al Estudio PATH se mantendrá en privado y se usará únicamente con fines de estudios de investigación.
¿Ha consumido alguno de los siguientes productos hoy, ayer o hace dos días?
(Si no sabe la respuesta o no desea responder, puede dejar la respuesta en blanco).
7 Hookah con tabaco
¿Cuándo fue la última vez que fumó hookah?
SI
NO
8 Snus
9 Tabaco que no se fuma
NO
10 Parches con nicotina,
chicles de nicotina,
inhaladores de nicotina,
espráis nasales con
nicotina y pastillas
de chupar o píldoras
con nicotina
SI
11 Chantix, vareniclina,
Wellbutrin, Zyban o
bupropión
SI
¿A qué hora consumió snus por última vez?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
SI
(como tabaco de inhalar o rapé,
dip o tabaco de mascar)
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
¿Cuándo fue la última vez que consumió snus?
SI
NO
¿A qué hora fumó hookah por última vez?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
NO
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
¿Cuándo fue la última vez que consumió tabaco que
no se fuma?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
¿A qué hora consumió tabaco que no se fuma por última vez?
¿Cuándo fue la última vez que usó o tomó un
producto con nicotina tal como parches con nicotina,
chicles de nicotina, inhaladores de nicotina, espráis
nasales con nicotina y pastillas de chupar o píldoras
con nicotina?
¿A qué hora usó o tomó por última vez un producto con nicotina
tal como parches con nicotina, chicles de nicotina, inhaladores
de nicotina, espráis nasales con nicotina y pastillas de chupar o
píldoras con nicotina?
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
¿Cuándo fue la última vez que tomó Chantix,
vareniclina, Wellbutrin, Zyban o bupropión?
Hace menos de 1 hora
Hoy
Ayer
Hace dos días
NO
¿A qué hora tomó por última vez Chantix, vareniclina, Wellbutrin,
Zyban o bupropión?
Entre la medianoche y las 6 de la mañana
Entre las 6 de la mañana y el mediodía
Entre el mediodía y las 6 de la tarde
Entre las 6 de la tarde y la medianoche
En el día en que fumó hookah
por última vez, ¿cuántas
probaditas le dio?
En el día en que consumió
snus por última vez, ¿cuántas
veces lo consumió?
En el día en que consumió
tabaco que no se fuma por
última vez, ¿cuántas veces
lo consumió?
En el día en que usó o tomó
por última vez un producto con
nicotina tal como parches con
nicotina, chicles de nicotina,
inhaladores de nicotina, espráis
nasales con nicotina y pastillas
de chupar o píldoras con
nicotina, ¿cuántos usó o tomó?
En el día en que tomó por
última vez Chantix, vareniclina,
Wellbutrin, Zyban o bupropión,
¿cuántas píldoras tomó?
Se calcula que el tiempo para esta recolección de información es de 5 minutos por cuestionario, incluyendo el tiempo necesario para revisar las instrucciones, buscar fuentes de datos existentes, reunir y mantener los datos necesarios y completar y revisar la
recolección de información. Ninguna agencia puede realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha recolección de información, a menos que esta muestre un número de control vigente de la OMB. Envíe
sus comentarios respecto a este cálculo de tiempo o a otro aspecto de esta recolección de información, incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974,
ATTN: PRA (0925-0664). No devuelva el cuestionario contestado a esta dirección.
Fecha:
m
m
d
d
2
a
0
a
Hora:
a
a
h
h
m
m
AM
PM
Identificación del participante:
Página 2 de 2
OMB Control Number: 0925-0664
Expiration Date: xx/xx/xxxx
Household Questionnaire
Who Should Complete This Form?
An adult household member, 18 years or older, who lives at this address should complete the form.
Instructions
Please use a black or blue pen to complete this form.
Please mark
to indicate your answer. If you want to change your answer, darken the box
mark the correct answer.
Please return the completed form in the enclosed postage-paid envelope.
1. In general, how would you rate your health?
Excellent
Very good
Good
Fair
Poor
2. Overall, how confident are you about your
ability to take good care of your health?
Completely confident
Very confident
and
4. Where do you usually get information about
health or medical topics? Mark all that apply.
Family or friends
Doctor or health care provider
Health website (e.g., WebMD.com)
Government website (e.g., FDA.gov)
Some other website
Books
Newspaper or magazine
Some place else
I never look for information about health or
medical topics
Somewhat confident
A little confident
Not confident at all
3. During the past month, did you participate
in any physical activities or exercises of at
least moderate intensity such as running,
brisk walking, swimming, or bicycling at a
regular pace?
5. In the past 12 months, have you done any of the
following on the internet? Mark all that apply.
Looked for medical information for myself or
for someone else
Participated in an online forum or support
group for people with a similar health
issue
Yes
Used
a website or app to help with diet, weight,
U
or physical activity
No
Looked for a health care provider
Kept track of personal health information such
as care received, test results, or upcoming
medical appointments
None of the above
42220
6. How much would you agree or disagree with
the following statement?
Tobacco products are safer to use now than
they were 5 years ago.
9. Including yourself, are any of the people who
live at this address in the following age groups?
Yes
No
7 or younger.......................................
Strongly agree
8 or 9......................................................
Somewhat agree
10 or 11.................................................
Neither agree nor disagree
12 or 13.................................................
Somewhat disagree
14 to 17.................................................
Strongly disagree
18 to 24.................................................
25 or older...........................................
7. Thinking about the people who are important
to you, how would you describe their opinion
on using tobacco?
Very positive
10. If your household is selected to participate in
the PATH Study, we would like to follow up
with you. What is your first name?
Positive
Neither positive or negative
Negative
Very negative
8. In your opinion, how much do you think
warning labels on tobacco products
discourage tobacco use?
Very much
Somewhat
A little
Not at all
Thank you!
Public reporting burden for this collection of information is estimated to average 5 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 20892-7974, ATTN: PRA (0925-0664). Do not return the
completed form to this address.
42220
Número de control de la OMB: 0925-0664
Fecha de vencimiento: xx/xx/xxxx
Cuestionario del hogar
¿Quién debe contestar este formulario?
Este cuestionario lo debe contestar un miembro adulto del hogar, mayor de 18 años y que viva en este domicilio.
Instrucciones
Use un bolígrafo de tinta negra o azul para contestar este formulario.
Marque con una
para indicar su respuesta. Si desea cambiar su respuesta, tache el recuadro así:
marque la respuesta correcta.
y
Por favor envíe el formulario contestado en el sobre cuyos gastos de envío ya se han pagado.
1. En general, ¿cómo calificaría su salud?
Excelente
Muy buena
4. Normalmente, ¿dónde obtiene información
acerca de temas médicos o de salud? Marque
todo lo que corresponda.
Familiares o amigos
Buena
Médico o profesional del cuidado de la salud
Regular
Página en Internet sobre la salud
(p. ej., WebMD.com)
Página en Internet del gobierno (p. ej., FDA.gov)
Mala
2. En general, ¿qué tan seguro está usted de
su capacidad de cuidar bien de su salud?
Otra página en Internet
Libros
Periódicos o revistas
Completamente seguro
Otro lugar
Muy seguro
Nunca busco información sobre temas médicos
o de salud
Algo seguro
Muy poco seguro
Nada seguro
3. En los últimos 30 días, ¿participó en alguna
actividad o ejercicio físico de por lo menos
una intensidad moderada, tal como correr,
caminar de prisa, nadar o montar en
bicicleta a un paso constante?
Sí
No
5. En los últimos 12 meses, ¿ha hecho algo de lo
siguiente en Internet? Marque todo lo que
corresponda.
Buscar información médica para mí o para
otra persona
Participar en un foro en Internet o en un grupo
de apoyo para personas con un problema de
salud similar
Usar una página en Internet o una aplicación
como ayuda con la dieta, el peso o la actividad
física
Buscar un profesional del cuidado de salud
Mantener al día su información personal de
salud como por ejemplo, la atención recibida,
resultados de pruebas o próximas citas médicas
Ninguna de las anteriores
21025
6. ¿Qué tan de acuerdo o desacuerdo está con la
siguiente afirmación?
Los productos de tabaco de ahora son más
seguros de consumir que los de hace 5 años
9. Incluyéndose a usted mismo, ¿pertenece a
alguno de los siguientes grupos de edad alguna
de las personas que viven en este domicilio?
Sí
No
7 años o menos..................................
Completamente de acuerdo
8 o 9........................................................
Algo de acuerdo
10 o 11...................................................
Ni de acuerdo ni en desacuerdo
12 o 13...................................................
Algo en desacuerdo
14 a 17...................................................
Completamente en desacuerdo
18 a 24...................................................
25 o más...............................................
7. Al pensar en las personas que son importantes
para usted, ¿cómo describiría la opinión de
ellos sobre el consumo de tabaco?
Muy positiva
Positiva
10. Si su hogar es seleccionado para participar en
el Estudio PATH, nos gustaría volver a
comunicarnos con usted. ¿Cuál es su nombre?
Ni positiva ni negativa
Negativa
Muy negativa
8. Según su opinión, ¿qué tanto cree usted que el
uso de etiquetas de advertencia en los productos
de tabaco disuade el consumo de tabaco?
Mucho
Algo
Muy poco
Para nada
¡Gracias!
Se calcula que el tiempo para esta recolección de información es de 5 minutos por cuestionario, incluyendo el tiempo necesario para revisar las
instrucciones, buscar fuentes de datos existentes, reunir y mantener los datos necesarios y completar y revisar la recolección de información. Ninguna
agencia puede realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha recolección de información,
a menos que esta muestre un número de control vigente de la OMB. Envíe sus comentarios respecto a este cálculo de tiempo o a otro aspecto de esta
recolección de información, incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance Branch, 6705 Rockledge Drive,
MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). No devuelva el cuestionario contestado a esta dirección.
21025
Wave 4 Verification Task Wrapper
Generated: 20-Sep-2016
Wave 4 Verification Task Wrapper
USER GROUPS ................................................................................................................ 35
2
Wave 4 Verification Task Wrapper
BOX ID:
R04_VTASTART
START
Enable Task 401 for each Wave 4 case: a grouping of SPs eligible for W4 and associated with an
R04_FieldedAddress in HMS tbl.PathRptW4CaseDU. The questions below are asked of a household
informant age 18+ about all SPs associated with the R04_FieldedAddress (this variable houses all address
fields for the W4 case).
LOAD
Defined at Address Level:
R04_FieldedAddress (contains all address fields for the address object that defines the case)
R04_AddressType = {CurrentAddress or MovedAddress or NewVerify}
DUID
R04_NumofPeople_LD - number of people (inclusive of SPs and nonSPs) associated with the DUID
Defined at Person Level:
R04_ExpectedSPEventType_LD = {Adult or ExpectedAdult or Youth}
PID
FirstName
LastName
Gender
R04_BestPhoneNumber (new derivation based on items in HMS contact table)
R04_CURRENT_AGE_LD (calculated by IMS each time at launch)
R04_BESTYTHPARENT_LD (new derivation for Load)
CurrentSP_LD = {1,2}
W1Parent_LD = {1,2}
W2Parent_LD = {1,2}
W3Parent_LD = {1,2}
ActivityFlag_LD = {Active, Inactive, Deceased, Other}
R04_SPWindowStartMonth
R04_SPWindowEndMonth
If R04_AddressType = NewVerify, load above plus:
R04_NewParentfromPreviousVT_LD {1 or 2} and associated PID(s)
R04_NewPersoninVT_LD {1,2} and associated PID(s)
R04_VTA20 (from previous VT)
GLOBAL NOTES:
Disable RF and DK hot keys throughout unless specifically stated/called out in specs.
Add break-off programming (F10) to all screens except Program Boxes and End/Exit screens. If break off at
or after R04_VTA05, display EROC screen. Else, do not display EROC screen in IMS. Never display any
SP Event or enable any SP level tasks. VT must be completed before displaying any SP Event to user. If
break-off, clear all data; when VT is started a subsequent time, begin anew at R04_VTA00.
3
Wave 4 Verification Task Wrapper
PATH ID:
VOMBIntro
IF RESPONDENT ASKS ABOUT THE OFFICE OF MANAGEMENT AND BUDGET (OMB), READ THE
FOLLOWING PARAGRAPH ALOUD
OMB Control Number: 0925-0664 Expiration Date: XX/XX/XXXX
Public reporting burden for this collection of information is estimated to average 2 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 20892-7974, ATTN: PRA (0925-0664). Do not return the
completed form to this address.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: All Respondents.
DISPLAY: Display OMB statement text in grey. Display "IF RESPONDENT ASKS..." statement and
"PRESS 1 TO CONTINUE" in blue. Pending language selected in F2; display English OMB statement if
English is selected, display Spanish OMB statement if Spanish is selected. Default to English display.
PATH ID:
R04_VTA00
ARE YOU CONDUCTING THE VERIFICATION TASK BY TELEPHONE OR IN-PERSON?
1
TELEPHONE
GO TO R04_VTA000
7
IN-PERSON
GO TO R04_VTA000
ASK: All
DISPLAY: Display instructional text in blue.
PATH ID:
R04_VTA000
ARE YOU SPEAKING WITH AN ADULT RESIDENT?
1
YES
GO TO R04_VTABOXAAA_R
2
NO
GO TO R04_VTABOXAAB_R
ASK: All
DISPLAY: Display all instructional text in blue.
BOX ID:
R04_VTABOXAAB_R
If the case has only one object with CurrentSP_LD = 1, go to R04_VTA0000.
Else, go to R04_VTA000D.
4
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA0000
ARE YOU SPEAKING WITH AN ADULT INFORMANT?
[AN INFORMANT IS A NON-HOUSEHOLD MEMBER, FOR EXAMPLE, A NEIGHBOR OR A TRACING
INFORMANT.]
1
YES
GO TO R04_VTA000A
2
NO
GO TO R04_VTA000D
ASK: IF R04_VTA000 = 1.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_VTA000A
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
THE NON-HOUSEHOLD MEMBER INFORMANT REPORTED THAT THE SP IS…
1
DECEASED
GO TO R04_VTA000B
2
TERMINALLY ILL
GO TO R04_VTA000B
3
MENTALLY/PHYSICALLY IMPAIRED
GO TO R04_VTA000B
4
INCARCERATED
GO TO R04_VTA000B
5
OTHER
GO TO R04_VTA000D
ASK: IF R04_VTA0000 = 1.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
PATH ID:
R04_VTA000B
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
YOU’VE INDICATED THAT {NAME} IS {DECEASED/TERMINALLY ILL/MENTALLY/PHYSICALLY
IMPAIRED/INCARCERATED}.
PRESS 1 TO CONFIRM.
PRESS 7 TO GO BACK.
1
CONFIRM
GO TO R04_VTABOXAAC_R
7
GO BACK
GO TO R04_VTA000A
ASK: IF R04_VTA000A = (1,2,3,4).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
5
Wave 4 Verification Task Wrapper
BOX ID:
R04_VTABOXAAC_R
If R04_VTA000A = (1,2) go to R04_VTA000C.
Else, go to R04_VTA01.
PATH ID:
R04_VTA000C
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
I'm very sorry to hear that.
PRESS 1 TO CONTINUE.
1
CONTINUE
GO TO R04_ VTA01
ASK: IF R04_VTA000A = (1,2).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
PATH
ID:
R04_VTA000D
THE VT MUST BE COMPLETED WITH AN ADULT RESIDENT.
PRESS 1 TO EXIT.
1
EXIT
END INTERVIEW AND RETURN TO IMS
ASK: IF R04_VTA0000 = 2 OR R04_VTA000A = 5.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_VTABOXAAA_R
If {R04_AddressType = NewVerify (OR) MovedAddress} OR if R04_FieldedAddress fields = any one or
more of Address line 1, city, state or zip = Empty, GO TO R04_VTA00D.
ELSE, GO TO R04_VTABOXA_V.
6
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA00D
May I please {verify/have} your full address?
IF ADDRESS IS SHOWN, READ ADDRESS ALOUD. VERIFY ALL SPELLING.
IF ADDRESS INFORMATION IS NOT SHOWN, RECORD FULL UPDATED ADDRESS.
ENTER THE PHYSICAL ADDRESS. (DO NOT ENTER A P.O. BOX.)
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
ASK: If R04_AddressType in {NewVerify or MovedAddress}, or if R04_FieldedAddress address fields
contain any one or more address fields: Address line 1, City, State, Zip = Empty.
DISPLAY: Display {have} if all address fields are empty (e.g. there is no address data to pre-fill to any of
the fields). Else, display {verify}.
Display instructional text in blue. Underline "NOT".
BOX ID:
R04_VTABOXA_V
Define R04_LINKED_ADDRESS:
1. If R04_AddressType ! = MovedAddress (or) NewVerify, set R04_LINKED_ADDRESS =
R04_FieldedAddress.
(OR)
2. If R04_AddressType = MovedAddress (or) NewVerify, set R04_LINKED_ADDRESS = THE ADDRESS
CORRECTED/ENTERED AT R04_VTA00D.
(OR)
3. If R04_FieldedAddress fields = any one or more of Address line 1, city, state, or zip = Empty, set
R04_LINKED_ADDRESS = THE ADDRESS CORRECTED/ENTERED AT R04_VTA00D.
DEFINITION: R04_LINKED_ADDRESS is that address for which VT data are being collected in this
instrument.
7
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA01
SELECT THE VERIFICATION TASK RESPONDENT.
1
HOUSEHOLD MEMBER 18+ FIRST NAME/ AGE/GENDER
GO TO R04_VTABOXBA_R
2
HOUSEHOLD MEMBER 18+ FIRST NAME/ AGE/GENDER
GO TO R04_VTABOXBA_R
3
HOUSEHOLD MEMBER 18+ FIRST NAME/ AGE/GENDER
GO TO R04_VTABOXBA_R
4
HOUSEHOLD MEMBER 18+ FIRST NAME/ AGE/GENDER
GO TO R04_VTABOXBA_R
5
HOUSEHOLD MEMBER 18+ FIRST NAME /AGE/GENDER
GO TO R04_VTABOXBA_R
6
HOUSEHOLD MEMBER 18+ FIRST NAME /AGE/GENDER
GO TO R04_VTABOXBA_R
7
HOUSEHOLD MEMBER 18+ FIRST NAME /AGE/GENDER
GO TO R04_VTABOXBA_R
8
HOUSEHOLD MEMBER 18+ FIRST NAME /AGE/GENDER
GO TO R04_VTABOXBA_R
9
SPEAKING WITH SOMEONE ELSE
GO TO R04_VTA01B
ASK: Asked of any adult household informant at the R04_LINKED_ADDRESS.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_VTABOXBA_R
If R04_ExpectedSPEventType = ExpectedAdult or (R04_ExpectedSPEventType = Youth and
R04_CURRENT_AGE_LD >=18) for person selected in R04_VTA01 and R04_AddressType != NewVerify,
GO TO R04_VTA01A.
Else, GO TO R04_VTABOXB_VR.
PATH
ID:
R04_VTA01A
YOU HAVE INDICATED THAT YOU ARE SPEAKING TO AN AGED UP ADULT. BEFORE SPEAKING TO
AN AGED UP ADULT, YOU MUST SPEAK WITH A PARENT TO CONFIRM THAT THE AGED UP ADULT
IS INDEED 18 OR OLDER. IF NOT, DO THE VT WITH ANOTHER ADULT RESIDENT.
PRESS 1 TO EXIT.
1
EXIT
END INTERVIEW AND RETURN TO IMS
ASK: If respondent is a new adult (R04_ExpectedSPEventType = ExpectedAdult) and R04_AddressType
!= NewVerify.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_VTA01B
ENTER FIRST AND LAST NAME OF THE VT RESPONDENT.
1
FIRST NAME
2
LAST NAME
GO TO R04_VTA01BB
ASK: If R04_VTA01 = 9.
Asked in instances when the FI needs to enter a new VT R (selected 'speaking with someone else' at
R04_VTA01).
DISPLAY: Display instructional text in blue.
8
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA01BB
To get started, can you please confirm that you are at least 18 years old?
1
VT R IS 18+ YEARS OLD
GO TO R04_VTA01C
2
VT R IS LESS THAN 18 YEARS OLD
GO TO R04_VTA02
ASK: If R04_VTA01 = 9.
Asked in instances when the FI selects 'speaking with someone else' (R04_VTA01 = 9) and provided the
name of a new person as the VT R in R04_VTA01B.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_VTA01C
What is the best telephone number to reach you?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOXB_VR
-7
REFUSED
GO TO R04_VTABOXB_VR
-8
DON'T KNOW
GO TO R04_VTABOXB_VR
ASK: If R04_VTA01 = 9 (and) R04_VTA01BB = 1.
Asked when the FI needs to enter a new VT R (who must be 18+ years old).
DISPLAY: Display instructional text in blue.
PATH
ID:
R04_VTA02
YOU HAVE INDICATED THAT YOU ARE SPEAKING TO A VT RESPONDENT WHO IS UNDER 18
YEARS OF AGE.
THE VT RESPONDENT MUST BE AGE 18 OR OLDER.
PRESS 1 TO EXIT.
1
EXIT
END INTERVIEW AND RETURN TO IMS
ASK: If R04_VTA01BB = 2.
Asked in instances when the FI selects that the VT R is less than 18 years old in R04_VTA01BB.
DISPLAY: Display instructional text in blue. Display second sentence of instructional text (The VT
Respondent...) in blue bold.
9
Wave 4 Verification Task Wrapper
BOX ID:
R04_VTABOXB_VR
Link Verification Task respondent selected in R04_VTA01 or entered in R04_VTA01B to the VT. Set
R04_VT_R = respondent PID. If R04_VT_R is not assigned a respondent PID, set flag
R04_NewPersoninVT = 1 and set R04_NewPersonTypeinVT = VT R. Upon exit of VT, IMS: assign all
NewPersoninVT = 1, a unique PID.
Set flag W4VTR to 1 for PID that has been identified as the VT respondent.
NAVIGATION:
If R04_VTA000A = (1,2,3), go to R04_VTA55.
Else, if R04_VTA000A = 4, go to R04_VTA54.
Else, if the R04_LINKED_ADDRESS has only one object with CurrentSP_LD = 1, go to R04_VTA05. Else,
go to R04_VTA04.
PATH ID:
R04_VTA04
We would like your help in getting some updated contact information for {you and the other PATH Study
participant(s)/ each PATH Study participant}.
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
PRESS 1 TO CONTINUE.
1
CONTINUE
GO TO R04_VTASTARTLOOP_R
ASK: If R04_LINKED_ADDRESS has 2 or more objects with CurrentSP = 1.
DISPLAY: Display instructional text in blue.
If the VT R is one of the SPs (W4VTR = 1) and CurrentSP_LD=1, display “you and the other PATH Study
participant(s).” Else, display “each PATH Study participant.”
BOX ID:
R04_VTASTARTLOOP_R
PROGRAM: For each object where CurrentSP_LD=1, ask items R04_VTA05 through R04_VTA40B,
following skips as appropriate, then returning to R04_VTA05 for the next SP in list. While asking questions
in the route for one SP instance (defined as SP N), continue to display associated SP name/age/gender on
all screens along the route. Once instrument transitions to the next SP in list (defined as SP, N+1), display
SP name/age/gender for SP N+1. Ask questions about all SPs in the same order as shown in the List
Display in R04_VTA04: age descending where age = R04_CURRENT_AGE_LD. Continue until data is
obtained for all SP instances. Create response panel with all persons in List Display in R04_VTA04; display
one person’s data per row.
10
Wave 4 Verification Task Wrapper
BOX ID:
R04_BOX2_V
If R04_AddressType = NewVerify and (R04_ExpectedSPEventType_LD = ExpectedAdult and R04_VTA20
= 1) (from previous VT), Set R04_ExpectedSPEventType = Adult,
Else, Set R04_ExpectedSPEventType = R04_ExpectedSPEventType_LD.
PATH ID:
R04_VTA05
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{I’d like to update {your/SP Name’s} contact information for my records.}
{Are you/Is NAME} currently living at {INSERT R04_LINKED_ADDRESS}?
{[We will not contact anyone under the age of 18 without first speaking to an adult or parent.]}
1
YES
GO TO R04_VTABOX3_R
2
NO
GO TO R04_VTA10
ASK: Ask for each object for which CurrentSP_LD=1 and SP is associated with this
R04_LINKED_ADDRESS.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
If first loop through, display "I’d like to update {your/SP Name’s} contact information for my records." In
second and subsequent loop(s), blank.
If W4VTR=1, display “your” and “Are you”. Else, display "SP Name" and “Is NAME”.
If R04_CURRENT_AGE_LD < 18, display "[We will not contact anyone under the age of 18 without first
speaking to an adult or parent.]" Else, blank.
BOX ID:
R04_VTABOX3_R
Routing: If SP is R04_ExpectedSPEventType = Adult, go to R04_VTABOX6B_R. Else if
R04_ExpectedSPEventType = ExpectedAdult or (R04_ExpectedSPEventType = Youth and
R04_CURRENT_AGE_LD >=18), go to R04_VTA20. Else, if R04_ExpectedSPEventType = Youth, go to
R04_VTABOX6A_R.
11
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA10
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Did {you/NAME} move or is there another reason why {you are/he is/she is} not currently at this address?
1
MOVED TO ANOTHER ADDRESS
GO TO R04_VTABOX4_R
7
DECEASED
GO TO R04_VTA14
9
ANOTHER REASON (E.G. LIVING IN A MEDICAL
FACILITY, ON A MILITARY BASE, AWAY AT COLLEGE)
GO TO R04_VTA16
ASK: If R04_VTA05 = 2.
Any SPs reported to no longer be at the R04_LINKED_ADDRESS (R04_VTA05).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
BOX ID:
R04_VTABOX4_R
If this is the first SP instance for which R04_VTA10 = 1 and W4VTR=1, go to R04_VTA12. Or, if this is the
first SP instance for which R04_VTA10 = 1 and this PID is in W4VTR=2, go to R04_VTA11.
If this is not the first SP instance (first SP in Loop) for which R04_VTA10 = 1, go to R04_VTA10X.
PATH ID:
R04_VTA10X
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Did {NAME} also move to (READ POSSIBLE ADDRESSES)?
1
MOVED TO {INSERT R04_MOVEDADD01}
GO TO R04_VTABOX4B_VR
2
MOVED TO {INSERT R04_MOVEDADD02}
GO TO R04_VTABOX4B_VR
3
MOVED TO {INSERT R04_MOVEDADD03}
GO TO R04_VTABOX4B_VR
4
MOVED TO {INSERT R04_MOVEDADD04}
GO TO R04_VTABOX4B_VR
5
MOVED TO {INSERT R04_MOVEDADD05}
GO TO R04_VTABOX4B_VR
6
MOVED TO {INSERT R04_MOVEDADD06}
GO TO R04_VTABOX4B_VR
7
MOVED TO {INSERT R04_MOVEDADD07}
GO TO R04_VTABOX4B_VR
8
ENTER DIFFERENT ADDRESS
GO TO R04_VTA12
-8
DON'T KNOW
GO TO R04_VTA13
-7
REFUSED
GO TO R04_VTA13
ASK: Ask of subsequent SP instances (after the first SP in Loop has found to have moved) for which
R04_VTA10 = 1 (moved to another address).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display name of SP being discussed in {NAME}.
Display instructional text in blue.
12
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA11
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
OBTAIN A NEW ADDRESS FOR {ADULT/YOUTH/SHADOW YOUTH NAME} ONLY IF THIS IS A MOVE.
Do you know {SP NAME}’s current address?
{[Right now, I am just looking to update my records. We will not contact anyone under the age of 18 without
first speaking to an adult.]}
1
YES
GO TO R04_VTA12
7
NO
GO TO R04_VTA13
-8
DON'T KNOW
GO TO R04_VTA13
-7
REFUSED
GO TO R04_VTA13
ASK: Ask the Verification Task respondent of all Wave 1 SPs displayed in the List Display in R04_VTA04.
Do not ask this question of the VT respondent (W4VTR=2).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
If asking about a Youth/Shadow Youth, display "{[Right now, I am just looking to update my records. We
will not contact anyone under the age of 18 without first speaking to an adult.]}". Else, blank.
PATH ID:
R04_VTA12
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
OBTAIN A NEW ADDRESS FOR {ADULT/YOUTH/SHADOW YOUTH NAME} ONLY IF THIS IS A
PERMANENT MOVE.
What is {your/NAME}’s address?
{[Right now, I am just looking to update my records. We will not contact anyone under the age of 18 without
first speaking to an adult.]}
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
ASK: If (from R04_VTABOX4_R) or (R04_VTA11 = 1).
Ask in instances when the VT R has self-reported a move or when the VT R has reported other W3 SPs
have moved and he/she knows the new address.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
If asking about a Youth/Shadow Youth, display "{[Right now, I am just looking to update my records. We
will not contact anyone under the age of 18 without first speaking to an adult.]}". Else, do not display.
13
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA13
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Could you provide any information about where {NAME} is now living, such as the city or state?
PROBE FOR AS MUCH DETAIL AS POSSIBLE.
1
[TEXT RESPONSE]
ASK: If R04_VTA11 = 7 or DK/RF (or) R04_VTA10X = DK/RF.
Ask in instances when the VT R does not know or refuses to provide/confirm the SPs new address in
R04_VTA11 or R04_VTA10X.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text
Display instructional text in blue.
BOX ID:
R04_VTABOX4B_VR
Retain new address collected in first (and all previous) SP instance(s) in R04_VTA12. Then, create/add to
array of moved addresses that is asked/displayed in subsequent SP instances (N+1).
Create a new variable for each new unique moved address obtained, up to 7:
R04_MOVEDADD01
R04_MOVEDADD02
R04_MOVEDADD03
R04_MOVEDADD04
R04_MOVEDADD05
R04_MOVEDADD06
R04_MOVEDADD07
NAVIGATION: Go to R04_VTA18.
14
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA14
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
YOU’VE INDICATED THAT {NAME} IS DECEASED.
PRESS 1 TO CONFIRM.
PRESS 7 TO GO BACK.
1
CONFIRM
GO TO R04_VTA15
7
GO BACK
GO TO R04_VTA10
ASK: If R04_VTA10 = 7.
Ask in all instances when the VT R reports that the SP is deceased in R04_VTA10.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
PATH ID:
R04_VTA15
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
I'm very sorry to hear of your loss. I will update my records and will make sure we don’t follow-up about
{NAME} again.
PRESS 1 TO CONTINUE.
1
CONTINUE
GO TO R04_VTABOX7_VR
ASK: If R04_VTA14 = 1.
Ask in all instances when the VT R reports the SP is deceased.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
15
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA16
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
YOU’VE INDICATED THAT {NAME} DID NOT PERMANENTLY MOVE BUT IS AWAY FROM
{R04_LINKED_ADDRESS} FOR ANOTHER REASON.
PRESS 1 TO CONFIRM.
PRESS 7 TO GO BACK.
1
CONFIRM
GO TO R04_VTA16B
7
GO BACK
GO TO R04_VTA10
ASK: If R04_VTA10 = 9.
Ask in all instances when the VT R reports the SP is no longer at the R04_LINKED_ADDRESS for another
reason (besides having permanently moved).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
16
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA16B
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
IF RESPONDENT HAS STATED THE REASON THE SP IS AWAY FROM THE ADDRESS AND IT
MATCHES A RESPONSE OPTION, CODE WITHOUT ASKING. SELECT THE OPTION THAT BEST
APPLIES.
IF RESPONDENT HAS NOT YET STATED THE REASON THE SP IS AWAY FROM THE ADDRESS, OR
IF THE STATED REASON DOES NOT EXACTLY MATCH A RESPONSE OPTION, READ THE
QUESTION AND ALL RESPONSE OPTIONS. THEN SELECT THE OPTION THAT BEST APPLIES.
Which option best describes why {NAME is/you are} away from {R04_LINKED_ADDRESS}? Would you
say {NAME is/you are}....
{SELECT RESPONSE OPTION 3 WHEN THE SP IS IN A SKILLED NURSING FACILITY, SUCH AS A
NURSING HOME, ASSISTED LIVING, CONTINUING CARE, OR OTHER SENIOR CARE FACILITY THAT
HELPS SUPPORT THE SP'S ACTIVITIES OF DAILY LIVING.}
SELECT RESPONSE OPTION 5 WHEN THE SP IS IN ANY OTHER GROUP QUARTERS SETTING,
SUCH AS A RESIDENTIAL TREATMENT CENTER, WORKERS CAMP, RELIGIOUS GROUP
QUARTERS, OR GROUP HOME PROVIDING PSYCHIATRIC OR REHABILITATIVE CARE.
1
Away at college or boarding school,
GO TO R04_VTA17
2
Living in a military facility (such as in a military barracks or on
a military base),
GO TO R04_VTA17
3
{Living in a nursing home (or other senior care facility),}
GO TO R04_VTA16C
4
Incarcerated (such as in jail or a detention facility),
GO TO R04_VTA17
5
Living in a different Group Quarters Setting, or
GO TO R04_VTA17
6
Living in a new or different house or apartment?
GO TO R04_VTA17
7
OTHER (SPECIFY)
GO TO R04_VTA17
-8
DON'T KNOW
GO TO R04_VTABOX5_R
-7
REFUSED
GO TO R04_VTABOX5_R
ASK: If R04_VTA16 = 1.
Ask in all instances when the VT R reports the SP is no longer at the R04_LINKED_ADDRESS for another
reason (besides having permanently moved).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text. If ExpectedSPEventType_LD = Adult, display response option 3 (Living in a nursing
home...) and "SELECT RESPONSE OPTION 3 WHEN THE SP IS IN A SKILLED NURSING FACILITY,
SUCH AS A NURSING HOME, ASSISTED LIVING, CONTINUING CARE, OR OTHER SENIOR CARE
FACILITY THAT HELPS SUPPORT THE SP'S ACTIVITIES OF DAILY LIVING", else do not display.
If ExpectedSPEventType_LD = ExpectedAdult or Youth, do not re-adjust response option labels, displaying
only options 1, 2, 4, 5, 6, 7, -8, -7.
17
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA16C
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Is the facility a nursing home, an assisted living facility, a combined nursing home and assisted living
facility, or some other type of senior care facility?
1
NURSING HOME
GO TO R04_VTA17
2
ASSISTED LIVING FACILITY
GO TO R04_VTA17
3
COMBINED NURSING HOME AND ASSISTED LIVING
FACILITY
GO TO R04_VTA17
4
OTHER (SPECIFY)
GO TO R04_VTA17
-8
DON'T KNOW
GO TO R04_VTABOX5_R
-7
REFUSED
GO TO R04_VTABOX5_R
ASK: If R04_VTA16B = 3 (and) R04_ExpectedSPEventType = Adult.
Ask in all instances when the VT R reports self or an Adult SP has entered into a nursing home or similar
senior care facility.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
PATH ID:
R04_VTA17
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Can you provide any information about where {{NAME} is/you are} currently?
PROBE TO OBTAIN THE FOLLOWING INFORMATION:
- TYPE OF PLACE AND ANY ADDRESS INFORMATION WHERE SP CURRENTLY RESIDES;
- PHONE NUMBER, IF APPLICABLE;
- EXPECTED RETURN DATE/LENGTH OF TIME AWAY FROM HOUSEHOLD;
1
[TEXT RESPONSE]
ASK: If R04_VTA16B = {1, 2, 3, 4, 5, 6, 7}.
Ask in all instances when the VT R reports self or an Adult SP is away at college or boarding school, living
in a military facility, entered into a nursing home or similar senior care facility, incarcerated, living in a
different Group Quarters setting, or away for another specified reason at R04_VTA16B.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
If SP is VT R, display “you are”. Else, display “{NAME} is”.
Display instructional text in blue.
18
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA18
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Which option best describes why {NAME/you} moved? Would you say {NAME is/you are}....
READ RESPONSE OPTIONS ALOUD. SELECT THE OPTION THAT BEST APPLIES
{SELECT RESPONSE OPTION 3 WHEN THE SP IS IN A SKILLED NURSING FACILITY, SUCH AS A
NURSING HOME, ASSISTED LIVING, CONTINUING CARE, OR OTHER SENIOR CARE FACILITY THAT
HELPS SUPPORT THE SP'S ACTIVITIES OF DAILY LIVING.}
SELECT RESPONSE OPTION 5 WHEN THE SP IS IN ANY OTHER GROUP QUARTERS SETTING,
SUCH AS A RESIDENTIAL TREATMENT CENTER, WORKERS CAMP, RELIGIOUS GROUP
QUARTERS, OR GROUP HOME PROVIDING PSYCHIATRIC OR REHABILITATIVE CARE.
1
Away at college or boarding school,
GO TO R04_VTABOX5_R
2
Living in a military facility (such as in a military barracks or on
a military base),
GO TO R04_VTABOX5_R
3
{Living in a nursing home (or other senior care facility),}
GO TO R04_VTA18B
4
Incarcerated (such as in jail or a detention facility),
GO TO R04_VTABOX5_R
5
Living in a different Group Quarters Setting, or
GO TO R04_VTABOX5_R
6
Living in a new or different house or apartment?
GO TO R04_VTABOX5_R
7
OTHER (SPECIFY)
GO TO R04_VTABOX5_R
-8
DON'T KNOW
GO TO R04_VTABOX5_R
-7
REFUSED
GO TO R04_VTABOX5_R
ASK: Ask in all instances when the VT R reports the SP has permanently moved.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text. If ExpectedSPEventType_LD = Adult, display response option 3 (Entered into a
nursing home...) and "SELECT RESPONSE OPTION 2 WHEN THE SP IS IN A SKILLED NURSING
FACILITY, SUCH AS A NURSING HOME, ASSISTED LIVING, CONTINUING CARE, OR OTHER SENIOR
CARE FACILITY THAT HELPS SUPPORT THE SP'S ACTIVITIES OF DAILY LIVING", else do not display.
If ExpectedSPEventType_LD = ExpectedAdult or Youth, do not re-adjust response option labels, displaying
only options 1, 2, 4, 5, 6, 7, -8, -7.
19
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA18B
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Is the facility a nursing home, an assisted living facility, a combined nursing home and assisted living
facility, or some other type of senior care facility?
1
NURSING HOME
GO TO R04_VTABOX5_R
2
ASSISTED LIVING FACILITY
GO TO R04_VTABOX5_R
3
COMBINED NURSING HOME AND ASSISTED LIVING
FACILITY
GO TO R04_VTABOX5_R
4
OTHER (SPECIFY)
GO TO R04_VTABOX5_R
-8
DON'T KNOW
GO TO R04_VTABOX5_R
-7
REFUSED
GO TO R04_VTABOX5_R
ASK: If R04_VTA16B = 3 (and) R04_ExpectedSPEventType = Adult.
Ask in all instances when the VT R reports self or an Adult SP has entered into a nursing home or other
senior care facility.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
BOX ID:
R04_VTABOX5_R
If (R04_ExpectedSPEventType = Adult) (or) (SP=VT R and R04_ExpectedSPEventType = ExpectedAdult
and R04_AddressType=NewVerify and R04_CURRENT_AGE_LD >= 18) , go to R04_VTABOX6C_R.
Else if (R04_ExpectedSPEventType = ExpectedAdult) or (R04_ExpectedSPEventType = Youth and
R04_CURRENT_AGE_LD >=18), go to R04_VTA20.
Else if R04_ExpectedSPEventType = Youth, go to R04_VTABOX6A_R
PATH ID:
R04_VTA20
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Our records indicate that {NAME} is now 18 or older. Is this correct?
1
YES, SP IS 18 OR OLDER
GO TO R04_VTABOX5A_LC
2
NO, SP IS 17 OR YOUNGER
GO TO R04_VTABOX5B_LC
-8
DON'T KNOW
GO TO R04_VTABOX6A_R
-7
REFUSED
GO TO R04_VTABOX6A_R
ASK: If R04_ExpectedSPEventType = ExpectedAdult. (Routing from R04_VTABOX3_R or
R04_VTABOX5_R).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
20
Wave 4 Verification Task Wrapper
BOX ID:
R04_VTABOX5A_LC
DISPLAY ERROR MESSAGE:
YOU HAVE INDICATED THE FORMER YOUTH SP IS NOW 18 YEARS OF AGE OR OLDER.
PRESS S IF YES.
PRESS G TO GO BACK AND EDIT ENTRY.
S SUPPRESS GO TO R04_VTA25
G GO BACK GO TO R04_VTA20
BOX ID:
R04_VTABOX5B_LC
DISPLAY ERROR MESSAGE:
YOU HAVE INDICATED THE YOUTH SP IS STILL 17 YEARS OF AGE OR YOUNGER.
PRESS S IF YES.
PRESS G TO GO BACK AND EDIT ENTRY.
S SUPPRESS GO TO R04_VTABOX6A_R
G GO BACK GO TO R04_VTA20
21
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA25
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{We would like to get in touch with {SP NAME} to discuss the next steps in the PATH Study.} What is the
best phone number to reach {SP NAME}?
(Since {SP NAME} is now 18, for purposes of this study {he/she} is considered an adult.)
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOX6D_R
-8
DON'T KNOW
GO TO R04_VTABOX6D_R
-7
REFUSED
GO TO R04_VTABOX6D_R
ASK: If R04_VTA20 = 1 or ExpectedAdult was previously confirmed as 18+.
Ask in all instances when VT R reported that the SP is now 18 years or older at R04_VTA20 (or) the SP
was previously confirmed as 18+.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
If R04_VTA00=1 (telephone), display "{We would like to get in touch with {SP NAME} to discuss the next
steps in the PATH Study.}" Else, blank.
BOX ID:
R04_VTABOX6A_R
Routing Description: If R04_BESTYTHPARENT_LD is not already confirmed as NOT living at the
R04_LINKED_ADDRESS, go to R04_VTA26 (which asks if R04_BESTYTHPARENT_LD is still the best
parent to contact). [Assume the Parent is still at this address, until we know otherwise.] If
R04_BESTYTHPARENT_LD has already been confirmed as NOT living at the R04_LINKED_ADDRESS,
go to R04_VTA27.
22
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA26
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Last time we visited your household, we spoke with {PARENT NAME/you} about {YOUTH NAME}. {Is
this/Are you} still the best person, living with {YOUTH NAME}, to contact regarding {YOUTH NAME}’s
participation in the PATH Study?
THE PARENT MUST LIVE WITH {YOUTH/SHADOW YOUTH NAME}.
REMINDER: A PARENT OR GUARDIAN CAN BE A ROLE, RATHER THAN A RELATIONSHIP. THE
PARENT OR GUARDIAN MUST LIVE WITH THE CHILD, SHOULD BE KNOWLEDGEABLE ABOUT THE
YOUTH AND BE RESPONSIBLE FOR MAKING DECISIONS ON YOUTH’S ACTIVITIES, LIKE SCHOOL
PERMISSIONS, WHERE TO LIVE, ETC.
1
YES
GO TO R04_VTABOX6B_R
2
NO
GO TO R04_VTA27
ASK: Asked when R04_ExpectedSPEventType = Youth and the Parent & Youth have been confirmed as
living at the R04_LINKED_ADDRESS. Route to R04_VTA26 also in instances when the VT R = W3(1)
Parent even if the W3(1) Parent is not an SP.
DISPLAY: Display “{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen, prior to
question text.
If VT R PID = R04_BESTYTHPARENT_LD, display "you" and "Are you". Else, display {FirstName
LastName associated with R04_BESTYTHPARENT_LD} and "Is this".
Display instructional text in blue. Bold "REMINDER" and "A ROLE".
23
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA27
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Who would be the best person, living with {YOUTH NAME}, to contact regarding {NAME}’s continued
participation in the PATH Study?
THE PARENT MUST LIVE WITH {YOUTH/SHADOW YOUTH NAME}.
REMINDER: A PARENT OR GUARDIAN CAN BE A ROLE, RATHER THAN A RELATIONSHIP. THE
PARENT OR GUARDIAN MUST LIVE WITH THE CHILD AND SHOULD BE KNOWLEDGEABLE ABOUT
THE YOUTH AND BE RESPONSIBLE FOR MAKING DECISIONS ON YOUTH’S ACTIVITIES, LIKE
SCHOOL PERMISSIONS, WHERE TO LIVE, ETC.
1
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
2
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
3
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
4
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
5
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
6
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
7
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
8
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
9
(NAME OF VT R)
GO TO R04_VTABOX6B_R
10
(NAME OF POSSIBLE PARENT)
GO TO R04_VTABOX6B_R
11
(NAME OF POSSIBLE PARENT)
GO TO R04_VTABOX6B_R
12
(NAME OF POSSIBLE PARENT)
GO TO R04_VTABOX6B_R
98
NO PARENT LIVES WITH YOUTH
GO TO R04_VTA29B
99
NEW PARENT IDENTIFIED
GO TO R04_VTA28
ASK: (From R04_VTABOX6A_R) OR (R04_VTA26 = 2).
Asked of youth or expected adults confirmed to still be 17 and for which R04_BESTYTHPARENT_LD is not
the best person to contact regarding the youth’s continued participation in the study.
DISPLAY: Display “{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen, prior to
question text.
Display instructional text as blue. Bold "REMINDER" and "A ROLE".
Display name/age/gender of all persons 18+ that are associated with this household.
24
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA28
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
ENTER FIRST AND LAST NAME OF NEW PARENT.
1
FIRST NAME
2
LAST NAME
GO TO R04_VTA29
ASK: If R04_VTA27 = 99.
Collect new Parent first and last name in instances when option of ‘New Parent Identified’ is selected in
R04_VTA27.
DISPLAY: Display “{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen, prior to
question text.
Display instructional text in blue.
PATH ID:
R04_VTA29
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
What is their telephone number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOX6AA_VR
-8
DON'T KNOW
GO TO R04_VTABOX6AA_VR
-7
REFUSED
GO TO R04_VTABOX6AA_VR
ASK: If R04_VTA27 = 99.
Collect new Parent phone number in instances when option of ‘New Parent Identified’ is selected in
R04_VTA27.
DISPLAY: Display “{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen, prior to
question text.
Display instructional text in blue.
PATH ID:
R04_VTA29B
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
DOCUMENT ANY INFORMATION PROVIDED ABOUT SITUATION WHEN NO HOUSEHOLD MEMBER
FILLS PARENT ROLE.
1
[TEXT RESPONSE]
GO TO R04_VTABOX6D_R
ASK: R04_VTA27 = 98
Collect clarifying information in instances when there is no one that fits the Parent role in the household.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
25
Wave 4 Verification Task Wrapper
BOX ID:
R04_VTABOX6AA_VR
(From R04_VTA29):
If original VT results in a split so this VT is R04_AddressType = NewVerify and parent name response
option selected in this VT at R04_VTA27 Parent is a new parent identified from a previous VT, go to
R04_VTABOX6B_R.
Else, If New Parent identified in R04_VTA27 and named in R04_VTA28 is not yet assigned a respondent
PID, set flag R04_NewPersoninVT = 1 and set R04_NewPersonTypeinVT = Parent.
NAVIGATION: Go to R04_VTABOX6B_R
If R04_VTA26 = 1, Set R04_VTBestParent_FN to first name associated with R04_BESTYTHPARENT_LD
and R04_VTBestParent_LN to last name associated with R04_BESTYTHPARENT_LD.
Else, if R04_VTA27 in (1,2,3,4,5,6,7,8,9), Set R04_VTBestParent_FN to FirstName associated with that
response item and R04_VTBestParent_LN to LastName associated with that response item.
Else, if R04_VTA28_FN is not null, Set R04_VTBestParent_FN = R04_VTA28_FN and
R04_VTBestParent_LN = R04_VTA28_LN.
BOX ID:
R04_VTABOX6B_R
Routing: If R04_VTA26 = 1 and R04_BESTYTHPARENT_LD has already completed loop, go to
R04_VTABOX6D_R.
If R04_VTA27 = PID associated with VT R and R04_VTA01 = 9, go to R04_VTABOX6D_R.
If R04_VTA29 is not null, go to R04_VTABOX6D_R.
Else go to R04_VTABOX6C_R.
Routing Description: If the SP row/instance’s phone number was previously obtained, e.g. the unique
person’s telephone number was asked already because the person is an also an Adult SP or a Parent of
another Y/SY, go to R04_VTABOX6D_R. If the parent selected in R04_VTA27 is also the VT R:
R04_VTA01 = 9, R name provided in R04_VTA01B, and phone number obtained in R04_VTA01C, go to
R04_VTABOX6D_R. Else, go to R04_VTABOX6C_VR.
BOX ID:
R04_VTABOX6C_R
If W4VTR=1 and we have a phone number(R04_BestPhoneNumber !=NULL), go to R04_VTA30. If
W4VTR=1 and we do not have a phone number(R04_BestPhoneNumber = NULL), go to R04_VTA35. If
W4VTR=2 and we have a phone number (R04_BestPhoneNumber != NULL), go to R04_VTA40. If
W4VTR=2 and we do not have a phone number (R04_BestPhoneNumber = NULL), go to R04_VTA40B.
26
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA30
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
I have your best phone number as {(XXX) XXX-XXXX}. Is that correct?
1
YES
GO TO R04_VTABOX6D_R
2
NO
GO TO R04_VTA35
ASK: W4VTR=1 and R04_BestPhoneNumber not null.
Ask in all instances when we have a best phone number for the W4 VT R.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Fill {(XXX) XXX-XXXX} with R04_BestPhoneNumber for VT R. Format phone number fill with parentheses
and hyphens, e.g. (301) 251-1500.
PATH ID:
R04_VTA35
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
What is the best telephone number to reach you?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOX6D_R
-8
DON'T KNOW
GO TO R04_VTABOX6D_R
-7
REFUSED
GO TO R04_VTABOX6D_R
ASK: R04_VTA30 = 2 or (W4VTR=1 and R04_BestPhoneNumber is null)
Ask in all instances when the W4 VT R reported that the best phone number we have is not correct in
R04_VTA30 (or) we do not have a best phone number for the W4 VT R.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
27
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA40
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
I have the following phone numbers for {ADULT NAME/PARENT NAME/you}. Which is the best number?
READ PHONE NUMBERS BELOW, STOPPING ONCE RESPONDENT IDENTIFIES BEST NUMBER.
SELECT 4 TO ENTER NEW PHONE NUMBER.
1
PHONE NUMBER
GO TO R04_VTABOX6D_R
2
PHONE NUMBER
GO TO R04_VTABOX6D_R
3
PHONE NUMBER
GO TO R04_VTABOX6D_R
4
ENTER NEW PHONE NUMBER
GO TO R04_VTA40B
9
{REFUSE/DO NOT CONTACT}
GO TO R04_VTABOX6D_R
-8
DON'T KNOW
GO TO R04_VTABOX6D_R
-7
REFUSED
GO TO R04_VTABOX6D_R
ASK: W4VTR=2 and R04_BestPhoneNumber not null. Also not previously obtained in any prior loop in this
instrument.
Ask in all instances when we have a best phone number for an Adult SP or Parent who is not the W4 VT R.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
If W4VTR=1, display "you”. Else, display "SP Name".
For R04_ExpectedSPEventType = Youth and parent is not VT R, display name of adult (parent) identified
in R04_VTA26-R04_VTA28. Else, display Adult SP name if instance (row) is for an Adult SP.
28
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA40B
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
[We would like to contact {ADULT NAME/PARENT NAME} to schedule an appointment for an interview
{about {YOUTH NAME}}].
What is the best number?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOX6D_R
-8
DON'T KNOW
GO TO R04_VTABOX6D_R
-7
REFUSED
GO TO R04_VTABOX6D_R
ASK: R04_VTA40 = 4 or (W4VTR=2 and R04_BestPhoneNumber is null)
Ask in all instances where we obtained a new best phone number for an Adult SP or Parent in R04_VTA40
(or) we do not have a best phone number for an Adult SP or Parent who is not the W4 VT R.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text
Display instructional text in blue. Display first sentence above only if (W4VTR = 2 and
R04_BestPhoneNumber = NULL), else do not display first sentence. Display final phrase in first sentence
above {about YOUTH NAME} only for the subset in (R04_ExpectedSPEventType = Youth + W4VTR =2)
and R04_BestPhoneNumber = NULL.
BOX ID:
R04_VTABOX6D_R
Routing: If R04_CURRENT_AGE_LD < 17 OR R04_VTA16B = 4 OR R04_VTA18 = 4, go to
R04_VTABOX7_VR. Else, go to R04_VTA45.
Routing Description: If the participant's age is less than 17 (all shadow youth and youth younger than 17
years of age) or the SP is incarcerated (as part of a temporary or permanent move), go to
R04_VTABOX7_VR. Else, for all adults and youth at least 17 years of age who are not incarcerated, go to
R04_VTA45.
29
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA45
{ADULT/YOUTH} NAME/AGE/GENDER
{Are you/Is NAME} currently serving on active duty in the U.S. Armed Forces, Military Reserves or National
Guard?
[Active duty for the Reserves or National Guard does not include the regular training for the Reserves or
Guard. It does include being activated for deployment such as for the Iraq War.]
1
YES
GO TO R04_VTABOX7_VR
2
NO
GO TO R04_VTABOX7_VR
-8
DON'T KNOW
GO TO R04_VTABOX7_VR
-7
REFUSED
GO TO R04_VTABOX7_VR
ASK: All households, about ADULT household member and youth household members aged 17 and older.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
If SP is VT R, display “Are you”. Else, display “Is {NAME}”.
BOX ID:
R04_VTABOX7_VR
END OF LOOP
For each SP, set R04_VTBESTSPPHONE:
If R04_VTA30 = 1, set R04_VTBESTSPPHONE = R04_BestPhoneNumber.
Else, if R04_VTA35 is not null and not DK or RF, set R04_VTBESTSPPHONE = R04_VTA35.
Else, if R04_VTA40 in (1,2,3), set R04_VTBESTSPPHONE = number linked to the value of R04_VTA40.
Else, if R04_VTA40B is not null and not DK or RF, set R04_VTBESTSPPHONE = R04_VTA40B.
If data has been collected for each SP row instance, N, and updated address information was received for
any SP row instance, go to R04_VTA50. Else if data has been collected for each SP row instance N and no
updated address information has been received, go to R04_VTA55.
Else, go to R04_VTA05 for row instance (N+1).
30
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA50
Before we end, I’d like to summarize some of the updated address information you told me today. I
recorded that:
SP Name New Address Information
1
CONFIRM
GO TO R04_VTABOX9_R
7
EDIT
GO TO R04_VTABOX8_LC
ASK: Summary page with data that should be confirmed for each SP, only in instances when new address
information was obtained in R04_VTA12 (or) R04_VTA13, or other known information was obtained in
R04_VTA17.
DISPLAY: Display each SPs data in one row.
SP Name: display full name (FirstName/LastName) of each SP (Adult, Youth or Shadow Youth). Only
display SP instances for which some new or partial address information was obtained. (If the SP's address
did not change, omit them from R04_VTA50.)
Street Address: In instances of moves, display updated street address obtained in
R04_VTA10X/R04_VTA12, or other known information obtained in R04_VTA13, or in instances of SP is
away for another reason, display other known information obtained in R04_VTA17.
BOX ID:
R04_VTABOX8_LC
If R04_VTA50 = 7 for said SP instance, display the following logic check table – error message:
SELECT ANY ROW FROM THE LIST BELOW TO GO BACK AND EDIT THAT ITEM.
UPDATE INFORMATION WHERE NEEDED:
SP Name (Disable/disallow any edit name functionality)
New Address Information (Able to Edit and go to R04_VTA05 (or) R04_VTA10 (or) R04_VTA12/13 (or)
R04_VTA17.
Display R04_VTABOX8_LC with one SP's data at a time and only if R04_VTA50 = 7 for said SP. Allow
user to select row, then click to change the response given to one or more fields for the associated SP row
instance.
If any one value in any SP instance row is changed, always redisplay R04_VTA50 for the associated SP.
Allow for multiple loops to edit the fields. R04_VTA50 must be confirmed (response option = 1) for each SP
instance before continuing.
BOX ID:
R04_VTABOX9_R
Once data has been confirmed for each SP instance for which updated address information was obtained,
go to R04_VTA55, Else, return to R04_VTA50 for row instance (N+1).
31
Wave 4 Verification Task Wrapper
PATH ID:
R04_VTA54
ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Can you provide any information about where {NAME} is currently?
PROBE TO OBTAIN THE FOLLOWING INFORMATION:
- TYPE OF PLACE AND ANY ADDRESS INFORMATION WHERE SP IS INCARCERATED;
- PHONE NUMBER, IF APPLICABLE;
- EXPECTED RETURN DATE/LENGTH OF TIME AWAY FROM HOUSEHOLD;
1
[TEXT RESPONSE]
GO TO R04_VTA55
ASK: IF R04_VTA000A = 4
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
PATH
ID:
R04_VTA55
{TARGET WINDOW FOR {SP NAME} IS {MONTH-MONTH}.} {TRY TO SCHEDULE INTERVIEW DURING
THE WINDOW. DOCUMENT APPOINTMENT IN AN EROC / TRY TO TRANSITION DIRECTLY TO SP
LEVEL DATA COLLECTION TASKS, AS APPROPRIATE BASED ON TARGET WINDOW.}
PRESS 1 TO RETURN TO IMS.
1
EXIT
END INTERVIEW AND RETURN TO IMS
ASK: From R04_VTABOX7_VR (or) R04_VTA50.
DESCRIPTION: When Loop for each SP instance has been completed (or) all fields for all SPs in
R04_VTA50 have been confirmed.
DISPLAY: Display instructional text in blue.
Display name of SP in {SP NAME}, and "R04_SPWindowStartMonth - R04_SPWindowEndMonth" for
{MONTH-MONTH} for each SP in household.
Display “TARGET WINDOW FOR {SP NAME} IS {MONTH-MONTH}” if R04_SPWindowStartMonth != Null
AND (R04_VTA10 <> 7 AND R04_VTA000A <> 1 (deceased)), repeat for each SP. Display name of
associated SP in {SP NAME}, and "R04_SPWindowStartMonth - R04_SPWindowEndMonth" in {MONTHMONTH}. Display when routing from R04_VTABOX7_VR OR R04_VTA50.
If R04_VTA000A = (1,2,3,4) or all SPs in the household have R04_VTA10 = 7, do not display any of the fill
text.
Else if R04_VTA00 = 1 and R04_VTA000A != (1,2,3,4), DISPLAY “TRY TO SCHEDULE INTERVIEW
DURING THE WINDOW. DOCUMENT APPOINTMENT IN AN EROC.” If R04_VTA00 = 7 and
R04_VTA000A != (1,2,3,4), DISPLAY “TRY TO TRANSITION DIRECTLY TO SP LEVEL DATA
COLLECTION TASKS, AS APPROPRIATE BASED ON TARGET WINDOW."
32
Wave 4 Verification Task Wrapper
BOX ID:
R04_VTAEND
Return to IMS and set the following:
(A) Set R04_NumofPeople - value for R04_NumofPeople is the count of people associated with the
R04_LINKED_ADDRESS, inclusive of count of PIDs where R04_NewPersoninVT = 1 +
R04_NewPersonTypeinVT = {VT R, Parent} and exclusive of PIDs who are no longer associated with
R04_LINKED_ADDRESS if in SP Loop R04_VTA10 = 1 + R04_VTA10X = {1, 2, 3, 4, 5, 6, 7, 8, -8, -7}
(B) Create SP-level tasks for all SPs confirmed to have been living at linked W4 address:
Set R04_EventType = Adult (and) IMS, create SP Event Type = Adult if R04_ExpectedSPEventType =
Adult.
OR
Set R04_EventType = Youth (and) IMS, create SP Event Type = Youth if R04_ExpectedSPEventType =
Youth.
OR
Set R04_EventType = Adult (and) IMS, create SP Event Type = Adult if R04_ExpectedSPEventType =
ExpectedAdult + R04_VTA20 = 1.
OR
Set R04_EventType = Youth (and) IMS, create SP Event Type = Youth if R04_ExpectedSPEventType =
ExpectedAdult AND R04_VTA20 != 1.
Else, for SPs confirmed to have moved from R04_LINKED_ADDRESS, IMS, do not create SP-level tasks
at this DUID, instead move and associate SPs with new DUID created by IMS; new DUID:
R04_AddressType= NewVerify. IMS, create & display newly created DU on Browse Case screen in IMS.
Exception: If R04_AddressType = NewVerify and PID with R04_ExpectedSPEventType = ExpectedAdult
was confirmed as 18+ in previous VT, create R04_EventType = Adult.
(C) Universe of status codes set in VT and returned then propagated forward by IMS:
Set Task 401 = FVS if PID has W4VTR = 1 and {CurrentSP_LD = 1 (or) W1Parent_LD = 1 (or)
W2_Parent_LD = 1 (or) W3_Parent_LD = 1}. Else set Task 401 = FVO.
Exception: Set Task 401 = FVS if (R04_ExpectedSPEventType = ExpectedAdult +
R04_CURRENT_AGE_LD >=18 + R04_AddressType = NewVerify).
Set Task 401 = FVM if the R04_FieldedAddress ! = R04_LINKED_ADDRESS (and) a new address was
collected at R04_VTA00C, and defined as the R04_LINKED_ADDRESS in R04_VTABOXA. (Do not set
status = FVM if the W4_FieldedAddress was simply corrected in R04_VTA00D.)
Set Task 401 = ISP (Split) for R04_AddressType = NewVerify in instances when a subset of SPs
associated with the parent DUID have split from this R04_LINKED_ADDRESS.
Set Task 401 = IMV (Moved) for R04_AddressType = NewVerify in instances when a subset of SPs
associated with the parent (buddy) DUID have split from this R04_LINKED_ADDRESS and a full new
address is not known (R04_VTA12 address fields contain any one or more address fields: Address line 1,
City, State, Zip = Empty). Retain association of SPs who have moved and for whom a full address is not
known until we know otherwise.
33
Wave 4 Verification Task Wrapper
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = IAW (Away) in instances when the SP is found to be
temporarily away from the R04_LINKED_ADDRESS: R04_VTA16 = 1 (and) possible free text detail was
provided in R04_VTA17. Extract free text entered in R04_VTA17 and display in Comments in the Activity
Log, Blaise returns status to set SP (Task 412 (or) Task 431) = IAW.
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = FDC (Deceased) in instances when the VT R reports
the SP as deceased: R04_VTA15 = 1 or R04_VTA000A = 1. Display deceased SP event in Browse
Person, but do not enable any SP level data collection tasks.
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = IIL (Illness) in instances when the VT R reports the SP
as terminally ill: R04_VTA000A = 2, Blaise returns status to set SP (Task 412 (or) Task 431) = IIL.
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = IPM (Physical/Mental Disability) in instances when the
VT R reports the SP has mental or physical impairment: R04_VTA000A = 3, Blaise returns status to set SP
(Task 412 (or) Task 431) = IPM.
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = IIC (Incarcerated) in instances when the VT R reports
the SP as incarcerated: R04_VTA000A = 4 or R04_VTA16B = 4 or R04_VTA18 = 4 (and) possible free text
detail was provided in R04_VTA54 or R04_VTA17. Extract free text entered in R04_VTA54 or R04_VTA17
and display in Comments in the Activity Log, Blaise returns status to set SP (Task 412 (or) Task 431) = IIC.
Set Task 431 (Youth/SY) = IRW (Interim Review) in instances when the Youth SP is reported to have no
parent living with the Youth (R04_VTA27 = 98) (and) possible free text detail was provided in
R04_VTA29B. Extract free text entered in R04_VTA29B and display in Comments in the Activity Log.
Blaise returns status to set SP (Task 431) = IRW.
If Task 401 IN (FVM, ISP, IMV), Set DUCreationWave = "Wave 4".
34
Wave 4 Verification Task Wrapper
USER GROUPS
Variable Name
Variable Description
User Group Definition
USER GROUPS
Linked Address for VT
W4_LINKED_ADDRESS
(1) Fielded Address = Address is accurate.
(2) Corrected/Entered = Address needed to be
updated.
(3) Corrected/Entered = One or more lines of the
address were missing.
If R04_AddressType ! = MovedAddress (or)
NewVerify, set R04_LINKED_ADDRESS =
R04_FieldedAddress.
If R04_AddressType = MovedAddress (or)
NewVerify, set R04_LINKED_ADDRESS = THE
ADDRESS CORRECTED/ENTERED AT
R04_VTA00D.
If R04_FieldedAddress fields = any one or more of
Address line 1, city, state, or zip = Empty, set
R04_LINKED_ADDRESS = THE ADDRESS
CORRECTED/ENTERED AT R04_VTA00D.
Flag for respondent
W4VTR
(1) W4VTR = Wave 4 VT respondent
(2) Non-W4VTR = SP is not the Wave 4 VT
respondent.
R04_VT_R = 1, set W4VTR = 1
R04_VT_R <> 1
Vt respondent
R04_VT_R
(1) VT Respondent = The household member that
completed the VT task.
R04_VTA01 (or) PID assigned to R04_VTA01B
New person in VT
R04_NewPersoninVT
(1) New person in VT = A new household member
was identified in the VT
R04_VTA01 = 9, set R04_NewPersoninVT = 1.
New person type in VT
R04_NewPersonTypeinVT
(1) New Person Type in VT = A new person in the
household has completed the VT.
If R04_NewPersoninVT, set
R04_NewPersonTypeinVT = R04_VT_R
New parent to be passed to next
VT
R04_NewParentfromPreviousVT
(1) New parent from previous VT = A new parent
was identified in a previous VT during the current
wave.
If R04_AddressType = NewVerify, include parent
linked with flag, NewParentfromPreviousVT = 1
35
Wave 4 Verification Task Wrapper
Variable Name
Variable Description
User Group Definition
Best Parent first name identified
in VT
R04_VTBestParent_FN
(1) Best Parent's Name = The First name of the
best contact parent in the VT.
If R04_VTA26 = 1, Set R04_VTBestParent_FN to
first name associated with
R04_BESTYTHPARENT_LD and
R04_VTBestParent_LN to last name associated
with R04_BESTYTHPARENT_LD.
Else, if R04_VTA27 in (1,2,3,4,5,6,7,8,9), Set
R04_VTBestParent_FN to FirstName associated
with that response item and R04_VTBestParent_LN
to LastName associated with that response item.
Else, if R04_VTA28_FN is not null, Set
R04_VTBestParent_FN = R04_VTA28_FN and
R04_VTBestParent_LN = R04_VTA28_LN.
Best Parent last name identified
in VT
R04_VTBestParent_LN
(1) Best parent last name = The last name of the
best parent to contact identified in the VT.
If R04_VTA26 = 1, Set R04_VTBestParent_FN to
first name associated with
R04_BESTYTHPARENT_LD and
R04_VTBestParent_LN to last name associated
with R04_BESTYTHPARENT_LD.
Else, if R04_VTA27 in (1,2,3,4,5,6,7,8,9), Set
R04_VTBestParent_FN to FirstName associated
with that response item and R04_VTBestParent_LN
to LastName associated with that response item.
Else, if R04_VTA28_FN is not null, Set
R04_VTBestParent_FN = R04_VTA28_FN and
R04_VTBestParent_LN = R04_VTA28_LN.
Expected event type
R04_ExpectedSPEventType
(1) Expected event type = The expected event
type of the SP.
If R04_AddressType = NewVerify and
R04_ExpectedSPEventType_LD = ExpectedAdult,
Set R04_ExpectedSPEventType = Adult,
Else, Set R04_ExpectedSPEventType =
R04_ExpectedSPEventType_LD.
First moved address from VT
R04_MOVEDADD01
(1) First Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
36
In R04_VTABOX4B_VR, first unique moved
address should be stored in R04_MOVEDADD01.
Wave 4 Verification Task Wrapper
Variable Name
Variable Description
User Group Definition
Second moved address from VT
R04_MOVEDADD02
(1) Second Moved Address = If SP has moved
from the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, second unique moved
address should be stored in R04_MOVEDADD02.
Third moved address from VT
R04_MOVEDADD03
(1) Third Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, third unique moved
address should be stored in R04_MOVEDADD03.
Fourth moved address from VT
R04_MOVEDADD04
(1) Fourth Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, fourth unique moved
address should be stored in R04_MOVEDADD04.
Fifth moved address from VT
R04_MOVEDADD05
(1) Fifth Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, fifth unique moved
address should be stored in R04_MOVEDADD05.
Sixth moved address from VT
R04_MOVEDADD06
(1) Sixth Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, sixth unique moved
address should be stored in R04_MOVEDADD06.
Seventh moved address from
VT
R04_MOVEDADD07
(1) Seventh Moved Address = If SP has moved
from the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, seventh unique moved
address should be stored in R04_MOVEDADD07.
Num of People associated with
DUID
R04_NumofPeople
(1) Number of people associated with the VT =
The number of people (PIDs) assoicated with the
VT case upon VT completion.
Set R04_NumofPeople: value for
R04_NumofPeople is the count of people
associated with the R04_LINKED_ADDRESS,
inclusive of count of PIDs where
R04_NewPersoninVT = 1 +
R04_NewPersonTypeinVT = {VT R, Parent} and
exclusive of PIDs who are no longer associated
with R04_LINKED_ADDRESS if in SP Loop
R04_VTA10 = 1 + R04_VTA10X = {1, 2, 3, 4, 5, 6,
7, 8, -8, -7}.
37
Wave 4 Verification Task Wrapper
Variable Name
Variable Description
User Group Definition
Best phone contact
R04_VTBESTSPPHONE
(1) Best phone number = For each SP, what is the
best phone number for contact?
If R04_VTA30 = 1, set R04_VTBESTSPPHONE =
R04_BestPhoneNumber.
Else, if R04_VTA35 is not null and not DK or RF,
set R04_VTBESTSPPHONE = R04_VTA35.
Else, if R04_VTA40 in (1,2,3), set
R04_VTBESTSPPHONE = number linked to the
value of R04_VTA40.
Else, if R04_VTA40B is not null and not DK or RF,
set R04_VTBESTSPPHONE = R04_VTA40B.
Wave 4 SP Event Type
R04_EventType
(1) SP event type = The event type of the SP.
Set R04_EventType = Adult (and) IMS, create SP
Event Type = Adult if R04_ExpectedSPEventType
= Adult.
OR
Set R04_EventType = Youth (and) IMS, create SP
Event Type = Youth if R04_ExpectedSPEventType
= Youth.
OR
Set R04_EventType = Adult (and) IMS, create SP
Event Type = Adult if R04_ExpectedSPEventType
= ExpectedAdult + R04_VTA20 = 1.
OR
Set R04_EventType = Youth (and) IMS, create SP
Event Type = Youth if R04_ExpectedSPEventType
= ExpectedAdult AND R04_VTA20 != 1.
DUCreationWave
DUCreationWave
(1) Wave DUID was created = Wave when DUID
was created.
If Task 401 IN (FVM, ISP, IMV), Set
DUCreationWave = "wave 4".
38
Wave 4 Verification Task Wrapper
Generated: 20-Sep-2016
Wave 4 Verification Task Wrapper (Spanish)
USER GROUPS ................................................................................................................ 35
2
Wave 4 Verification Task Wrapper (Spanish)
BOX ID:
R04_VTASTART
START
Enable Task 401 for each Wave 4 case: a grouping of SPs eligible for W4 and associated with an
R04_FieldedAddress in HMS tbl.PathRptW4CaseDU. The questions below are asked of a household
informant age 18+ about all SPs associated with the R04_FieldedAddress (this variable houses all address
fields for the W4 case).
LOAD
Defined at Address Level:
R04_FieldedAddress (contains all address fields for the address object that defines the case)
R04_AddressType = {CurrentAddress or MovedAddress or NewVerify}
DUID
R04_NumofPeople_LD - number of people (inclusive of SPs and nonSPs) associated with the DUID
Defined at Person Level:
R04_ExpectedSPEventType_LD = {Adult or ExpectedAdult or Youth}
PID
FirstName
LastName
Gender
R04_BestPhoneNumber (new derivation based on items in HMS contact table)
R04_CURRENT_AGE_LD (calculated by IMS each time at launch)
R04_BESTYTHPARENT_LD (new derivation for Load)
CurrentSP_LD = {1,2}
W1Parent_LD = {1,2}
W2Parent_LD = {1,2}
W3Parent_LD = {1,2}
ActivityFlag_LD = {Active, Inactive, Deceased, Other}
R04_SPWindowStartMonth
R04_SPWindowEndMonth
If R04_AddressType = NewVerify, load above plus:
R04_NewParentfromPreviousVT_LD {1 or 2} and associated PID(s)
R04_NewPersoninVT_LD {1,2} and associated PID(s)
R04_VTA20 (from previous VT)
GLOBAL NOTES:
Disable RF and DK hot keys throughout unless specifically stated/called out in specs.
Add break-off programming (F10) to all screens except Program Boxes and End/Exit screens. If break off at
or after R04_VTA05, display EROC screen. Else, do not display EROC screen in IMS. Never display any
SP Event or enable any SP level tasks. VT must be completed before displaying any SP Event to user. If
break-off, clear all data; when VT is started a subsequent time, begin anew at R04_VTA00.
3
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
VOMBIntro
IF RESPONDENT ASKS ABOUT THE OFFICE OF MANAGEMENT AND BUDGET (OMB), READ THE
FOLLOWING PARAGRAPH ALOUD
Número de control de la OMB: 0925-0664 Fecha de vencimiento: XX/XX/XXXX
Se estima que el cálculo de tiempo para esta recolección de información es de 2 minutos por cuestionario,
incluyendo el tiempo necesario para revisar las instrucciones, buscar fuentes de datos existentes, reunir y
mantener los datos necesarios y completar y revisar la recolección de información. Ninguna agencia puede
realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha
recolección de información, a menos que esta muestre un número de control vigente de la OMB. Envíe sus
comentarios respecto a este cálculo de tiempo o a otro aspecto de esta recolección de información,
incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance Branch, 6705
Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). No devuelva el
cuestionario contestado a esta dirección.
PRESS 1 TO CONTINUE
1
CONTINUE
ASK: All Respondents.
DISPLAY: Display OMB statement text in grey. Display "IF RESPONDENT ASKS..." statement and
"PRESS 1 TO CONTINUE" in blue. Pending language selected in F2; display English OMB statement if
English is selected, display Spanish OMB statement if Spanish is selected. Default to English display.
PATH ID:
R04_VTA00
ARE YOU CONDUCTING THE VERIFICATION TASK BY TELEPHONE OR IN-PERSON?
1
TELEPHONE
GO TO R04_VTA000
7
IN-PERSON
GO TO R04_VTA000
ASK: All
DISPLAY: Display instructional text in blue.
PATH ID:
R04_VTA000
ARE YOU SPEAKING WITH AN ADULT RESIDENT?
1
YES
GO TO R04_VTABOXAAA_R
2
NO
GO TO R04_VTABOXAAB_R
ASK: All
DISPLAY: Display all instructional text in blue.
BOX ID:
R04_VTABOXAAB_R
If the case has only one object with CurrentSP_LD = 1, go to R04_VTA0000.
Else, go to R04_VTA000D.
4
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA0000
ARE YOU SPEAKING WITH AN ADULT INFORMANT?
[AN INFORMANT IS A NON-HOUSEHOLD MEMBER, FOR EXAMPLE, A NEIGHBOR OR A TRACING
INFORMANT.]
1
YES
GO TO R04_VTA000A
2
NO
GO TO R04_VTA000D
ASK: IF R04_VTA000 = 1.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_VTA000A
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
THE NON-HOUSEHOLD MEMBER INFORMANT REPORTED THAT THE SP IS…
1
DECEASED
GO TO R04_VTA000B
2
TERMINALLY ILL
GO TO R04_VTA000B
3
MENTALLY/PHYSICALLY IMPAIRED
GO TO R04_VTA000B
4
INCARCERATED
GO TO R04_VTA000B
5
OTHER
GO TO R04_VTA000D
ASK: IF R04_VTA0000 = 1.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
PATH ID:
R04_VTA000B
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
YOU’VE INDICATED THAT {NAME} IS {DECEASED/TERMINALLY ILL/MENTALLY/PHYSICALLY
IMPAIRED/INCARCERATED}.
PRESS 1 TO CONFIRM.
PRESS 7 TO GO BACK.
1
CONFIRM
GO TO R04_VTABOXAAC_R
7
GO BACK
GO TO R04_VTA000A
ASK: IF R04_VTA000A = (1,2,3,4).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
5
Wave 4 Verification Task Wrapper (Spanish)
BOX ID:
R04_VTABOXAAC_R
If R04_VTA000A = (1,2) go to R04_VTA000C.
Else, go to R04_VTA01.
PATH ID:
R04_VTA000C
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Lo lamento mucho.
PRESS 1 TO CONTINUE.
1
CONTINUE
GO TO R04_ VTA01
ASK: IF R04_VTA000A = (1,2).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
PATH
ID:
R04_VTA000D
THE VT MUST BE COMPLETED WITH AN ADULT RESIDENT.
PRESS 1 TO EXIT.
1
EXIT
END INTERVIEW AND RETURN TO IMS
ASK: IF R04_VTA0000 = 2 OR R04_VTA000A = 5.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_VTABOXAAA_R
If {R04_AddressType = NewVerify (OR) MovedAddress} OR if R04_FieldedAddress fields = any one or
more of Address line 1, city, state or zip = Empty, GO TO R04_VTA00D.
ELSE, GO TO R04_VTABOXA_V.
6
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA00D
¿Me podría {verificar/dar} su dirección completa?
IF ADDRESS IS SHOWN, READ ADDRESS ALOUD. VERIFY ALL SPELLING.
IF ADDRESS INFORMATION IS NOT SHOWN, RECORD FULL UPDATED ADDRESS.
ENTER THE PHYSICAL ADDRESS. (DO NOT ENTER A P.O. BOX.)
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
ASK: If R04_AddressType in {NewVerify or MovedAddress}, or if R04_FieldedAddress address fields
contain any one or more address fields: Address line 1, City, State, Zip = Empty.
DISPLAY: Display {dar} if all address fields are empty (e.g. there is no address data to pre-fill to any of the
fields). Else, display {verificar}.
Display instructional text in blue. Underline "NOT".
BOX ID:
R04_VTABOXA_V
Define R04_LINKED_ADDRESS:
1. If R04_AddressType ! = MovedAddress (or) NewVerify, set R04_LINKED_ADDRESS =
R04_FieldedAddress.
(OR)
2. If R04_AddressType = MovedAddress (or) NewVerify, set R04_LINKED_ADDRESS = THE ADDRESS
CORRECTED/ENTERED AT R04_VTA00D.
(OR)
3. If R04_FieldedAddress fields = any one or more of Address line 1, city, state, or zip = Empty, set
R04_LINKED_ADDRESS = THE ADDRESS CORRECTED/ENTERED AT R04_VTA00D.
DEFINITION: R04_LINKED_ADDRESS is that address for which VT data are being collected in this
instrument.
7
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA01
SELECT THE VERIFICATION TASK RESPONDENT.
1
HOUSEHOLD MEMBER 18+ FIRST NAME/ AGE/GENDER
GO TO R04_VTABOXBA_R
2
HOUSEHOLD MEMBER 18+ FIRST NAME/ AGE/GENDER
GO TO R04_VTABOXBA_R
3
HOUSEHOLD MEMBER 18+ FIRST NAME/ AGE/GENDER
GO TO R04_VTABOXBA_R
4
HOUSEHOLD MEMBER 18+ FIRST NAME/ AGE/GENDER
GO TO R04_VTABOXBA_R
5
HOUSEHOLD MEMBER 18+ FIRST NAME /AGE/GENDER
GO TO R04_VTABOXBA_R
6
HOUSEHOLD MEMBER 18+ FIRST NAME /AGE/GENDER
GO TO R04_VTABOXBA_R
7
HOUSEHOLD MEMBER 18+ FIRST NAME /AGE/GENDER
GO TO R04_VTABOXBA_R
8
HOUSEHOLD MEMBER 18+ FIRST NAME /AGE/GENDER
GO TO R04_VTABOXBA_R
9
SPEAKING WITH SOMEONE ELSE
GO TO R04_VTA01B
ASK: Asked of any adult household informant at the R04_LINKED_ADDRESS.
DISPLAY: Display instructional text in blue.
BOX ID:
R04_VTABOXBA_R
If R04_ExpectedSPEventType = ExpectedAdult or (R04_ExpectedSPEventType = Youth and
R04_CURRENT_AGE_LD >=18) for person selected in R04_VTA01 and R04_AddressType != NewVerify,
GO TO R04_VTA01A.
Else, GO TO R04_VTABOXB_VR.
PATH
ID:
R04_VTA01A
YOU HAVE INDICATED THAT YOU ARE SPEAKING TO AN AGED UP ADULT. BEFORE SPEAKING TO
AN AGED UP ADULT, YOU MUST SPEAK WITH A PARENT TO CONFIRM THAT THE AGED UP ADULT
IS INDEED 18 OR OLDER. IF NOT, DO THE VT WITH ANOTHER ADULT RESIDENT.
PRESS 1 TO EXIT.
1
EXIT
END INTERVIEW AND RETURN TO IMS
ASK: If respondent is a new adult (R04_ExpectedSPEventType = ExpectedAdult) and R04_AddressType
!= NewVerify.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_VTA01B
ENTER FIRST AND LAST NAME OF THE VT RESPONDENT.
1
FIRST NAME
2
LAST NAME
GO TO R04_VTA01BB
ASK: If R04_VTA01 = 9.
Asked in instances when the FI needs to enter a new VT R (selected 'speaking with someone else' at
R04_VTA01).
DISPLAY: Display instructional text in blue.
8
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA01BB
Para comenzar, ¿podría confirmar que usted tiene por lo menos 18 años de edad?
1
VT R IS 18+ YEARS OLD
GO TO R04_VTA01C
2
VT R IS LESS THAN 18 YEARS OLD
GO TO R04_VTA02
ASK: If R04_VTA01 = 9.
Asked in instances when the FI selects 'speaking with someone else' (R04_VTA01 = 9) and provided the
name of a new person as the VT R in R04_VTA01B.
DISPLAY: Display instructional text in blue.
PATH ID:
R04_VTA01C
¿Cuál es el mejor número de teléfono para comunicarse con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOXB_VR
-7
REFUSED
GO TO R04_VTABOXB_VR
-8
DON'T KNOW
GO TO R04_VTABOXB_VR
ASK: If R04_VTA01 = 9 (and) R04_VTA01BB = 1.
Asked when the FI needs to enter a new VT R (who must be 18+ years old).
DISPLAY: Display instructional text in blue.
PATH
ID:
R04_VTA02
YOU HAVE INDICATED THAT YOU ARE SPEAKING TO A VT RESPONDENT WHO IS UNDER 18
YEARS OF AGE.
THE VT RESPONDENT MUST BE AGE 18 OR OLDER.
PRESS 1 TO EXIT.
1
EXIT
END INTERVIEW AND RETURN TO IMS
ASK: If R04_VTA01BB = 2.
Asked in instances when the FI selects that the VT R is less than 18 years old in R04_VTA01BB.
DISPLAY: Display instructional text in blue. Display second sentence of instructional text (The VT
Respondent...) in blue bold.
9
Wave 4 Verification Task Wrapper (Spanish)
BOX ID:
R04_VTABOXB_VR
Link Verification Task respondent selected in R04_VTA01 or entered in R04_VTA01B to the VT. Set
R04_VT_R = respondent PID. If R04_VT_R is not assigned a respondent PID, set flag
R04_NewPersoninVT = 1 and set R04_NewPersonTypeinVT = VT R. Upon exit of VT, IMS: assign all
NewPersoninVT = 1, a unique PID.
Set flag W4VTR to 1 for PID that has been identified as the VT respondent.
NAVIGATION:
If R04_VTA000A = (1,2,3), go to R04_VTA55.
Else, if R04_VTA000A = 4, go to R04_VTA54.
Else, if the R04_LINKED_ADDRESS has only one object with CurrentSP_LD = 1, go to R04_VTA05. Else,
go to R04_VTA04.
PATH ID:
R04_VTA04
Quisiéramos contar con su ayuda para obtener información actualizada de {usted y el otro participante del
Estudio PATH/ cada participante del Estudio PATH}.
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
{ADULT/YOUTH/SHADOW
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
YOUTH} NAME/AGE/GENDER
PRESS 1 TO CONTINUE.
1
CONTINUE
GO TO R04_VTASTARTLOOP_R
ASK: If R04_LINKED_ADDRESS has 2 or more objects with CurrentSP = 1.
DISPLAY: Display instructional text in blue.
If the VT R is one of the SPs (W4VTR = 1) and CurrentSP_LD=1, display "usted y el otro participante del
Estudio PATH." Else, display "cada participante del Estudio PATH."
BOX ID:
R04_VTASTARTLOOP_R
PROGRAM: For each object where CurrentSP_LD=1, ask items R04_VTA05 through R04_VTA40B,
following skips as appropriate, then returning to R04_VTA05 for the next SP in list. While asking questions
in the route for one SP instance (defined as SP N), continue to display associated SP name/age/gender on
all screens along the route. Once instrument transitions to the next SP in list (defined as SP, N+1), display
SP name/age/gender for SP N+1. Ask questions about all SPs in the same order as shown in the List
Display in R04_VTA04: age descending where age = R04_CURRENT_AGE_LD. Continue until data is
obtained for all SP instances. Create response panel with all persons in List Display in R04_VTA04; display
one person’s data per row.
10
Wave 4 Verification Task Wrapper (Spanish)
BOX ID:
R04_BOX2_V
If R04_AddressType = NewVerify and (R04_ExpectedSPEventType_LD = ExpectedAdult and R04_VTA20
= 1) (from previous VT), Set R04_ExpectedSPEventType = Adult,
Else, Set R04_ExpectedSPEventType = R04_ExpectedSPEventType_LD.
PATH ID:
R04_VTA05
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{Me gustaría actualizar la información de contacto {suya/de SP Name} para mis registros.}
¿Vive {usted/NAME} actualmente en {INSERT R04_LINKED_ADDRESS}?
{[No nos comunicaremos con menores de 18 años sin antes haber hablado con un adulto o su padre o
madre.]}
1
YES
GO TO R04_VTABOX3_R
2
NO
GO TO R04_VTA10
ASK: Ask for each object for which CurrentSP_LD=1 and SP is associated with this
R04_LINKED_ADDRESS.
DISPLAY: Display "{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER" at the top of the screen,
prior to question text.
If first loop through, display "Me gustaría actualizar la información de contacto {suya/de SP Name} para mis
registros." In second and subsequent loop(s), blank.
If W4VTR=1, display "suya" and "usted". Else, display "de SP Name" and "NAME".
If R04_CURRENT_AGE_LD < 18, display "[No nos comunicaremos con menores de 18 años sin antes
haber hablado con un adulto o su padre o madre.]" Else, blank.
BOX ID:
R04_VTABOX3_R
Routing: If SP is R04_ExpectedSPEventType = Adult, go to R04_VTABOX6B_R. Else if
R04_ExpectedSPEventType = ExpectedAdult or (R04_ExpectedSPEventType = Youth and
R04_CURRENT_AGE_LD >=18), go to R04_VTA20. Else, if R04_ExpectedSPEventType = Youth, go to
R04_VTABOX6A_R.
11
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA10
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Se mudó {usted/NAME} o hay alguna otra razón por la que {usted/él/ella} actualmente no vive en esta
dirección?
1
MOVED TO ANOTHER ADDRESS
GO TO R04_VTABOX4_R
7
DECEASED
GO TO R04_VTA14
9
ANOTHER REASON (E.G. LIVING IN A MEDICAL
FACILITY, ON A MILITARY BASE, AWAY AT COLLEGE)
GO TO R04_VTA16
ASK: If R04_VTA05 = 2.
Any SPs reported to no longer be at the R04_LINKED_ADDRESS (R04_VTA05).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
BOX ID:
R04_VTABOX4_R
If this is the first SP instance for which R04_VTA10 = 1 and W4VTR=1, go to R04_VTA12. Or, if this is the
first SP instance for which R04_VTA10 = 1 and this PID is in W4VTR=2, go to R04_VTA11.
If this is not the first SP instance (first SP in Loop) for which R04_VTA10 = 1, go to R04_VTA10X.
PATH ID:
R04_VTA10X
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Se mudó {NAME} también a (READ POSSIBLE ADDRESSES)?
1
MOVED TO {INSERT R04_MOVEDADD01}
GO TO R04_VTABOX4B_VR
2
MOVED TO {INSERT R04_MOVEDADD02}
GO TO R04_VTABOX4B_VR
3
MOVED TO {INSERT R04_MOVEDADD03}
GO TO R04_VTABOX4B_VR
4
MOVED TO {INSERT R04_MOVEDADD04}
GO TO R04_VTABOX4B_VR
5
MOVED TO {INSERT R04_MOVEDADD05}
GO TO R04_VTABOX4B_VR
6
MOVED TO {INSERT R04_MOVEDADD06}
GO TO R04_VTABOX4B_VR
7
MOVED TO {INSERT R04_MOVEDADD07}
GO TO R04_VTABOX4B_VR
8
ENTER DIFFERENT ADDRESS
GO TO R04_VTA12
-8
DON'T KNOW
GO TO R04_VTA13
-7
REFUSED
GO TO R04_VTA13
ASK: Ask of subsequent SP instances (after the first SP in Loop has found to have moved) for which
R04_VTA10 = 1 (moved to another address).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display name of SP being discussed in {NAME}.
Display instructional text in blue.
12
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA11
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
OBTAIN A NEW ADDRESS FOR {ADULT/YOUTH/SHADOW YOUTH NAME} ONLY IF THIS IS A MOVE.
¿Sabe la dirección actual de {SP NAME}?
{[En este momento únicamente quiero actualizar mis registros. No nos comunicaremos con menores de 18
años sin antes haber hablado con un adulto.]}
1
YES
GO TO R04_VTA12
7
NO
GO TO R04_VTA13
-8
DON'T KNOW
GO TO R04_VTA13
-7
REFUSED
GO TO R04_VTA13
ASK: Ask the Verification Task respondent of all Wave 1 SPs displayed in the List Display in R04_VTA04.
Do not ask this question of the VT respondent (W4VTR=2).
DISPLAY: Display "{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER" at the top of the screen,
prior to question text.
Display instructional text in blue.
If asking about a Youth/Shadow Youth, display "{[En este momento únicamente quiero actualizar mis
registros. No nos comunicaremos con menores de 18 años sin antes haber hablado con un adulto.]}". Else,
blank.
13
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA12
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
OBTAIN A NEW ADDRESS FOR {ADULT/YOUTH/SHADOW YOUTH} NAME ONLY IF THIS IS A
PERMANENT MOVE.
¿Cuál es {su dirección/la dirección de NAME}?
{[En este momento únicamente quiero actualizar mis registros. No nos comunicaremos con menores de 18
años sin antes haber hablado con un adulto.]}
1
ADDRESS LINE 1
2
ADDRESS LINE 2
3
CITY
4
STATE
5
ZIP CODE
ASK: If (from R04_VTABOX4_R) or (R04_VTA11 = 1).
Ask in instances when the VT R has self-reported a move or when the VT R has reported other W3 SPs
have moved and he/she knows the new address.
DISPLAY: Display "{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER" at the top of the screen,
prior to question text.
If asking about a Youth/Shadow Youth, display "{[En este momento únicamente quiero actualizar mis
registros. No nos comunicaremos con menores de 18 años sin antes haber hablado con un adulto.]}". Else,
do not display.
PATH ID:
R04_VTA13
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Me podría dar cualquier información que tenga acerca de dónde vive {NAME} actualmente, como por
ejemplo la ciudad o el estado?
PROBE FOR AS MUCH DETAIL AS POSSIBLE.
1
[TEXT RESPONSE]
ASK: If R04_VTA11 = 7 or DK/RF (or) R04_VTA10X = DK/RF.
Ask in instances when the VT R does not know or refuses to provide/confirm the SPs new address in
R04_VTA11 or R04_VTA10X.
DISPLAY: Display "{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER" at the top of the screen,
prior to question text
Display instructional text in blue.
14
Wave 4 Verification Task Wrapper (Spanish)
BOX ID:
R04_VTABOX4B_VR
Retain new address collected in first (and all previous) SP instance(s) in R04_VTA12. Then, create/add to
array of moved addresses that is asked/displayed in subsequent SP instances (N+1).
Create a new variable for each new unique moved address obtained, up to 7:
R04_MOVEDADD01
R04_MOVEDADD02
R04_MOVEDADD03
R04_MOVEDADD04
R04_MOVEDADD05
R04_MOVEDADD06
R04_MOVEDADD07
NAVIGATION: Go to R04_VTA18.
PATH ID:
R04_VTA14
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
YOU’VE INDICATED THAT {NAME} IS DECEASED.
PRESS 1 TO CONFIRM.
PRESS 7 TO GO BACK.
1
CONFIRM
GO TO R04_VTA15
7
GO BACK
GO TO R04_VTA10
ASK: If R04_VTA10 = 7.
Ask in all instances when the VT R reports that the SP is deceased in R04_VTA10.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
15
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA15
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Lo lamento mucho. Voy a actualizar mis registros y me aseguraré de que no nos volvamos a comunicar
respecto a {NAME}.
PRESS 1 TO CONTINUE.
1
CONTINUE
GO TO R04_VTABOX7_VR
ASK: If R04_VTA14 = 1.
Ask in all instances when the VT R reports the SP is deceased.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
PATH ID:
R04_VTA16
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
YOU’VE INDICATED THAT {NAME} DID NOT PERMANENTLY MOVE BUT IS AWAY FROM
{R04_LINKED_ADDRESS} FOR ANOTHER REASON.
PRESS 1 TO CONFIRM.
PRESS 7 TO GO BACK.
1
CONFIRM
GO TO R04_VTA16B
7
GO BACK
GO TO R04_VTA10
ASK: If R04_VTA10 = 9.
Ask in all instances when the VT R reports the SP is no longer at the R04_LINKED_ADDRESS for another
reason (besides having permanently moved).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
16
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA16B
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
IF RESPONDENT HAS STATED THE REASON THE SP IS AWAY FROM THE ADDRESS AND IT
MATCHES A RESPONSE OPTION, CODE WITHOUT ASKING. SELECT THE OPTION THAT BEST
APPLIES.
IF RESPONDENT HAS NOT YET STATED THE REASON THE SP IS AWAY FROM THE ADDRESS, OR
IF THE STATED REASON DOES NOT EXACTLY MATCH A RESPONSE OPTION, READ THE
QUESTION AND ALL RESPONSE OPTIONS. THEN SELECT THE OPTION THAT BEST APPLIES.
¿Cuál opción describe mejor la razón por la que {NAME/usted} no está en {R04_LINKED_ADDRESS}?
¿Diría que {NAME/usted}....
{SELECT RESPONSE OPTION 3 WHEN THE SP IS IN A SKILLED NURSING FACILITY, SUCH AS A
NURSING HOME, ASSISTED LIVING, CONTINUING CARE, OR OTHER SENIOR CARE FACILITY THAT
HELPS SUPPORT THE SP'S ACTIVITIES OF DAILY LIVING.}
SELECT RESPONSE OPTION 5 WHEN THE SP IS IN ANY OTHER GROUP QUARTERS SETTING,
SUCH AS A RESIDENTIAL TREATMENT CENTER, WORKERS CAMP, RELIGIOUS GROUP
QUARTERS, OR GROUP HOME PROVIDING PSYCHIATRIC OR REHABILITATIVE CARE.
1
vive en una universidad o en un internado,
GO TO R04_VTA17
2
vive en una institución militar (por ejemplo, un cuartel o una
base militar),
GO TO R04_VTA17
3
{vive en un hogar para ancianos (u otra institución de cuidado
de ancianos),}
GO TO R04_VTA16C
4
está en prisión (por ejemplo, en la cárcel o está detenido),
GO TO R04_VTA17
5
vive en otro lugar o institución para grupos o
GO TO R04_VTA17
6
vive en otra casa o apartamento?
GO TO R04_VTA17
7
Otro (ESPECIFIQUE)
GO TO R04_VTA17
-8
DON'T KNOW
GO TO R04_VTABOX5_R
-7
REFUSED
GO TO R04_VTABOX5_R
ASK: If R04_VTA16 = 1.
Ask in all instances when the VT R reports the SP is no longer at the R04_LINKED_ADDRESS for another
reason (besides having permanently moved).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text. If ExpectedSPEventType_LD = Adult, display response option 3 (vive en un hogar
para ancianos...) and "SELECT RESPONSE OPTION 3 WHEN THE SP IS IN A SKILLED NURSING
FACILITY, SUCH AS A NURSING HOME, ASSISTED LIVING, CONTINUING CARE, OR OTHER SENIOR
CARE FACILITY THAT HELPS SUPPORT THE SP'S ACTIVITIES OF DAILY LIVING", else do not display.
If ExpectedSPEventType_LD = ExpectedAdult or Youth, do not re-adjust response option labels, displaying
only options 1, 2, 4, 5, 6, 7, -8, -7.
17
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA16C
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Es ese lugar un hogar para ancianos, un lugar de asistencia de cuidado, un lugar que combina un hogar
para ancianos y asistencia de cuidado o algún otro tipo de lugar de cuidado de ancianos?
1
NURSING HOME
GO TO R04_VTA17
2
ASSISTED LIVING FACILITY
GO TO R04_VTA17
3
COMBINED NURSING HOME AND ASSISTED LIVING
FACILITY
GO TO R04_VTA17
4
OTHER (SPECIFY)
GO TO R04_VTA17
-8
DON'T KNOW
GO TO R04_VTABOX5_R
-7
REFUSED
GO TO R04_VTABOX5_R
ASK: If R04_VTA16B = 3 (and) R04_ExpectedSPEventType = Adult.
Ask in all instances when the VT R reports self or an Adult SP has entered into a nursing home or similar
senior care facility.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
PATH ID:
R04_VTA17
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Podría darme alguna información acerca de dónde está {{NAME}/usted} actualmente?
PROBE TO OBTAIN THE FOLLOWING INFORMATION:
- TYPE OF PLACE AND ANY ADDRESS INFORMATION WHERE SP CURRENTLY RESIDES;
- PHONE NUMBER, IF APPLICABLE;
- EXPECTED RETURN DATE/LENGTH OF TIME AWAY FROM HOUSEHOLD;
1
[TEXT RESPONSE]
ASK: If R04_VTA16B = {1, 2, 3, 4, 5, 6, 7}.
Ask in all instances when the VT R reports self or an Adult SP is away at college or boarding school, living
in a military facility, entered into a nursing home or similar senior care facility, incarcerated, living in a
different Group Quarters setting, or away for another specified reason at R04_VTA16B.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
If SP is VT R, display “usted”. Else, display “{NAME}”.
Display instructional text in blue.
18
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA18
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Qué opción describe mejor la razón por la que {NAME/usted} se mudó? ¿Diría que {NAME/usted}....
READ RESPONSE OPTIONS ALOUD. SELECT THE OPTION THAT BEST APPLIES
{SELECT RESPONSE OPTION 3 WHEN THE SP IS IN A SKILLED NURSING FACILITY, SUCH AS A
NURSING HOME, ASSISTED LIVING, CONTINUING CARE, OR OTHER SENIOR CARE FACILITY THAT
HELPS SUPPORT THE SP'S ACTIVITIES OF DAILY LIVING.}
SELECT RESPONSE OPTION 5 WHEN THE SP IS IN ANY OTHER GROUP QUARTERS SETTING,
SUCH AS A RESIDENTIAL TREATMENT CENTER, WORKERS CAMP, RELIGIOUS GROUP
QUARTERS, OR GROUP HOME PROVIDING PSYCHIATRIC OR REHABILITATIVE CARE.
1
vive en una universidad o en un internado,
GO TO R04_VTABOX5_R
2
vive en una institución militar (por ejemplo, un cuartel o una
base militar),
GO TO R04_VTABOX5_R
3
{vive en un hogar para ancianos (u otra institución de cuidado
de ancianos),}
GO TO R04_VTA18B
4
está en prisión (por ejemplo, en la cárcel o está detenido),
GO TO R04_VTABOX5_R
5
vive en otro lugar o institución para grupos o
GO TO R04_VTABOX5_R
6
vive en otra casa o apartamento?
GO TO R04_VTABOX5_R
7
Otro (ESPECIFIQUE)
GO TO R04_VTABOX5_R
-8
DON'T KNOW
GO TO R04_VTABOX5_R
-7
REFUSED
GO TO R04_VTABOX5_R
ASK: Ask in all instances when the VT R reports the SP has permanently moved.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text. If ExpectedSPEventType_LD = Adult, display response option 3 (vive en un hogar
para ancianos...) and "SELECT RESPONSE OPTION 2 WHEN THE SP IS IN A SKILLED NURSING
FACILITY, SUCH AS A NURSING HOME, ASSISTED LIVING, CONTINUING CARE, OR OTHER SENIOR
CARE FACILITY THAT HELPS SUPPORT THE SP'S ACTIVITIES OF DAILY LIVING", else do not display.
If ExpectedSPEventType_LD = ExpectedAdult or Youth, do not re-adjust response option labels, displaying
only options 1, 2, 4, 5, 6, 7, -8, -7.
19
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA18B
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Es ese lugar un hogar para ancianos, un lugar de asistencia de cuidado, un lugar que combina un hogar
para ancianos y asistencia de cuidado o algún otro tipo de lugar de cuidado de ancianos?
1
NURSING HOME
GO TO R04_VTABOX5_R
2
ASSISTED LIVING FACILITY
GO TO R04_VTABOX5_R
3
COMBINED NURSING HOME AND ASSISTED LIVING
FACILITY
GO TO R04_VTABOX5_R
4
OTHER (SPECIFY)
GO TO R04_VTABOX5_R
-8
DON'T KNOW
GO TO R04_VTABOX5_R
-7
REFUSED
GO TO R04_VTABOX5_R
ASK: If R04_VTA16B = 3 (and) R04_ExpectedSPEventType = Adult.
Ask in all instances when the VT R reports self or an Adult SP has entered into a nursing home or other
senior care facility.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
BOX ID:
R04_VTABOX5_R
If (R04_ExpectedSPEventType = Adult) (or) (SP=VT R and R04_ExpectedSPEventType = ExpectedAdult
and R04_AddressType=NewVerify and R04_CURRENT_AGE_LD >= 18) , go to R04_VTABOX6C_R.
Else if (R04_ExpectedSPEventType = ExpectedAdult) or (R04_ExpectedSPEventType = Youth and
R04_CURRENT_AGE_LD >=18), go to R04_VTA20.
Else if R04_ExpectedSPEventType = Youth, go to R04_VTABOX6A_R
PATH ID:
R04_VTA20
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Nuestros registros indican que {NAME} es ahora mayor de 18 años. ¿Es correcto?
1
YES, SP IS 18 OR OLDER
GO TO R04_VTABOX5A_LC
2
NO, SP IS 17 OR YOUNGER
GO TO R04_VTABOX5B_LC
-8
DON'T KNOW
GO TO R04_VTABOX6A_R
-7
REFUSED
GO TO R04_VTABOX6A_R
ASK: If R04_ExpectedSPEventType = ExpectedAdult. (Routing from R04_VTABOX3_R or
R04_VTABOX5_R).
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
20
Wave 4 Verification Task Wrapper (Spanish)
BOX ID:
R04_VTABOX5A_LC
DISPLAY ERROR MESSAGE:
YOU HAVE INDICATED THE FORMER YOUTH SP IS NOW 18 YEARS OF AGE OR OLDER.
PRESS S IF YES.
PRESS G TO GO BACK AND EDIT ENTRY.
S SUPPRESS GO TO R04_VTA25
G GO BACK GO TO R04_VTA20
BOX ID:
R04_VTABOX5B_LC
DISPLAY ERROR MESSAGE:
YOU HAVE INDICATED THE YOUTH SP IS STILL 17 YEARS OF AGE OR YOUNGER.
PRESS S IF YES.
PRESS G TO GO BACK AND EDIT ENTRY.
S SUPPRESS GO TO R04_VTABOX6A_R
G GO BACK GO TO R04_VTA20
21
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA25
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{Quisiéramos comunicarnos con {SP NAME} para hablar acerca de los siguientes pasos en el Estudio
PATH.} ¿Cuál es el mejor número de teléfono para comunicarse con {SP NAME}?
(Debido a que {SP NAME} tiene ahora 18 años, para propósitos de este estudio se le considera como
adulto.)
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOX6D_R
-8
1
DON'T KNOW
GO TO R04_VTABOX6D_R
-7
REFUSED
GO TO R04_VTABOX6D_R
ASK: If R04_VTA20 = 1 or ExpectedAdult was previously confirmed as 18+.
Ask in all instances when VT R reported that the SP is now 18 years or older at R04_VTA20 (or) the SP
was previously confirmed as 18+.
DISPLAY: Display "{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER" at the top of the screen,
prior to question text.
If R04_VTA00=1 (telephone), display "{Quisiéramos comunicarnos con {SP NAME} para hablar acerca de
los siguientes pasos en el Estudio PATH.}" Else, blank.
BOX ID:
R04_VTABOX6A_R
Routing Description: If R04_BESTYTHPARENT_LD is not already confirmed as NOT living at the
R04_LINKED_ADDRESS, go to R04_VTA26 (which asks if R04_BESTYTHPARENT_LD is still the best
parent to contact). [Assume the Parent is still at this address, until we know otherwise.] If
R04_BESTYTHPARENT_LD has already been confirmed as NOT living at the R04_LINKED_ADDRESS,
go to R04_VTA27.
22
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA26
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
La última vez que visitamos su hogar hablamos con {PARENT NAME/usted} acerca de {YOUTH NAME}.
¿Sigue viviendo {esta persona/usted} con {YOUTH NAME} y sigue siendo el mejor contacto con respecto a
la participación de {YOUTH NAME} en el Estudio PATH?
THE PARENT MUST LIVE WITH {YOUTH/SHADOW YOUTH NAME}.
REMINDER: A PARENT OR GUARDIAN CAN BE A ROLE, RATHER THAN A RELATIONSHIP. THE
PARENT OR GUARDIAN MUST LIVE WITH THE CHILD, SHOULD BE KNOWLEDGEABLE ABOUT THE
YOUTH AND BE RESPONSIBLE FOR MAKING DECISIONS ON YOUTH'S ACTIVITIES, LIKE SCHOOL
PERMISSIONS, WHERE TO LIVE, ETC.
1
YES
GO TO R04_VTABOX6B_R
2
NO
GO TO R04_VTA27
ASK: Asked when R04_ExpectedSPEventType = Youth and the Parent & Youth have been confirmed as
living at the R04_LINKED_ADDRESS. Route to R04_VTA26 also in instances when the VT R = W3(1)
Parent even if the W3(1) Parent is not an SP.
DISPLAY: Display "{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER" at the top of the screen, prior to
question text.
If VT R PID = R04_BESTYTHPARENT_LD, display "usted" and "usted". Else, display {FirstName
LastName associated with R04_BESTYTHPARENT_LD} and "esta persona".
Display instructional text in blue. Bold "REMINDER" and "A ROLE".
23
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA27
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Quién sería el mejor contacto que sigue viviendo con {YOUTH NAME} para hablar respecto a la
participación continua de {NAME} en el Estudio PATH?
THE PARENT MUST LIVE WITH {YOUTH/SHADOW YOUTH NAME}.
REMINDER: A PARENT OR GUARDIAN CAN BE A ROLE, RATHER THAN A RELATIONSHIP. THE
PARENT OR GUARDIAN MUST LIVE WITH THE CHILD AND SHOULD BE KNOWLEDGEABLE ABOUT
THE YOUTH AND BE RESPONSIBLE FOR MAKING DECISIONS ON YOUTH’S ACTIVITIES, LIKE
SCHOOL PERMISSIONS, WHERE TO LIVE, ETC.
1
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
2
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
3
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
4
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
5
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
6
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
7
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
8
NAME/AGE/GENDER
GO TO R04_VTABOX6B_R
9
(NAME OF VT R)
GO TO R04_VTABOX6B_R
10
(NAME OF POSSIBLE PARENT)
GO TO R04_VTABOX6B_R
11
(NAME OF POSSIBLE PARENT)
GO TO R04_VTABOX6B_R
12
(NAME OF POSSIBLE PARENT)
GO TO R04_VTABOX6B_R
98
NO PARENT LIVES WITH YOUTH
GO TO R04_VTA29B
99
NEW PARENT IDENTIFIED
GO TO R04_VTA28
ASK: (From R04_VTABOX6A_R) OR (R04_VTA26 = 2).
Asked of youth or expected adults confirmed to still be 17 and for which R04_BESTYTHPARENT_LD is not
the best person to contact regarding the youth’s continued participation in the study.
DISPLAY: Display “{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen, prior to
question text.
Display instructional text as blue. Bold "REMINDER" and "A ROLE".
Display name/age/gender of all persons 18+ that are associated with this household.
24
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA28
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
ENTER FIRST AND LAST NAME OF NEW PARENT.
1
FIRST NAME
2
LAST NAME
GO TO R04_VTA29
ASK: If R04_VTA27 = 99.
Collect new Parent first and last name in instances when option of ‘New Parent Identified’ is selected in
R04_VTA27.
DISPLAY: Display “{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen, prior to
question text.
Display instructional text in blue.
PATH ID:
R04_VTA29
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Cuál es el número de teléfono de esa persona?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOX6AA_VR
-8
DON'T KNOW
GO TO R04_VTABOX6AA_VR
-7
REFUSED
GO TO R04_VTABOX6AA_VR
ASK: If R04_VTA27 = 99.
Collect new Parent phone number in instances when option of ‘New Parent Identified’ is selected in
R04_VTA27.
DISPLAY: Display “{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen, prior to
question text.
Display instructional text in blue.
PATH ID:
R04_VTA29B
{YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
DOCUMENT ANY INFORMATION PROVIDED ABOUT SITUATION WHEN NO HOUSEHOLD MEMBER
FILLS PARENT ROLE.
1
[TEXT RESPONSE]
GO TO R04_VTABOX6D_R
ASK: R04_VTA27 = 98
Collect clarifying information in instances when there is no one that fits the Parent role in the household.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
25
Wave 4 Verification Task Wrapper (Spanish)
BOX ID:
R04_VTABOX6AA_VR
(From R04_VTA29):
If original VT results in a split so this VT is R04_AddressType = NewVerify and parent name response
option selected in this VT at R04_VTA27 Parent is a new parent identified from a previous VT, go to
R04_VTABOX6B_R.
Else, If New Parent identified in R04_VTA27 and named in R04_VTA28 is not yet assigned a respondent
PID, set flag R04_NewPersoninVT = 1 and set R04_NewPersonTypeinVT = Parent.
NAVIGATION: Go to R04_VTABOX6B_R
If R04_VTA26 = 1, Set R04_VTBestParent_FN to first name associated with R04_BESTYTHPARENT_LD
and R04_VTBestParent_LN to last name associated with R04_BESTYTHPARENT_LD.
Else, if R04_VTA27 in (1,2,3,4,5,6,7,8,9), Set R04_VTBestParent_FN to FirstName associated with that
response item and R04_VTBestParent_LN to LastName associated with that response item.
Else, if R04_VTA28_FN is not null, Set R04_VTBestParent_FN = R04_VTA28_FN and
R04_VTBestParent_LN = R04_VTA28_LN.
BOX ID:
R04_VTABOX6B_R
Routing: If R04_VTA26 = 1 and R04_BESTYTHPARENT_LD has already completed loop, go to
R04_VTABOX6D_R.
If R04_VTA27 = PID associated with VT R and R04_VTA01 = 9, go to R04_VTABOX6D_R.
If R04_VTA29 is not null, go to R04_VTABOX6D_R.
Else go to R04_VTABOX6C_R.
Routing Description: If the SP row/instance’s phone number was previously obtained, e.g. the unique
person’s telephone number was asked already because the person is an also an Adult SP or a Parent of
another Y/SY, go to R04_VTABOX6D_R. If the parent selected in R04_VTA27 is also the VT R:
R04_VTA01 = 9, R name provided in R04_VTA01B, and phone number obtained in R04_VTA01C, go to
R04_VTABOX6D_R. Else, go to R04_VTABOX6C_VR.
BOX ID:
R04_VTABOX6C_R
If W4VTR=1 and we have a phone number(R04_BestPhoneNumber !=NULL), go to R04_VTA30. If
W4VTR=1 and we do not have a phone number(R04_BestPhoneNumber = NULL), go to R04_VTA35. If
W4VTR=2 and we have a phone number (R04_BestPhoneNumber != NULL), go to R04_VTA40. If
W4VTR=2 and we do not have a phone number (R04_BestPhoneNumber = NULL), go to R04_VTA40B.
26
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA30
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Tengo anotado que su mejor número de teléfono es {(XXX)-XXX-XXXX}. ¿Es correcto?
1
YES
GO TO R04_VTABOX6D_R
2
NO
GO TO R04_VTA35
ASK: W4VTR=1 and R04_BestPhoneNumber not null.
Ask in all instances when we have a best phone number for the W4 VT R.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Fill {(XXX) XXX-XXXX} with R04_BestPhoneNumber for VT R. Format phone number fill with parentheses
and hyphens, e.g. (301) 251-1500.
PATH ID:
R04_VTA35
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Cuál es el mejor número de teléfono para comunicarse con usted?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOX6D_R
-8
DON'T KNOW
GO TO R04_VTABOX6D_R
-7
REFUSED
GO TO R04_VTABOX6D_R
ASK: R04_VTA30 = 2 or (W4VTR=1 and R04_BestPhoneNumber is null)
Ask in all instances when the W4 VT R reported that the best phone number we have is not correct in
R04_VTA30 (or) we do not have a best phone number for the W4 VT R.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
27
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA40
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Tengo los siguientes números de teléfono para {ADULT NAME/PARENT NAME/usted}. ¿Cuál es el mejor
número?
READ PHONE NUMBERS BELOW, STOPPING ONCE RESPONDENT IDENTIFIES BEST NUMBER.
SELECT 4 TO ENTER NEW PHONE NUMBER.
1
PHONE NUMBER
GO TO R04_VTABOX6D_R
2
PHONE NUMBER
GO TO R04_VTABOX6D_R
3
PHONE NUMBER
GO TO R04_VTABOX6D_R
4
ENTER NEW PHONE NUMBER
GO TO R04_VTA40B
9
{REFUSE/DO NOT CONTACT}
GO TO R04_VTABOX6D_R
-8
DON'T KNOW
GO TO R04_VTABOX6D_R
-7
REFUSED
GO TO R04_VTABOX6D_R
ASK: W4VTR=2 and R04_BestPhoneNumber not null. Also not previously obtained in any prior loop in this
instrument.
Ask in all instances when we have a best phone number for an Adult SP or Parent who is not the W4 VT R.
DISPLAY: Display "{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER" at the top of the screen,
prior to question text.
Display instructional text in blue.
If W4VTR=1, display "usted". Else, display "SP Name".
For R04_ExpectedSPEventType = Youth and parent is not VT R, display name of adult (parent) identified
in R04_VTA26-R04_VTA28. Else, display Adult SP name if instance (row) is for an Adult SP.
28
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA40B
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
[Quisiéramos comunicarnos con {ADULT NAME/PARENT NAME} para programar una cita para una
entrevista [acerca de {YOUTH NAME}}].
¿Cuál es el mejor número?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
1
AREA CODE AND PHONE NUMBER
GO TO R04_VTABOX6D_R
-8
DON'T KNOW
GO TO R04_VTABOX6D_R
-7
REFUSED
GO TO R04_VTABOX6D_R
ASK: R04_VTA40 = 4 or (W4VTR=2 and R04_BestPhoneNumber is null)
Ask in all instances where we obtained a new best phone number for an Adult SP or Parent in R04_VTA40
(or) we do not have a best phone number for an Adult SP or Parent who is not the W4 VT R.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text
Display instructional text in blue. Display first sentence above only if (W4VTR = 2 and
R04_BestPhoneNumber = NULL), else do not display first sentence. Display final phrase in first sentence
above {about YOUTH NAME} only for the subset in (R04_ExpectedSPEventType = Youth + W4VTR =2)
and R04_BestPhoneNumber = NULL.
BOX ID:
R04_VTABOX6D_R
Routing: If R04_CURRENT_AGE_LD < 17 OR R04_VTA16B = 4 OR R04_VTA18 = 4, go to
R04_VTABOX7_VR. Else, go to R04_VTA45.
Routing Description: If the participant's age is less than 17 (all shadow youth and youth younger than 17
years of age) or the SP is incarcerated (as part of a temporary or permanent move), go to
R04_VTABOX7_VR. Else, for all adults and youth at least 17 years of age who are not incarcerated, go to
R04_VTA45.
29
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA45
{ADULT/YOUTH} NAME/AGE/GENDER
¿Actualmente está {usted/NAME} en servicio militar activo en las Fuerzas Armadas, la Reserva o la
Guardia Nacional de Estados Unidos?
[El servicio militar activo para la Reserva o la Guardia Nacional no incluye el entrenamiento regular para la
Reserva o la Guardia. Sí incluye estar activo para misiones militares, como por ejemplo la Guerra de Iraq.]
1
YES
GO TO R04_VTABOX7_VR
2
NO
GO TO R04_VTABOX7_VR
-8
DON'T KNOW
GO TO R04_VTABOX7_VR
-7
REFUSED
GO TO R04_VTABOX7_VR
ASK: All households, about ADULT household member and youth household members aged 17 and older.
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
If SP is VT R, display “usted”. Else, display “{NAME}”.
BOX ID:
R04_VTABOX7_VR
END OF LOOP
For each SP, set R04_VTBESTSPPHONE:
If R04_VTA30 = 1, set R04_VTBESTSPPHONE = R04_BestPhoneNumber.
Else, if R04_VTA35 is not null and not DK or RF, set R04_VTBESTSPPHONE = R04_VTA35.
Else, if R04_VTA40 in (1,2,3), set R04_VTBESTSPPHONE = number linked to the value of R04_VTA40.
Else, if R04_VTA40B is not null and not DK or RF, set R04_VTBESTSPPHONE = R04_VTA40B.
If data has been collected for each SP row instance, N, and updated address information was received for
any SP row instance, go to R04_VTA50. Else if data has been collected for each SP row instance N and no
updated address information has been received, go to R04_VTA55.
Else, go to R04_VTA05 for row instance (N+1).
30
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA50
Antes de terminar, quisiera resumir alguna de la información de la dirección actualizada que usted me dio
hoy. Anoté que:
SP Name New Address Information
1
CONFIRM
GO TO R04_VTABOX9_R
7
EDIT
GO TO R04_VTABOX8_LC
ASK: Summary page with data that should be confirmed for each SP, only in instances when new address
information was obtained in R04_VTA12 (or) R04_VTA13, or other known information was obtained in
R04_VTA17.
DISPLAY: Display each SPs data in one row.
SP Name: display full name (FirstName/LastName) of each SP (Adult, Youth or Shadow Youth). Only
display SP instances for which some new or partial address information was obtained. (If the SP's address
did not change, omit them from R04_VTA50.)
Street Address: In instances of moves, display updated street address obtained in
R04_VTA10X/R04_VTA12, or other known information obtained in R04_VTA13, or in instances of SP is
away for another reason, display other known information obtained in R04_VTA17.
BOX ID:
R04_VTABOX8_LC
If R04_VTA50 = 7 for said SP instance, display the following logic check table – error message:
SELECT ANY ROW FROM THE LIST BELOW TO GO BACK AND EDIT THAT ITEM.
UPDATE INFORMATION WHERE NEEDED:
SP Name (Disable/disallow any edit name functionality)
New Address Information (Able to Edit and go to R04_VTA05 (or) R04_VTA10 (or) R04_VTA12/13 (or)
R04_VTA17.
Display R04_VTABOX8_LC with one SP's data at a time and only if R04_VTA50 = 7 for said SP. Allow
user to select row, then click to change the response given to one or more fields for the associated SP row
instance.
If any one value in any SP instance row is changed, always redisplay R04_VTA50 for the associated SP.
Allow for multiple loops to edit the fields. R04_VTA50 must be confirmed (response option = 1) for each SP
instance before continuing.
BOX ID:
R04_VTABOX9_R
Once data has been confirmed for each SP instance for which updated address information was obtained,
go to R04_VTA55, Else, return to R04_VTA50 for row instance (N+1).
31
Wave 4 Verification Task Wrapper (Spanish)
PATH ID:
R04_VTA54
ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
¿Podría darme alguna información acerca de dónde está {NAME} actualmente?
PROBE TO OBTAIN THE FOLLOWING INFORMATION:
- TYPE OF PLACE AND ANY ADDRESS INFORMATION WHERE SP IS INCARCERATED;
- PHONE NUMBER, IF APPLICABLE;
- EXPECTED RETURN DATE/LENGTH OF TIME AWAY FROM HOUSEHOLD;
1
[TEXT RESPONSE]
GO TO R04_VTA55
ASK: IF R04_VTA000A = 4
DISPLAY: Display “{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER” at the top of the screen,
prior to question text.
Display instructional text in blue.
PATH
ID:
R04_VTA55
{TARGET WINDOW FOR {SP NAME} IS {MONTH-MONTH}.} {TRY TO SCHEDULE INTERVIEW DURING
THE WINDOW. DOCUMENT APPOINTMENT IN AN EROC / TRY TO TRANSITION DIRECTLY TO SP
LEVEL DATA COLLECTION TASKS, AS APPROPRIATE BASED ON TARGET WINDOW.}
PRESS 1 TO RETURN TO IMS.
1
EXIT
END INTERVIEW AND RETURN TO IMS
ASK: From R04_VTABOX7_VR (or) R04_VTA50.
DESCRIPTION: When Loop for each SP instance has been completed (or) all fields for all SPs in
R04_VTA50 have been confirmed.
DISPLAY: Display instructional text in blue.
Display name of SP in {SP NAME}, and "R04_SPWindowStartMonth - R04_SPWindowEndMonth" for
{MONTH-MONTH} for each SP in household.
Display “TARGET WINDOW FOR {SP NAME} IS {MONTH-MONTH}” if R04_SPWindowStartMonth != Null
AND (R04_VTA10 <> 7 AND R04_VTA000A <> 1 (deceased)), repeat for each SP. Display name of
associated SP in {SP NAME}, and "R04_SPWindowStartMonth - R04_SPWindowEndMonth" in {MONTHMONTH}. Display when routing from R04_VTABOX7_VR OR R04_VTA50.
If R04_VTA000A = (1,2,3,4) or all SPs in the household have R04_VTA10 = 7, do not display any of the fill
text.
Else if R04_VTA00 = 1 and R04_VTA000A != (1,2,3,4), DISPLAY “TRY TO SCHEDULE INTERVIEW
DURING THE WINDOW. DOCUMENT APPOINTMENT IN AN EROC.” If R04_VTA00 = 7 and
R04_VTA000A != (1,2,3,4), DISPLAY “TRY TO TRANSITION DIRECTLY TO SP LEVEL DATA
COLLECTION TASKS, AS APPROPRIATE BASED ON TARGET WINDOW."
32
Wave 4 Verification Task Wrapper (Spanish)
BOX ID:
R04_VTAEND
Return to IMS and set the following:
(A) Set R04_NumofPeople - value for R04_NumofPeople is the count of people associated with the
R04_LINKED_ADDRESS, inclusive of count of PIDs where R04_NewPersoninVT = 1 +
R04_NewPersonTypeinVT = {VT R, Parent} and exclusive of PIDs who are no longer associated with
R04_LINKED_ADDRESS if in SP Loop R04_VTA10 = 1 + R04_VTA10X = {1, 2, 3, 4, 5, 6, 7, 8, -8, -7}
(B) Create SP-level tasks for all SPs confirmed to have been living at linked W4 address:
Set R04_EventType = Adult (and) IMS, create SP Event Type = Adult if R04_ExpectedSPEventType =
Adult.
OR
Set R04_EventType = Youth (and) IMS, create SP Event Type = Youth if R04_ExpectedSPEventType =
Youth.
OR
Set R04_EventType = Adult (and) IMS, create SP Event Type = Adult if R04_ExpectedSPEventType =
ExpectedAdult + R04_VTA20 = 1.
OR
Set R04_EventType = Youth (and) IMS, create SP Event Type = Youth if R04_ExpectedSPEventType =
ExpectedAdult AND R04_VTA20 != 1.
Else, for SPs confirmed to have moved from R04_LINKED_ADDRESS, IMS, do not create SP-level tasks
at this DUID, instead move and associate SPs with new DUID created by IMS; new DUID:
R04_AddressType= NewVerify. IMS, create & display newly created DU on Browse Case screen in IMS.
Exception: If R04_AddressType = NewVerify and PID with R04_ExpectedSPEventType = ExpectedAdult
was confirmed as 18+ in previous VT, create R04_EventType = Adult.
(C) Universe of status codes set in VT and returned then propagated forward by IMS:
Set Task 401 = FVS if PID has W4VTR = 1 and {CurrentSP_LD = 1 (or) W1Parent_LD = 1 (or)
W2_Parent_LD = 1 (or) W3_Parent_LD = 1}. Else set Task 401 = FVO.
Exception: Set Task 401 = FVS if (R04_ExpectedSPEventType = ExpectedAdult +
R04_CURRENT_AGE_LD >=18 + R04_AddressType = NewVerify).
Set Task 401 = FVM if the R04_FieldedAddress ! = R04_LINKED_ADDRESS (and) a new address was
collected at R04_VTA00C, and defined as the R04_LINKED_ADDRESS in R04_VTABOXA. (Do not set
status = FVM if the W4_FieldedAddress was simply corrected in R04_VTA00D.)
Set Task 401 = ISP (Split) for R04_AddressType = NewVerify in instances when a subset of SPs
associated with the parent DUID have split from this R04_LINKED_ADDRESS.
Set Task 401 = IMV (Moved) for R04_AddressType = NewVerify in instances when a subset of SPs
associated with the parent (buddy) DUID have split from this R04_LINKED_ADDRESS and a full new
address is not known (R04_VTA12 address fields contain any one or more address fields: Address line 1,
City, State, Zip = Empty). Retain association of SPs who have moved and for whom a full address is not
known until we know otherwise.
33
Wave 4 Verification Task Wrapper (Spanish)
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = IAW (Away) in instances when the SP is found to be
temporarily away from the R04_LINKED_ADDRESS: R04_VTA16 = 1 (and) possible free text detail was
provided in R04_VTA17. Extract free text entered in R04_VTA17 and display in Comments in the Activity
Log, Blaise returns status to set SP (Task 412 (or) Task 431) = IAW.
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = FDC (Deceased) in instances when the VT R reports
the SP as deceased: R04_VTA15 = 1 or R04_VTA000A = 1. Display deceased SP event in Browse
Person, but do not enable any SP level data collection tasks.
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = IIL (Illness) in instances when the VT R reports the SP
as terminally ill: R04_VTA000A = 2, Blaise returns status to set SP (Task 412 (or) Task 431) = IIL.
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = IPM (Physical/Mental Disability) in instances when the
VT R reports the SP has mental or physical impairment: R04_VTA000A = 3, Blaise returns status to set SP
(Task 412 (or) Task 431) = IPM.
Set Task 412 (Adult SP) or Task 431 (Youth/SY) = IIC (Incarcerated) in instances when the VT R reports
the SP as incarcerated: R04_VTA000A = 4 or R04_VTA16B = 4 or R04_VTA18 = 4 (and) possible free text
detail was provided in R04_VTA54 or R04_VTA17. Extract free text entered in R04_VTA54 or R04_VTA17
and display in Comments in the Activity Log, Blaise returns status to set SP (Task 412 (or) Task 431) = IIC.
Set Task 431 (Youth/SY) = IRW (Interim Review) in instances when the Youth SP is reported to have no
parent living with the Youth (R04_VTA27 = 98) (and) possible free text detail was provided in
R04_VTA29B. Extract free text entered in R04_VTA29B and display in Comments in the Activity Log.
Blaise returns status to set SP (Task 431) = IRW.
If Task 401 IN (FVM, ISP, IMV), Set DUCreationWave = "Wave 4".
34
Wave 4 Verification Task Wrapper (Spanish)
USER GROUPS
Variable Name
Variable Description
User Group Definition
USER GROUPS
Linked Address for VT
W4_LINKED_ADDRESS
(1) Fielded Address = Address is accurate.
(2) Corrected/Entered = Address needed to be
updated.
(3) Corrected/Entered = One or more lines of the
address were missing.
If R04_AddressType ! = MovedAddress (or)
NewVerify, set R04_LINKED_ADDRESS =
R04_FieldedAddress.
If R04_AddressType = MovedAddress (or)
NewVerify, set R04_LINKED_ADDRESS = THE
ADDRESS CORRECTED/ENTERED AT
R04_VTA00D.
If R04_FieldedAddress fields = any one or more of
Address line 1, city, state, or zip = Empty, set
R04_LINKED_ADDRESS = THE ADDRESS
CORRECTED/ENTERED AT R04_VTA00D.
Flag for respondent
W4VTR
(1) W4VTR = Wave 4 VT respondent
(2) Non-W4VTR = SP is not the Wave 4 VT
respondent.
R04_VT_R = 1, set W4VTR = 1
R04_VT_R <> 1
Vt respondent
R04_VT_R
(1) VT Respondent = The household member that
completed the VT task.
R04_VTA01 (or) PID assigned to R04_VTA01B
New person in VT
R04_NewPersoninVT
(1) New person in VT = A new household member
was identified in the VT
R04_VTA01 = 9, set R04_NewPersoninVT = 1.
New person type in VT
R04_NewPersonTypeinVT
(1) New Person Type in VT = A new person in the
household has completed the VT.
If R04_NewPersoninVT, set
R04_NewPersonTypeinVT = R04_VT_R
New parent to be passed to next
VT
R04_NewParentfromPreviousVT
(1) New parent from previous VT = A new parent
was identified in a previous VT during the current
wave.
If R04_AddressType = NewVerify, include parent
linked with flag, NewParentfromPreviousVT = 1
35
Wave 4 Verification Task Wrapper (Spanish)
Variable Name
Variable Description
User Group Definition
Best Parent first name identified
in VT
R04_VTBestParent_FN
(1) Best Parent's Name = The First name of the
best contact parent in the VT.
If R04_VTA26 = 1, Set R04_VTBestParent_FN to
first name associated with
R04_BESTYTHPARENT_LD and
R04_VTBestParent_LN to last name associated
with R04_BESTYTHPARENT_LD.
Else, if R04_VTA27 in (1,2,3,4,5,6,7,8,9), Set
R04_VTBestParent_FN to FirstName associated
with that response item and R04_VTBestParent_LN
to LastName associated with that response item.
Else, if R04_VTA28_FN is not null, Set
R04_VTBestParent_FN = R04_VTA28_FN and
R04_VTBestParent_LN = R04_VTA28_LN.
Best Parent last name identified
in VT
R04_VTBestParent_LN
(1) Best parent last name = The last name of the
best parent to contact identified in the VT.
If R04_VTA26 = 1, Set R04_VTBestParent_FN to
first name associated with
R04_BESTYTHPARENT_LD and
R04_VTBestParent_LN to last name associated
with R04_BESTYTHPARENT_LD.
Else, if R04_VTA27 in (1,2,3,4,5,6,7,8,9), Set
R04_VTBestParent_FN to FirstName associated
with that response item and R04_VTBestParent_LN
to LastName associated with that response item.
Else, if R04_VTA28_FN is not null, Set
R04_VTBestParent_FN = R04_VTA28_FN and
R04_VTBestParent_LN = R04_VTA28_LN.
Expected event type
R04_ExpectedSPEventType
(1) Expected event type = The expected event
type of the SP.
If R04_AddressType = NewVerify and
R04_ExpectedSPEventType_LD = ExpectedAdult,
Set R04_ExpectedSPEventType = Adult,
Else, Set R04_ExpectedSPEventType =
R04_ExpectedSPEventType_LD.
First moved address from VT
R04_MOVEDADD01
(1) First Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
36
In R04_VTABOX4B_VR, first unique moved
address should be stored in R04_MOVEDADD01.
Wave 4 Verification Task Wrapper (Spanish)
Variable Name
Variable Description
User Group Definition
Second moved address from VT
R04_MOVEDADD02
(1) Second Moved Address = If SP has moved
from the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, second unique moved
address should be stored in R04_MOVEDADD02.
Third moved address from VT
R04_MOVEDADD03
(1) Third Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, third unique moved
address should be stored in R04_MOVEDADD03.
Fourth moved address from VT
R04_MOVEDADD04
(1) Fourth Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, fourth unique moved
address should be stored in R04_MOVEDADD04.
Fifth moved address from VT
R04_MOVEDADD05
(1) Fifth Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, fifth unique moved
address should be stored in R04_MOVEDADD05.
Sixth moved address from VT
R04_MOVEDADD06
(1) Sixth Moved Address = If SP has moved from
the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, sixth unique moved
address should be stored in R04_MOVEDADD06.
Seventh moved address from
VT
R04_MOVEDADD07
(1) Seventh Moved Address = If SP has moved
from the fielded address for the VT, retain moved
address.
In R04_VTABOX4B_VR, seventh unique moved
address should be stored in R04_MOVEDADD07.
Num of People associated with
DUID
R04_NumofPeople
(1) Number of people associated with the VT =
The number of people (PIDs) assoicated with the
VT case upon VT completion.
Set R04_NumofPeople: value for
R04_NumofPeople is the count of people
associated with the R04_LINKED_ADDRESS,
inclusive of count of PIDs where
R04_NewPersoninVT = 1 +
R04_NewPersonTypeinVT = {VT R, Parent} and
exclusive of PIDs who are no longer associated
with R04_LINKED_ADDRESS if in SP Loop
R04_VTA10 = 1 + R04_VTA10X = {1, 2, 3, 4, 5, 6,
7, 8, -8, -7}.
37
Wave 4 Verification Task Wrapper (Spanish)
Variable Name
Variable Description
User Group Definition
Best phone contact
R04_VTBESTSPPHONE
(1) Best phone number = For each SP, what is the
best phone number for contact?
If R04_VTA30 = 1, set R04_VTBESTSPPHONE =
R04_BestPhoneNumber.
Else, if R04_VTA35 is not null and not DK or RF,
set R04_VTBESTSPPHONE = R04_VTA35.
Else, if R04_VTA40 in (1,2,3), set
R04_VTBESTSPPHONE = number linked to the
value of R04_VTA40.
Else, if R04_VTA40B is not null and not DK or RF,
set R04_VTBESTSPPHONE = R04_VTA40B.
Wave 4 SP Event Type
R04_EventType
(1) SP event type = The event type of the SP.
Set R04_EventType = Adult (and) IMS, create SP
Event Type = Adult if R04_ExpectedSPEventType
= Adult.
OR
Set R04_EventType = Youth (and) IMS, create SP
Event Type = Youth if R04_ExpectedSPEventType
= Youth.
OR
Set R04_EventType = Adult (and) IMS, create SP
Event Type = Adult if R04_ExpectedSPEventType
= ExpectedAdult + R04_VTA20 = 1.
OR
Set R04_EventType = Youth (and) IMS, create SP
Event Type = Youth if R04_ExpectedSPEventType
= ExpectedAdult AND R04_VTA20 != 1.
DUCreationWave
DUCreationWave
(1) Wave DUID was created = Wave when DUID
was created.
If Task 401 IN (FVM, ISP, IMV), Set
DUCreationWave = "wave 4".
38
PATH Study Wave 4: Script for Telephone Validation
OMB Control Number: xxxx-xxxx
Expiration Date: xx/xx/xxxx
Public reporting burden for this collection of information is estimated to average 4 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
20892-7974, ATTN: PRA (0925-0664). Do not return the completed form to this address.
1
September 22, 2016
PROGRAMMING INSTRUCTIONS:
Display color text by Validation Type:
Orange – Household Screener
Green – Adult Interview
Blue – Parent Interview
Intro_A.
Hello, my name is [VALIDATOR’S NAME] and I am calling on behalf of the Population Assessment of
Tobacco and Health (PATH) Study. May I please speak with [HH SCREENER RESP NAME/SP
NAME/PARENT NAME]?
•
B)
(IF YOU ARE SPEAKING WITH THE RESPONDENT/SP/PARENT….CONTINUE TO INTRO
•
(IF RESPONDENT/SP/PARENT IS CALLED TO THE PHONE….INTRODUCE YOURSELF
AGAIN AND CONTINUE TO INTRO B)
•
•
•
Intro_B.
(IF RESPONDENT/SP/PARENT IS NOT AVAILABLE….GO TO END_B)
(IF NO SUCH PERSON AT PHONE NUMBER….GO TO END_A)
Please tell me if you are currently driving a car or doing any activity that requires your full attention so I can
call you back at a later time. May I continue?
☐CONTINUE ............................ 1
(GO TO Q1)
☐CALL BACK........................... 2
(GO TO END_C)
1. Just to confirm, am I speaking with [HH SCREENER RESP NAME/SP NAME/PARENT NAME]?
☐YES ............................ 1
(GO TO Q2)
☐NO .............................. 2
(GO TO END_B)
2. Recently one of our interviewers visited your address to conduct an interview [with your son or
daughter] as part of the Population Assessment of Tobacco and Health (PATH) Study. Do you
remember talking to him or her?
☐YES ............................ 1
(SKIP TO Q7)
☐NO .............................. 2
(CONTINUE TO BOX A)
2
September 22, 2016
Box A
Routing Instructions:
IF Validation Type = Household Screener, GO TO Q3A.
IF Validation Type = Adult Interview or Parent Interview, GO TO Q3B.
3A. The interviewer talked to you about the members of your household and their use of tobacco
products. Do you remember the visit now?
☐YES ............................ 1
(SKIP TO Q7)
☐NO .............................. 2
(GO TO Q4)
3B. During the interview, you were asked questions about your [health and tobacco use/son or daughter].
Do you remember the visit now?
☐YES ............................ 1
(SKIP TO Q7)
☐NO .............................. 2
(GO TO Q4)
4. On [HH SCREENER INTERVIEW DATE/ADULT INTERVIEW DATE/PARENT INTERVIEW
DATE] did you live at [ADDRESS]?
☐YES ............................ 1
(SKIP TO Q6)
☐NO .............................. 2
(GO TO Q5)
5. When did you move to this address?
___________________________________________________________________ (GO TO END_D)
6. Perhaps there is a mistake. I’d like to make sure that I dialed correctly. Is this [PHONE
NUMBER]?
☐YES ............................ 1
(GO TO END_D)
☐NO .............................. 2
(GO TO END_A)
7. On all of our studies, we routinely re-contact some people who were interviewed to make sure our
interviewers are following procedures correctly. My questions today will take only a few minutes. Is
this a good time for you?
☐YES ............................ 1
(GO TO Q8)
☐NO .............................. 2
(GO TO END_C)
3
September 22, 2016
8. Please know that information from our call today will be kept private and used only for the PATH
Study.
(CONTINUE TO Q9)
9. During the visit, was the interviewer polite and courteous?
☐YES ............................ 1
(CONTINUE TO BOX B)
☐SOMEWHAT ..............2
(CONTINUE TO BOX B)
☐NO .............................. 3
(CONTINUE TO BOX B)
☐DON’T RECALL........-8
(CONTINUE TO BOX B)
☐REFUSED…………...-7
(CONTINUE TO BOX B)
Box B
Routing Instructions:
IF Household Screener or Adult Interview, GO TO Q10.
IF Parent Interview, GO TO Q10b.
10. On the day of the interview, approximately how long would you say the visit lasted?
☐LESS THAN 15 MINUTES....................................... 1
(CONTINUE TO BOX C)
☐BETWEEN 15 MINUTES TO 30 MINUTES............ 2
(CONTINUE TO BOX C)
☐BETWEEN 31 MINUTES TO 60 MINUTES............ 3
(CONTINUE TO BOX C)
☐LONGER THAN ONE HOUR……………………. . 4
(CONTINUE TO BOX C)
☐DON’T RECALL…………….……………………. .-8
(CONTINUE TO BOX C)
☐REFUSED…………………………………………...-7
(CONTINUE TO BOX C)
Box C
Routing Instructions:
IF Adult Interview, GO TO Q11.
IF Household Screener, GO TO Q23.
4
September 22, 2016
10b.On the day of the interview, approximately how long would you say the visit lasted?
[PROBE FOR PARENT INTERVIEW AND YOUTH INTERVIEW LENGTHS IN MINUTES]
PARENT INTERVIEW _____________________________ MINUTES
YOUTH INTERVIEW _____________________________ MINUTES
☐DON’T RECALL........ -8
(GO TO Q11)
☐REFUSED………........-7
(GO TO Q11)
(GO TO Q11)
11. Did the interviewer give you a copy of our consent document to read? This was a document that
included information about the PATH Study and discussed your consent [to allow your son or
daughter] to participate in an interview.
☐YES ............................ 1
(CONTINUE TO BOX D)
☐NO .............................. 2
(CONTINUE TO BOX D)
☐DON’T RECALL........-8
(CONTINUE TO BOX D)
☐REFUSED……….......-7
(CONTINUE TO BOX D)
Box D
Routing Instructions:
IF Adult Interview, GO TO Q12.
IF Parent Interview, GO TO Q17.
12. For part of the visit, did the interviewer turn the laptop towards you and ask you to read the
questions to yourself and enter your answers directly into the laptop?
☐YES ............................ 1
(CONTINUE)
☐NO .............................. 2
(CONTINUE)
☐DON’T RECALL........-8
(CONTINUE)
☐REFUSED……….......-7
(CONTINUE)
13. During the most recent visit, did the interviewer ask for your permission to collect a urine sample?
☐YES ............................ 1
(CONTINUE)
☐NO .............................. 2
(GO TO Q15)
☐DON’T RECALL........-8
(GO TO Q15)
☐REFUSED……….......-7
(GO TO Q15)
5
September 22, 2016
14. Did you give a urine sample?
☐YES ............................ 1
(CONTINUE)
☐NO .............................. 2
(CONTINUE)
☐DON’T RECALL........-8
(CONTINUE)
☐REFUSED……….......-7
(CONTINUE)
15. During the most recent visit, did the interviewer ask for your permission to let a health professional
visit to collect blood?
☐YES ............................ 1
(CONTINUE TO BOX E)
☐NO .............................. 2
(CONTINUE TO BOX E)
☐DON’T RECALL........-8
(CONTINUE TO BOX E)
☐REFUSED……….......-7
(CONTINUE TO BOX E)
Box E
Routing Instructions:
IF Blood Collection visit was completed, GO TO Q16.
OTHERWISE, SKIP TO Q21.
16. During the visit by the health professional who collected the blood sample, was the health
professional polite and courteous?
☐YES ............................................................. 1
(GO TO Q21)
☐SOMEWHAT………………………………2
(GO TO Q21)
☐NO ............................................................... 3
(GO TO Q21)
☐BLOOD DRAW NOT TAKEN................... 4
(GO TO Q21)
☐DON’T RECALL.........................................-8
(GO TO Q21)
☐REFUSED………........................................-7
(GO TO Q21)
17. Did the interviewer ask for your permission to allow your son or daughter to participate in the
interview?
☐YES ............................ 1
(CONTINUE)
☐NO .............................. 2
(CONTINUE)
☐DON’T RECALL........-8
(CONTINUE)
☐REFUSED……….......-7
(CONTINUE)
6
September 22, 2016
18. Did your son or daughter participate in the interview?
☐YES ............................ 1
(CONTINUE)
☐NO .............................. 2
(CONTINUE)
☐DON’T RECALL........-8
(CONTINUE)
☐REFUSED……….......-7
(CONTINUE)
19. Did the interviewer ask for your permission to allow your son or daughter to provide a urine sample?
☐YES ............................ 1
(CONTINUE)
☐NO .............................. 2
(GO TO Q21)
☐DON’T RECALL........-8
(GO TO Q21)
☐REFUSED……….......-7
(GO TO Q21)
20. Did your son or daughter give a urine sample?
☐YES ............................ 1
(CONTINUE)
☐NO .............................. 2
(CONTINUE)
☐DON’T RECALL........-8
(CONTINUE)
☐REFUSED……….......-7
(CONTINUE)
21. Did [you/your son or daughter] receive a payment on a debit card to thank [you/him or her] for
[your/his or her] participation?
☐YES ............................ 1
(CONTINUE TO BOX F)
☐NO .............................. 2
(CONTINUE TO BOX F)
☐DON’T RECALL........-8
(CONTINUE TO BOX F)
☐REFUSED……….......-7
(CONTINUE TO BOX F)
Box F
Routing Instructions:
IF Adult Interview, GO TO Q28.
IF Parent Interview, AND Q21 = NO, GO TO Q22. Otherwise, GO TO Q28.
7
September 22, 2016
22. Did your son or daughter not receive a payment because you requested the payment be given to you?
☐YES……………………………..... 1
(GO TO Q28)
☐NO…………………........................2
(GO TO Q28)
☐DON’T RECALL............................-8
(GO TO Q28)
☐REFUSED………...........................-7
(GO TO Q28)
23. Did the interviewer enter your responses into a laptop?
☐YES ............................ 1
(CONTINUE)
☐NO .............................. 2
(CONTINUE)
☐DON’T RECALL........-8
(CONTINUE)
☐REFUSED……...........-7
(CONTINUE)
24. What was your age on the date of the interview?
ENTER NUMBER……… 1 |__|__|
(CONTINUE)
☐DON’T RECALL........ -8
(CONTINUE)
☐REFUSED………........-7
(CONTINUE)
25. On the date of the interview, did you serve on active duty in the U.S. Armed Forces, Military
Reserves or National Guard?
☐YES ............................ 1
(CONTINUE)
☐NO .............................. 2
(CONTINUE)
☐DON’T RECALL........-8
(CONTINUE)
☐REFUSED……….......-7
(CONTINUE)
26. On the date of the interview, did you smoke cigarettes, cigars, or a pipe, every day, some days or not
at all? Do not include the time since the interview.
☐EVERY DAY .................. 1
(CONTINUE)
☐SOME DAYS .................. 2
(CONTINUE)
☐NOT AT ALL……........... 3
(CONTINUE)
☐DON’T RECALL........-8
(CONTINUE)
☐REFUSED……….......-7
(CONTINUE)
8
September 22, 2016
27. On the date of the interview, including yourself, how many people lived at this address? Do not
include anyone who had a usual place of residence elsewhere.
IF NEEDED: Household members include people who think of your address as their primary
residence. This includes people who usually stay at your address but are temporarily away on
business, vacation, in a hospital, or living at school in a dorm or fraternity or sorority.
IF NEEDED: Do not include college students living in off-campus housing as household members.
ENTER NUMBER……… |__|__|
(CONTINUE)
☐DON’T RECALL........ -8
(CONTINUE)
☐REFUSED………........-7
(CONTINUE)
28. Would you like to tell me anything else about the interviewer?
____________________________________________________________________________
______________________________________________________________(CONTINUE)
29. What is your current address?
_[ADDRESS 1]_______________________________________________________
_ [ADDRESS 2]_______________________________________________________
_[CITY/STATE/ZIP]_______________________________________ (CONTINUE)
☐REFUSED………........................... -7
(GO TO END_E)
30. VALIDATOR INSTRUCTIONS. DO NOT READ TO RESPONDENT.
WAS THE ADDRESS PROVIDED ON THE PREVIOUS QUESTION THE SAME ADDRESS AS
BELOW? CODE AS “YES” IF ADDRESS IS SIMILAR. DOES NOT HAVE TO BE AN EXACT
MATCH.
___________________________________
☐YES……………………………..... 1
(GO TO END_E)
☐NO…………………........................2
(CONTINUE TO Q31)
☐NOT SURE …….….........................3
(GO TO END_E)
31. Did the interviewer visit you at this address to conduct the interview?
☐YES……………………………..... 1
(GO TO END_F)
☐NO…………………........................2
(CONTINUE TO Q32)
☐DON’T RECALL............................-8
(GO TO END_F)
☐REFUSED………...........................-7
(GO TO END_F)
9
September 22, 2016
32. At what address did the interviewer visit you to conduct the interview?
_[ADDRESS 1]_______________________________________________________
_ [ADDRESS 2]_______________________________________________________
_[CITY/STATE/ZIP]_______________________________________ (CONTINUE TO Q33)
☐REFUSED………........................... -7
(GO TO END_F)
33. VALIDATOR INSTRUCTIONS. DO NOT READ TO RESPONDENT.
WAS THE ADDRESS PROVIDED ON THE PREVIOUS QUESTION THE SAME ADDRESS AS
BELOW? CODE AS “YES” IF ADDRESS IS SIMILAR. DOES NOT HAVE TO BE AN EXACT
MATCH.
___________________________________
☐YES……………………………..... 1
(GO TO END_E)
☐NO…………………........................2
(GO TO END_F)
☐NOT SURE …….….........................3
(GO TO END_E)
•
IF QUESTIONS ARE ASKED, PLEASE REFER SP TO THE PATH SUPPORT DESK AT 1-888-3111819.
•
GO TO END_E
10
September 22, 2016
END_A: I apologize. I have the wrong number. Thank you. Goodbye.
END_B: Thank you for your time. What is a good day and time to reach [HH SCREENER RESP
NAME/SP NAME/PARENT NAME]? What phone number is best to use? Is this is a cellphone
number?
DATE: _____________________
TIME: _________ am pm
PHONE NUMBER: _____________________
CELL PHONE NUMBER: YES or NO
☐ REFUSED FURTHER CONTACT
Thank you. Goodbye.
END_C: What is a good day and time to reach you again? Is this is a cellphone number?
DATE: _____________________
TIME: _________ am pm
PHONE NUMBER: _____________________
CELL PHONE NUMBER: YES or NO
☐ REFUSED FURTHER CONTACT
Thank you. Goodbye.
END_D: Thank you for your time. There seems to be a problem with some of our information. I
will check our records and someone may call you back.
Thank you. Goodbye.
END_E: Those are all the questions I have. Thank you so much for your time today. Goodbye.
END_F: Those are all the questions I have. Thank you so much for your time today. Goodbye.
PROGRAMMER NOTE: SET RESULT CODE TO VR (Validation Risk)
[PLEASE READ THE FOLLOWING MESSAGE INTO THE ANSWERING MACHINE.]
Hello, I'm calling on behalf of the Population Assessment of Tobacco and Health Study, PATH.
We'd like a few minutes of [HH SCREENER RESP NAME/SP NAME/PARENT NAME]'s time to
verify some information (he/she) provided. We will call back another time or you may call us at 1877-709-5807.
11
September 22, 2016
PATH Study Wave 4: Script for Telephone Validation Spanish
Número de control de la OMB: xxxx-xxxx
Fecha de vencimiento: xx/xx/xxxx
Se calcula que el tiempo para esta recolección de información es de 4 minutos por cuestionario, incluyendo el
tiempo necesario para revisar las instrucciones, buscar fuentes de datos existentes, reunir y mantener los datos
necesarios y completar y revisar la recolección de información. Ninguna agencia puede realizar ni patrocinar una
recolección de información, y ninguna persona está obligada a responder a dicha recolección de información, a
menos que esta muestre un número de control vigente de la OMB. Envíe sus comentarios respecto a este cálculo
de tiempo o a otro aspecto de esta recolección de información, incluyendo sugerencias de cómo reducir este
cálculo de tiempo a: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 208927974, ATTN: PRA (0925-0664). No devuelva el cuestionario contestado a esta dirección.
1
September 22, 2016
PROGRAMMING INSTRUCTIONS:
Display color text by Validation Type:
Orange – Household Screener
Green – Adult Interview
Blue – Parent Interview
Intro_A.
Buenos días/Buenas tardes, mi nombre es < VALIDATOR’S NAME> y estoy llamando de parte de la
Evaluación Demográfica del Tabaco y la Salud o Estudio PATH. ¿Podría hablar con < HH SCREENER
RESP NAME/SP NAME/PARENT NAME>?
•
B)
(IF YOU ARE SPEAKING WITH THE RESPONDENT/SP/PARENT….CONTINUE TO INTRO
•
(IF RESPONDENT/SP/PARENT IS CALLED TO THE PHONE….INTRODUCE YOURSELF
AGAIN AND CONTINUE TO INTRO B)
•
(IF RESPONDENT/SP/PARENT IS NOT AVAILABLE….GO TO END_B)
•
(IF NO SUCH PERSON AT PHONE NUMBER….GO TO END_A)
Intro_B.
Por favor dígame si en este momento está manejando un automóvil o haciendo alguna actividad que requiera
su total atención para que lo pueda volver a llamar más tarde. ¿Puedo continuar?
CONTINUE ............................ 1
(GO TO Q1)
CALL BACK........................... 2
(GO TO END_C)
1. Solo para confirmar, ¿estoy hablando con [HH SCREENER RESP NAME/SP NAME/PARENT
NAME]?
YES ............................ 1
(GO TO Q2)
NO .............................. 2
(GO TO END_B)
2. Uno de nuestros entrevistadores fue a su casa recientemente para hacer una entrevista [con su hijo o
hija] como parte de la Evaluación Demográfica del Tabaco y la Salud o Estudio PATH. ¿Recuerda
haber hablado con un entrevistador?
YES ............................ 1
(SKIP TO Q7)
NO .............................. 2
(CONTINUE TO BOX A)
2
September 22, 2016
Box A
Routing Instructions:
IF Validation Type = Household Screener, GO TO Q3A.
IF Validation Type = Adult Interview or Parent Interview, GO TO Q3B.
3A. El entrevistador le habló acerca de los miembros de su hogar y del consumo de tabaco de ellos. ¿Se
acuerda de la visita?
YES ............................ 1
(SKIP TO Q7)
NO .............................. 2
(GO TO Q4)
3B. En la entrevista le preguntaron acerca de su [salud y de su consumo de tabaco/hijo o hija]. ¿Se
acuerda de la visita?
YES ............................ 1
(SKIP TO Q7)
NO .............................. 2
(GO TO Q4)
4. ¿En [HH SCREENER INTERVIEW DATE/ ADULT INTERVIEW DATE/PARENT INTERVIEW
DATE] vivía usted en [ADDRESS]?
YES ............................ 1
(SKIP TO Q6)
NO .............................. 2
(GO TO Q5)
5. ¿Cuándo se mudó a esta dirección?
___________________________________________________________________ (GO TO END_D)
6. Quizás haya un error. Quisiera asegurarme de que he marcado el número correcto. ¿Es este número
[PHONE NUMBER]?
YES ............................ 1
(GO TO END_D)
NO .............................. 2
(GO TO END_A)
7. Para todos nuestros estudios nos volvemos a comunicar periódicamente con las personas que
entrevistamos para asegurarnos de que los entrevistadores están haciendo su trabajo como se debe.
Las preguntas que tengo solo tomarán unos minutos. ¿Tiene tiempo para hablar conmigo en este
momento?
YES ............................ 1
(GO TO Q8)
NO .............................. 2
(GO TO END_C)
3
September 22, 2016
8. Tenga en cuenta que la información de esta llamada se mantendrá de manera confidencial y la
usaremos únicamente para el Estudio PATH.
(CONTINUE TO Q9)
9.
¿Fue el entrevistador educado y cortés durante la entrevista?
YES ............................ 1
(CONTINUE TO BOX B)
SOMEWHAT ............. 2
(CONTINUE TO BOX B)
NO .............................. 3
(CONTINUE TO BOX B)
DON’T RECALL........ -8
(CONTINUE TO BOX B)
REFUSED…………...-7
(CONTINUE TO BOX B)
Box B
Routing Instructions:
IF Household Screener or Adult Interview, GO TO Q10.
IF Parent Interview, GO TO Q10b.
10. El día de la entrevista, aproximadamente, ¿cuánto tiempo duró la visita?
LESS THAN 15 MINUTES....................................... 1
(GO TO BOX C)
BETWEEN 15 MINUTES TO 30 MINUTES............ 2 (GO TO BOX C)
BETWEEN 31 MINUTES TO 60 MINUTES............ 3 (GO TO BOX C)
LONGER THAN ONE HOUR……………………. . 4 (GO TO BOX C)
DON’T RECALL…………….……………………. . -8 (GO TO BOX C)
REFUSED……………………………………………-7 (GO TO BOX C)
Box C
Routing Instructions:
IF Adult Interview, GO TO Q11.
IF Household Screener, GO TO Q23.
4
September 22, 2016
10b. El día de la entrevista, aproximadamente, ¿cuánto tiempo duró la visita?
[PROBE FOR PARENT INTERVIEW AND YOUTH INTERVIEW LENGTHS IN MINUTES]
PARENT INTERVIEW ______________________________________ MINUTES
YOUTH INTERVIEW _______________________________________ MINUTES (GO TO Q11)
DON’T RECALL........ 3
(GO TO Q11)
REFUSED………........4
(GO TO Q11)
11. ¿Le dio el entrevistador una copia de nuestro consentimiento para que lo leyera? Es un documento
que incluye información acerca del Estudio PATH y menciona su autorización para
[participar/permitir que su hijo o hija participe] en una entrevista.
YES ............................ 1
(CONTINUE TO BOX D)
NO .............................. 2
(CONTINUE TO BOX D)
DON’T RECALL........ -8
(CONTINUE TO BOX D)
REFUSED………........-7
(CONTINUE TO BOX D)
Box D
Routing Instructions:
IF Adult Interview, GO TO Q12.
IF Parent Interview, GO TO Q17.
12. En una parte de la visita, ¿volteó el entrevistador la computadora portátil hacia usted y le pidió que
usted mismo leyera las preguntas mentalmente y anotara sus respuestas directamente en la
computadora portátil?
YES ............................ 1
(CONTINUE)
NO .............................. 2
(CONTINUE)
DON’T RECALL........ -8
(CONTINUE)
REFUSED………....... -7
(CONTINUE)
13. Durante la visita más reciente, ¿le pidió el entrevistador su autorización para recolectar una muestra
de orina?
YES ............................ 1
(CONTINUE)
NO .............................. 2
(GO TO Q15)
DON’T RECALL........ -8
(GO TO Q15)
REFUSED………....... -7
(GO TO Q15)
5
September 22, 2016
14. ¿Dio usted una muestra de orina?
YES ............................ 1
(CONTINUE)
NO .............................. 2
(CONTINUE)
DON’T RECALL........ -8
(CONTINUE)
REFUSED………....... -7
(CONTINUE)
15. Durante la visita más reciente, ¿le pidió el entrevistador su autorización para que venga un
profesional de la salud a recolectar una muestra de sangre?
YES……………………………..... 1
(CONTINUE TO BOX E)
NO…………………........................2
(CONTINUE TO BOX E)
DON’T RECALL............................ -8
(CONTINUE TO BOX E)
REFUSED………........................... -7
(CONTINUE TO BOX E)
Box E
Routing Instructions:
IF Blood Collection visit was completed, GO TO Q16.
OTHERWISE, SKIP TO Q21.
16. En la visita en la que el profesional de la salud recolectó la muestra de sangre, ¿fue el profesional de
la salud educado y cortés?
YES .............................................................. 1
(GO TO Q21)
SOMEWHAT………………………………2
(GO TO Q21)
NO ............................................................... 3
(GO TO Q21)
BLOOD DRAW NOT TAKEN................... 4
(GO TO Q21)
DON’T RECALL......................................... 5
(GO TO Q21)
REFUSED………........................................ 6
(GO TO Q21)
17. ¿Le pidió el entrevistador su autorización para que su hijo o su hija participara en la entrevista?
YES ............................ 1
(CONTINUE)
NO .............................. 2
(CONTINUE)
DON’T RECALL........-8
(CONTINUE)
REFUSED……….......-7
(CONTINUE)
6
September 22, 2016
18. ¿Participó su hijo o hija en la entrevista?
☐YES……………………………..... 1
(CONTINUE)
☐NO…………………........................2
(CONTINUE)
☐DON’T RECALL............................ -8
(CONTINUE)
☐REFUSED………........................... -7
(CONTINUE)
19. ¿Le pidió el entrevistador su autorización para que su hijo o su hija diera una muestra de orina?
YES ............................ 1
(CONTINUE)
NO .............................. 2
(GO TO Q21)
DON’T RECALL........-8
(GO TO Q21)
REFUSED……….......-7
(GO TO Q21)
20. ¿Dio su hijo o su hija una muestra de orina?
YES ............................ 1
(CONTINUE)
NO .............................. 2
(CONTINUE)
DON’T RECALL........-8
(CONTINUE)
REFUSED……….......-7
(CONTINUE)
21. ¿Recibió [usted/su hijo o su hija] pago en una tarjeta de débito como agradecimiento por su
participación?
YES
............................ 1
(CONTINUE TO BOX F)
NO .............................. 2
(CONTINUE TO BOX F)
DON’T RECALL........ -8
(CONTINUE TO BOX F)
REFUSED………....... -7
(CONTINUE TO BOX F)
Box F
Routing Instructions:
IF Adult Interview, GO TO Q28.
IF Parent Interview, AND Q21 = NO, GO TO q22. Otherwise, GO TO Q28.
7
September 22, 2016
22. ¿No recibió un pago su hijo o su hija porque usted solicitó que le dieran el pago a usted?
☐YES……………………………..... 1
(GO TO Q28)
☐NO…………………........................2
(GO TO Q28)
☐DON’T RECALL............................ -8
(GO TO Q28)
☐REFUSED………........................... -7
(GO TO Q28)
23. ¿El entrevistador anotó sus respuestas en una computadora portátil?
YES ............................ 1
(CONTINUE)
NO .............................. 2
(CONTINUE)
DON’T RECALL........-8
(CONTINUE)
REFUSED……...........-7
(CONTINUE)
24. ¿Qué edad tenía usted cuando hizo la entrevista?
ENTER NUMBER……… 1 |__|__|
(CONTINUE)
DON’T RECALL........ -8
(CONTINUE)
REFUSED………........-7
(CONTINUE)
25. ¿Estaba prestando servicio militar activo en las Fuerzas Armadas, la Reserva o la Guardia Nacional
de Estados Unidos en la fecha en que hizo la entrevista?
YES ............................ 1
(CONTINUE)
NO .............................. 2
(CONTINUE)
DON’T RECALL........-8
(CONTINUE)
REFUSED……….......-7
(CONTINUE)
26. En la fecha en que hizo la entrevista, ¿fumaba cigarrillos, puros o pipa todos los días, algunos días o
nunca? No incluya el tiempo después de la entrevista.
EVERY DAY .................. 1
(CONTINUE)
SOME DAYS .................. 2
(CONTINUE)
NOT AT ALL……........... 3
(CONTINUE)
DON’T RECALL........-8
(CONTINUE)
REFUSED……….......-7
(CONTINUE)
8
September 22, 2016
27. En la fecha en que hizo la entrevista, ¿cuántas personas vivían en este domicilio incluyéndose a
usted? No incluya a las personas que tenían domicilio en otro lugar.
IF NEEDED: Los miembros del hogar incluyen a las personas que consideran a este domicilio como
su vivienda principal. Esto incluye a personas que normalmente viven en este domicilio, pero que
están fuera temporalmente por cuestiones de negocios, vacaciones, hospitalizaciones o que viven en
un campus universitario.
IF NEEDED: No incluya como miembros del hogar a estudiantes universitarios que viven fuera del
campus universitario.
ENTER NUMBER……… |__|__|
(CONTINUE)
DON’T RECALL........ -8
(CONTINUE)
REFUSED………........-7
(CONTINUE)
28. ¿Le gustaría decirme algo más acerca del entrevistador?
____________________________________________________________________________
____________________________________________________________________________
______________________________________________________________(CONTINUE)
29. ¿Cuál es su dirección actual?
_[ADDRESS 1]_______________________________________________________
_ [ADDRESS 2]_______________________________________________________
_[CITY/STATE/ZIP]_______________________________________ (CONTINUE)
REFUSED………........................... -7
(GO TO END_E)
30. VALIDATOR INSTRUCTIONS. DO NOT READ TO RESPONDENT.
WAS THE ADDRESS PROVIDED ON THE PREVIOUS QUESTION THE SAME ADDRESS AS
BELOW? CODE AS “YES” IF ADDRESS IS SIMILAR. DOES NOT HAVE TO BE AN EXACT
MATCH.
___________________________________
YES……………………………..... 1
(GO TO END_E)
NO…………………........................2
(CONTINUE TO Q31)
NOT SURE …….….........................3
(CONTINUE TO END_E)
9
September 22, 2016
31. ¿Fue el entrevistador a esta dirección para hacerle la entrevista?
YES……………………………..... 1
(GO TO END_F)
NO…………………........................2
(CONTINUE TO Q32)
DON’T RECALL............................ -8
(GO TO END_F)
REFUSED………........................... -7
(GO TO END_F)
32. ¿A qué dirección fue el entrevistador para hacerle la entrevista?
_[ADDRESS 1]_______________________________________________________
_ [ADDRESS 2]_______________________________________________________
_[CITY/STATE/ZIP]_______________________________________ (CONTINUE TO Q33)
REFUSED………........................... -7
(GO TO END_F)
33. VALIDATOR INSTRUCTIONS. DO NOT READ TO RESPONDENT.
WAS THE ADDRESS PROVIDED ON THE PREVIOUS QUESTION THE SAME ADDRESS AS
BELOW? CODE AS “YES” IF ADDRESS IS SIMILAR. DOES NOT HAVE TO BE AN EXACT
MATCH.
___________________________________
YES……………………………..... 1
(GO TO END_E)
NO…………………........................2
(GO TO END_F)
NOT SURE …….….........................3
(GO TO END_E)
•
IF QUESTIONS ARE ASKED, PLEASE REFER SP TO THE PATH SUPPORT DESK AT 1-888-3111819.
•
GO TO END_E
10
September 22, 2016
END_A: Lo siento mucho. Tengo el número equivocado. Gracias. Hasta luego.
END_B: Gracias por su colaboración. ¿Cuándo es la fecha y hora más conveniente para comunicarme
con [HH SCREENER RESP NAME/SP NAME/PARENT NAME]? ¿Cuál es el mejor número?
DATE: _____________________
TIME: _________ am pm
PHONE NUMBER: _____________________
CELL PHONE NUMBER: YES or NO
REFUSED FURTHER CONTACT
Gracias. Hasta luego.
END_C: ¿Cuál es la fecha y hora más conveniente para volver a comunicarme con usted?
DATE: _____________________
TIME: _________ am pm
PHONE NUMBER: _____________________
CELL PHONE NUMBER: YES or NO
REFUSED FURTHER CONTACT
Gracias. Hasta luego.
END_D: Gracias por su colaboración. Parece que hay un problema con nuestra información. Voy a
revisar mi documentación. Es posible que alguien se vuelva a comunicar con usted.
Gracias. Hasta luego.
END_E: Esas son todas las preguntas que tengo. Muchísimas gracias por su colaboración. Hasta luego.
END_F: Esas son todas las preguntas que tengo. Muchísimas gracias por su colaboración. Hasta luego.
PROGRAMMER NOTE: SET RESULT CODE TO VR (Validation Risk)
[PLEASE READ THE FOLLOWING MESSAGE INTO THE ANSWERING MACHINE.]
Buenos días. Estoy llamando de parte de la Evaluación Demográfica del Tabaco y la Salud o Estudio
PATH. Quisiéramos hablar brevemente con [HH SCREENER RESP NAME/SP NAME/PARENT
NAME] para verificar una información que (él/ella) nos dio. Volveremos a llamar o puede llamarnos al
1-877-709-5807.
11
September 22, 2016
OMB Control Number: xxxx-xxxx
Expiration Date: mm/dd/yyyy
PATH STUDY WAVE 4
CONTINUING SAMPLE ADULT FIELD VISIT VALIDATION FORM
INSTRUCTIONS:
1.
FILL OUT THE FIELDS BELOW WITH THE CASE INFORMATION YOU RECEIVE FROM YOUR FIELD SUPERVISOR (VIA
PHONE CALL OR BSM EMAIL). THROUGHOUT THE FORM, YOU WILL SEE THE FIELDS BELOW REFERENCED
WITHIN BRACKETS (FOR EXAMPLE ). YOU WILL USE THE INFORMATION IN THE FIELDS BELOW FOR
THESE REFERENCES. OTHER THAN THE DUID/SPID, DO NOT WRITE ANY OF THE DATA BELOW ON THE
REMAINING PAGES OF THIS FORM.
2.
PRINT CLEARLY THE DUID/SPID IN THE SPACE PROVIDED ON THE TOP RIGHT CORNER OF EVERY PAGE OF THE
SECTION USED.
3.
COMPLETE THE VALIDATION ASSIGNMENT BY DATE INDICATED BY YOUR SUPERVISOR. SPACE IS ALLOWED ON
PAGE 2 FOR RECORDING UP TO 5 CONTACT ATTEMPTS. IF THE SP REFUSES VALIDATION, DO NOT RECONTACT,
SPEAK TO YOUR SUPERVISOR. SEE EXAMPLE BELOW OF HOW TO FILL OUT THE VALIDATION LOG:
Validation
Contact
Date
Time
Validator name
Validator ID
Validation
Result
Unable to
Contact
1
9/26
4:30pm
Jane Smith
PATH1234
2
9/27
7:00pm
Jane Smith
PATH1234
Language
Problem
3
9/28
2:05pm
Jane Smith
PATH1234
Complete
Comments
Knocked 3 times, did not
answer door
Able to make contact, was able
to gather someone who speaks
English will be home at 2pm
tomorrow
4.
AFTER COMPLETING THE VALIDATION FORM, USING A BLACK MARKER, MARK THROUGH THE SP NAME BELOW
SO THE NAME NO LONGER APPEARS ON THE FORM.
5.
RETURN PAGES OF THE VALIDATION FORM TO YOUR FIELD MANAGER VIA FEDEX PRIORITY OVERNIGHT.
DUID/SPID:______________________________________
SP LANGUAGE: _________________________________
SP NAME: ______________________________________
INTERVIEWER NAME/ID: ___________________________
ADDRESS:________________________________________
ADULT INT STATUS: _____________________________
__________________________________________________
ADULT INT DATE: ____________________
__________________________________________________
BLOOD COLLECTION VISIT COMPLETE? ______________
Public reporting burden for this collection of information is estimated to average 4 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 20892-7974, ATTN: PRA (0925-0664). Do not return the completed form to this address.
VALIDATION RESULT
Complete – Successful contact or Verification of Non-Response
Refused Validation – Respondent refuses to participate in Validation
Unable to Contact – No contact made with SP
Break-off – Completed part of validation interview
Language Problem – e.g. Language issue
Validation
Contact
Date
Time
Validator name
Validator ID
Validation
Result
Comments
1
2
3
4
5
FINAL VALIDATION STATUS – FOR FIELD MANAGEMENT USE ONLY (CIRLE ONE)
ACCEPTABLE
UNACCEPTABLE
REFUSAL / BREAKOFF
UNABLE TO CONTACT
ROUTING INSTRUCTIONS
•
ADULT INTERVIEW NON-RESPONSE USE SECTION A
•
ADULT INTERVIEW COMPLETE USE SECTION B
2
SECTION A
Adult Interview Non-response
A1.
ORIGINAL REASON FOR ADULT SP FINAL NON-RESPONSE:
______________________________
ROUTING INSTRUCTIONS:
IF FINAL DISPOSITION CODE IS:
FDU - DU NO ACCESS/ENTRY, OR
FIG - INSTITUTIONALIZED/GROUP QUARTERS
CONTINUE WITH A2.
IF FINAL DISPOSITION CODE IS:
FNA - UNAVAILABLE DURING WINDOW,
FBO - BREAK-OFF,
FIL - ILLNESS,
FPM - PHYSICAL/MENTAL IMPAIRMENT, OR
FLP - LANGUAGE PROBLEM – NOT SPANISH
THEN SKIP TO A3.
A2:
CODE STATUS OF DWELLING UNIT (DU) BASED ON YOUR VISIT:
INSTITUTIONALIZED/GROUP QUARTERS..................... 1 (SKIP TO A15)
ADDRESS QUALIFIES AS DU ............................................ 2 (CONTINUE)
A3.
CODE STATUS BASED ON YOUR VISIT:
DU NO ACCESS/ENTRY ...................................................... 1 (SKIP TO A15)
VACANT ................................................................................ 2 (SKIP TO A15)
NOT VACANT ....................................................................... 3 (CONTINUE)
A4.
Hello, my name is from the Population Assessment of Tobacco and Health (PATH)
Study. May I please speak with ?
SP AVAILABLE ....................................................................
SP NOT AVAILABLE ...........................................................
A5.
1 (CONTINUE)
2 (SKIP TO A13)
ONCE SPEAKING WITH SP: [REINTRODUCE SELF IF NECESSARY]
On one of our interviewers may have visited this address in person to
conduct an interview with you. Do you remember talking to him or her in person?
YES ......................................................................................... 1 (SKIP TO A9)
NO ........................................................................................... 2 (CONTINUE)
3
A6.
The PATH Study is an ongoing national study on tobacco and health. The interviewer would have
asked for you by name since you participated last time and may have shown you a brochure like this
one about the study [HAND BROCHURE TO SP]. Do you remember the visit now?
YES .........................................................................................
NO ...........................................................................................
A7.
1 (SKIP TO A9)
2 (CONTINUE)
On did you live at this address?
YES ......................................................................................... 1 (SKIP TO A12)
NO ........................................................................................... 2 (CONTINUE)
A8.
When did you move to this address?
_______________________________________________ (SKIP TO A12)
A9.
On all of our studies, we routinely re-contact some people who were interviewed to make sure our
interviewers are following procedures correctly.
During the in person visit, was the interviewer polite and courteous? Would you say yes, somewhat,
or no?
YES .......................................................................................
SOMEWHAT ........................................................................
NO .........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
A10.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
1
2
-8
-7
(SKIP TO A12)
(GO TO A11)
(SKIP TO A12)
(SKIP TO A12)
Did you complete an interview?
YES .......................................................................................
NO .........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
A11.
1
2
3
-8
-7
FOR INTERVIEWER ONLY: PROBE FOR REASON WHY INTERVIEW WAS NOT COMPLETED
_______________________________________________ (CONTINUE)
A12.
What is the best telephone number we can use to reach you in case we have additional questions?
_______________________________________________ (GO TO A14)
4
A13.
What is the best telephone number we can use to reach or the best time to
return to speak with him/her?
_______________________________________________ (CONTINUE)
A14.
Is this a cell phone number?
YES ....................................................................................... 1 (CONTINUE)
NO ......................................................................................... 2 (CONTINUE)
A15.
(Thank you very much for your time.)
FOR INTERVIEWER ONLY: WHAT IS YOUR ASSESSMENT OF THE DWELLING UNIT OR
CONTACT PROBLEM FOR THIS SP?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
A_END: RECORD DETAILS IN SECTION C.
IF QUESTIONS ARE ASKED, REFER THEM TO THE PATH STUDY
SUPPORT DESK AT 1-888-311-1819.
5
SECTION B
Adult Interview Complete
B1.
Hello, my name is from the Population Assessment of Tobacco and Health (PATH)
Study. May I please speak with ?
[REINTRODUCE SELF IF NECESSARY]
On one of our interviewers visited this address in person to conduct
an interview with you as part of the PATH Study. Do you remember talking to him or her in person?
YES ....................................................................................... 1 (SKIP TO B5)
NO ......................................................................................... 2 (CONTINUE)
B2.
During the interview, you were asked questions about your health and tobacco use. Do you
remember the visit now?
YES ....................................................................................... 1 (SKIP TO B5)
NO ......................................................................................... 2 (CONTINUE)
B3.
On did you live at this address?
YES ......................................................................................... 1 (SKIP TO B_END)
NO ........................................................................................... 2 (CONTINUE)
B4.
When did you move to this address?
_______________________________________________ (SKIP TO B_END)
B5.
On all of our studies, we routinely re-contact some people who were interviewed to make sure our
interviewers are following procedures correctly. My questions today will take only a few minutes.
The information from my visit today will be kept private and used only for the PATH Study.
(CONTINUE)
B6.
On the day of the interview, approximately how long would you say the visit lasted?
LESS THAN 15 MINUTES ..................................................
15-30 MINUTES ...................................................................
31-60 MINUTES ...................................................................
LONGER THAN ONE HOUR .............................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
6
1
2
3
4
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
B7.
During the visit, was the interviewer polite and courteous? Would you say yes, somewhat, or no?
YES .......................................................................................
SOMEWHAT ........................................................................
NO .........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B8.
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
During the most recent visit, did the interviewer ask you for a urine sample?
YES ......................................................................................
NO ........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B12.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did the interviewer give you a debit card to thank you for your participation?
YES .......................................................................................
NO…….….. ..........................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B11.
1
2
-8
-7
For part of the visit, did the interviewer turn the laptop towards you and ask you to read the
questions to yourself and enter your answers directly into the laptop?
YES .......................................................................................
NO .........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
B10.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did the interviewer give you a copy of our consent document to read? This was a document that
included information about the PATH Study and discussed your consent to participate in an
interview.
YES .......................................................................................
NO .........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
B9.
1
2
3
-8
-7
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did you give a urine sample?
YES ......................................................................................
NO ........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
7
B13.
During the most recent visit, did the interviewer ask for your permission to let a health professional
visit to collect blood?
YES ......................................................................................
NO ........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B14.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
1
2
-8
-7
(CONTINUE)
(SKIP TO B18)
(CONTINUE)
(CONTINUE)
Did you consent to a health professional visit to collect blood?
YES ......................................................................................
NO ........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B15.
1
2
-8
-7
Did a health professional come to your home to collect the blood sample?
YES ......................................................................................
NO ........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
1
2
-8
-7
(CONTINUE)
(SKIP TO B18)
(CONTINUE)
(CONTINUE)
IF BLOOD COLLECTION VISIT WAS COMPLETE, CONTINUE WITH B16.
OTHERWISE, SKIP TO B18 AND ASK ONLY ABOUT THE INTERVIEWER’S VISIT.
B16.
During the visit by the health professional who collected the blood sample, was the health
professional polite and courteous? Would you say yes, somewhat, or no?
YES .......................................................................................
SOMEWHAT ........................................................................
NO .........................................................................................
BLOOD DRAW NOT TAKEN ...........................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B17.
1
2
3
4
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Would you like to tell me anything else about the health professional?
____________________________________________________________________________
_____________________________________________________________(CONTINUE)
B18.
Would you like to tell me anything else about the interviewer?
____________________________________________________________________________
_____________________________________________________________(CONTINUE)
8
B19.
What is the best telephone number we can use to reach you?
___________________________________ (CONTINUE)
B20.
Is this a cell phone number?
YES ....................................................................................... 1
NO ......................................................................................... 2
B_END: Thank you very much for your time.
IF QUESTIONS ARE ASKED, REFER THEM TO THE PATH STUDY
SUPPORT DESK AT 1-888-311-1819.
RECORD DETAILS IN SECTION C.
9
SECTION C
Documentation of Validation Problem Situations
RECORD ANY DETAILS FROM THE ORIGINAL INTERVIEW OR THE VALIDATION THAT MIGHT BE
HELPFUL IN INTERPRETING THE VALIDATION RESULT:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
10
OMB Control Number: xxxx-xxxx
Expiration Date: mm/dd/yyy
PATH STUDY WAVE 4
REPLENISHMENT SAMPLE ADULT FIELD VISIT VALIDATION FORM
INSTRUCTIONS:
1.
FILL OUT THE FIELDS BELOW WITH THE CASE INFORMATION YOU RECEIVE FROM YOUR FIELD SUPERVISOR (VIA
PHONE CALL OR BSM EMAIL). THROUGHOUT THE FORM, YOU WILL SEE THE FIELDS BELOW REFERENCED
WITHIN BRACKETS (FOR EXAMPLE ). YOU WILL USE THE INFORMATION IN THE FIELDS BELOW FOR
THESE REFERENCES. OTHER THAN THE DUID/SPID, DO NOT WRITE ANY OF THE DATA BELOW ON THE
REMAINING PAGES OF THIS FORM.
2.
PRINT CLEARLY THE DUID/SPID IN THE SPACE PROVIDED ON THE TOP RIGHT CORNER OF EVERY PAGE OF THE
SECTION USED.
3.
COMPLETE THE VALIDATION ASSIGNMENT BY DATE INDICATED BY YOUR SUPERVISOR. SPACE IS ALLOWED ON
PAGE 2 FOR RECORDING UP TO 5 CONTACT ATTEMPTS. IF THE SP REFUSES VALIDATION, DO NOT RECONTACT,
SPEAK TO YOUR SUPERVISOR. SEE EXAMPLE BELOW OF HOW TO FILL OUT THE VALIDATION LOG:
Validation
Contact
Date
Time
Validator name
Validator ID
Validation
Result
Unable to
Contact
1
9/26
4:30pm
Jane Smith
PATH1234
2
9/27
7:00pm
Jane Smith
PATH1234
Language
Problem
3
9/28
2:05pm
Jane Smith
PATH1234
Complete
Comments
Knocked 3 times, did not
answer door
Able to make contact, was able
to gather someone who speaks
English will be home at 2pm
tomorrow
4.
AFTER COMPLETING THE VALIDATION FORM, USING A BLACK MARKER, MARK THROUGH THE SP NAME BELOW
SO THE NAME NO LONGER APPEARS ON THE FORM.
5.
RETURN PAGES OF THE VALIDATION FORM TO YOUR FIELD MANAGER VIA FEDEX PRIORITY OVERNIGHT.
DUID/SPID:______________________________________
VALIDATION TYPE: ________________________________
SP NAME: ______________________________________
IS SP ALSO SCREENER RESP? ________________________
ADDRESS:________________________________________
ADULT INT STATUS: _____________________________
__________________________________________________
ADULT INT DATE: ____________________
__________________________________________________
BLOOD COLLECTION VISIT COMPLETE? ______________
SP LANGUAGE: _________________________________
INTERVIEWER NAME/ID: ___________________________
Public reporting burden for this collection of information is estimated to average 4 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 20892-7974, ATTN: PRA (0925-0664). Do not return the completed form to this address.
VALIDATION RESULT
Complete – Successful contact or Verification of Non-Response
Refused Validation – Respondent refuses to participate in Validation
Unable to Contact – No contact made with SP
Break-off – Completed part of validation interview
Language Problem – e.g. Language issue
Validation
Contact
Date
Time
Validator name
Validator ID
Validation
Result
Comments
1
2
3
4
5
FINAL VALIDATION STATUS – FOR FIELD MANAGEMENT USE ONLY (CIRLE ONE)
ACCEPTABLE
UNACCEPTABLE
REFUSAL / BREAKOFF
UNABLE TO CONTACT
ROUTING INSTRUCTIONS
•
If Adult Interview status is Non-response USE SECTION A
•
If Adult Interview status is Complete USE SECTION B
2
SECTION A
Adult Interview Non-Response
A1.
ORIGINAL REASON FOR FINAL NON-RESPONSE:
______________________________
ROUTING INSTRUCTIONS:
IF FINAL DISPOSITION CODE IS:
FDU - DU NO ACCESS/ENTRY,
FNE - ADDRESS DOES NOT EXIST,
THEN CONTINUE WITH A2.
IF FINAL DISPOSITION CODE IS:
FNA - UNAVAILABLE DURING WINDOW,
FBO - BREAK-OFF,
FIL - ILLNESS,
FPM - PHYSICAL/MENTAL IMPAIRMENT, OR
FLP - LANGUAGE PROBLEM – NOT SPANISH
THEN SKIP TO A4.
A2:
CODE STATUS OF DWELLING UNIT (DU) BASED ON YOUR VISIT:
ADDRESS QUALIFIES AS DU .............................................. 1 (CONTINUE)
ADDRESS DOES NOT QUALIFY AS DU ............................ 2 (SKIP TO A12)
DON’T KNOW ........................................................................ 3 (SKIP TO A12)
A3.
CODE STATUS BASED ON YOUR VISIT:
VACANT ................................................................................ 1 (SKIP TO A12)
NOT VACANT ....................................................................... 2 (SKIP TO A4)
A4.
ASK TO SPEAK TO ANY HOUSEHOLD MEMBER AGE 18 OR OVER:
Hello, my name is from the Population Assessment of Tobacco and Health (PATH)
Study. On one of our interviewers may have visited this address in
person to conduct an interview with either you or one of your household members. Do you remember
if anyone in your household talked to him or her in person?
YES ......................................................................................... 1 (SKIP TO A8)
NO ........................................................................................... 2 (CONTINUE)
DON’T KNOW ....................................................................... -8 (CONTINUE)
A5.
The PATH Study is an ongoing national study on tobacco and health. The interviewer would have
shown you a brochure like this one about the Study [HAND BROCHURE TO RESPONDENT]. Do
you remember the visit now?
YES .........................................................................................
NO ...........................................................................................
3
1 (SKIP TO A8)
2 (CONTINUE)
A6.
On did your household live at ?
YES ......................................................................................... 1 (SKIP TO A10)
NO ........................................................................................... 2 (CONTINUE)
A7.
When did you move to this address?
__________________________________________________________ (SKIP TO A10)
A8.
Did the interviewer enter your responses into a laptop?
YES .......................................................................................
NO .........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
A9.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
During the in person visit, was the interviewer polite and courteous? Would you say yes, somewhat,
or no?
YES .......................................................................................
SOMEWHAT ........................................................................
NO .........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
A10.
1
2
-8
-7
1
2
3
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
What is the best telephone number we can use to reach you in case we have additional questions?
__________________________________________________________ (CONTINUE)
A11.
Is this a cell phone number?
YES ......................................................................................... 1 (CONTINUE)
NO ........................................................................................... 2 (CONTINUE)
A12.
(Thank you very much for your time.)
FOR INTERVIEWER ONLY: WHAT IS YOUR ASSESSMENT OF THE DWELLING UNIT OR
CONTACT PROBLEM?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
A_END: RECORD DETAILS IN SECTION C.
IF QUESTIONS ARE ASKED, REFER THEM TO THE PATH SUPPORT DESK
AT 1-888-311-1819.
4
SECTION B
Adult Interview Complete
B1.
Hello, my name is from the Population Assessment of Tobacco and Health (PATH)
Study. May I please speak with ?
[REINTRODUCE SELF IF NECESSARY]
On one of our interviewers visited this address in person to conduct
an interview with you as part of our PATH Study. Do you remember talking to him or her in person?
YES ....................................................................................... 1 (SKIP TO B5)
NO ......................................................................................... 2 (CONTINUE)
B2.
During the interview, you were asked questions about your health and tobacco use. Do you
remember the visit now?
YES ....................................................................................... 1 (SKIP TO B5)
NO ......................................................................................... 2 (CONTINUE)
B3.
On did your household live at ?
YES ......................................................................................... 1 (SKIP TO B_END)
NO ........................................................................................... 2 (CONTINUE)
B4.
When did you move to this address?
_______________________________________________ (SKIP TO B_END)
B5.
On all of our studies, we routinely re-contact some people who were interviewed to make sure our
interviewers are following procedures correctly. My questions today will take only a few minutes.
The information from my visit today will be kept private and used only for the PATH Study.
(CONTINUE)
B6.
On the day of the interview, after you were selected for the study and you consented to be
interviewed, approximately how long would you say the visit lasted?
LESS THAN 15 MINUTES ..................................................
15-30 MINUTES ...................................................................
31-60 MINUTES ...................................................................
LONGER THAN ONE HOUR .............................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
5
1
2
3
4
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
B7.
During the visit, was the interviewer polite and courteous? Would you say yes, somewhat, or no?
YES .......................................................................................
SOMEWHAT ........................................................................
NO .........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
B8.
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
For part of the visit, did the interviewer turn the laptop towards you and ask you to read the
questions to yourself and enter your answers directly into the laptop?
YES .......................................................................................
NO .........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
B10.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did the interviewer give you a consent document to read? This was a document that included
information about the PATH Study and asked for your consent to participate in an interview.
YES .......................................................................................
NO .........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
B9.
1
2
3
-8
-7
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did the interviewer give you a debit card to thank you for your participation?
YES .......................................................................................
NO .........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
IF Adult Screened out (CPX) - SKIP to B18 AND ONLY ASK ABOUT INTERVIEWER.
IF Adult Complete (CPE) – CONTINUE to B11.
B11.
Did the interviewer ask for your permission to collect a urine sample?
YES ......................................................................................
NO ........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
B12.
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did you give a urine sample?
YES ......................................................................................
NO ........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
6
B13.
Did the interviewer ask for your permission to let a health professional visit to collect blood?
YES ......................................................................................
NO ........................................................................................
DON’T RECALL ..................................................................
REFUSED .............................................................................
B14.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
1
2
-8
-7
(CONTINUE)
(SKIP TO B18)
(CONTINUE)
(CONTINUE)
Did you consent to a health professional visit to collect blood?
YES ......................................................................................
NO ........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B15.
1
2
-8
-7
Did a health professional come to your home to collect the blood sample?
YES ......................................................................................
NO ........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
1
2
-8
-7
(CONTINUE)
(SKIP TO B18)
(CONTINUE)
(CONTINUE)
IF BLOOD COLLECTION VISIT WAS COMPLETE, CONTINUE WITH B16.
OTHERWISE, SKIP TO B18 AND ASK ONLY ABOUT THE INTERVIEWER’S VISIT.
B16.
During the visit by the health professional who collected the blood sample, was the health
professional polite and courteous? Would you say yes, somewhat, or no?
YES .......................................................................................
SOMEWHAT ........................................................................
NO .........................................................................................
BLOOD DRAW NOT TAKEN ...........................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B17.
1
2
3
4
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Would you like to tell me anything else about the health professional?
____________________________________________________________________________
_____________________________________________________________(CONTINUE)
B18.
Would you like to tell me anything else about the interviewer?
____________________________________________________________________________
_____________________________________________________________(CONTINUE)
7
B19.
What is the best telephone number we can use to reach you?
___________________________________ (CONTINUE)
B20.
Is this a cell phone number?
YES ....................................................................................... 1
NO ......................................................................................... 2
B_END: Thank you very much for your time.
IF QUESTIONS ARE ASKED, REFER THEM TO THE PATH STUDY
SUPPORT DESK AT 1-888-311-1819.
RECORD DETAILS IN SECTION C.
8
SECTION C
Documentation of Validation Problem Situations
RECORD ANY DETAILS FROM THE ORIGINAL INTERVIEW OR THE VALIDATION THAT MIGHT BE
HELPFUL IN INTERPRETING THE VALIDATION RESULT:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
9
OMB Control Number: xxxx-xxxx
Expiration Date: mm/dd/yyy
PATH STUDY WAVE 4
HOUSEHOLD SCREENER FIELD VISIT VALIDATION FORM
INSTRUCTIONS:
1.
FILL OUT THE FIELDS BELOW WITH THE CASE INFORMATION YOU RECEIVE FROM YOUR FIELD SUPERVISOR (VIA
PHONE CALL OR BSM EMAIL). THROUGHOUT THE FORM, YOU WILL SEE THE FIELDS BELOW REFERENCED
WITHIN BRACKETS (FOR EXAMPLE ). YOU WILL USE THE INFORMATION IN THE FIELDS BELOW FOR
THESE REFERENCES. OTHER THAN THE DUID/SPID, DO NOT WRITE ANY OF THE DATA BELOW ON THE
REMAINING PAGES OF THIS FORM.
2.
PRINT CLEARLY THE DUID/SPID IN THE SPACE PROVIDED ON THE TOP RIGHT CORNER OF EVERY PAGE OF THE
SECTION USED.
3.
COMPLETE THE VALIDATION ASSIGNMENT BY DATE INDICATED BY YOUR SUPERVISOR. SPACE IS ALLOWED ON
PAGE 2 FOR RECORDING UP TO 5 CONTACT ATTEMPTS. IF THE SP REFUSES VALIDATION, DO NOT RECONTACT,
SPEAK TO YOUR SUPERVISOR. SEE EXAMPLE BELOW OF HOW TO FILL OUT THE VALIDATION LOG:
Validation
Contact
Date
Time
Validator name
Validator ID
Validation
Result
Unable to
Contact
1
9/26
4:30pm
Jane Smith
PATH1234
2
9/27
7:00pm
Jane Smith
PATH1234
Language
Problem
3
9/28
2:05pm
Jane Smith
PATH1234
Complete
Comments
Knocked 3 times, did not
answer door
Able to make contact, was able
to gather someone who speaks
English will be home at 2pm
tomorrow
4.
AFTER COMPLETING THE VALIDATION FORM, USING A BLACK MARKER, MARK THROUGH THE SP NAME BELOW
SO THE NAME NO LONGER APPEARS ON THE FORM.
5.
RETURN PAGES OF THE VALIDATION FORM TO YOUR FIELD MANAGER VIA FEDEX PRIORITY OVERNIGHT.
DUID/SPID:______________________________________
INTERVIEWER NAME/ID: ___________________________
RESPONDENT NAME:_________________________________
VALIDATION TYPE: ________________________________
ADDRESS:________________________________________
IS SCREENER RESP ALSO SP? ________________________
__________________________________________________
HH SCREENER STATUS: _____________________________
__________________________________________________
HH SCREENER DATE: ____________________
RESPONDENT LANGUAGE: _____________________________
Public reporting burden for this collection of information is estimated to average 4 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 20892-7974, ATTN: PRA (0925-0664). Do not return the completed form to this address.
VALIDATION RESULT
Complete – Successful contact or Verification of Non-Response
Refused Validation – Respondent refuses to participate in Validation
Unable to Contact – No contact made with SP
Break-off – Completed part of validation interview
Language Problem – e.g. Language issue
Validation
Contact
Date
Time
Validator name
Validator ID
Validation
Result
Comments
1
2
3
4
5
FINAL VALIDATION STATUS – FOR FIELD MANAGEMENT USE ONLY (CIRLE ONE)
ACCEPTABLE
UNACCEPTABLE
REFUSAL / BREAKOFF
UNABLE TO CONTACT
ROUTING INSTRUCTIONS
•
If Household Screener status is non-response USE SECTION A
•
If Household Screener status is Complete USE SECTION B
2
SECTION A
Household Screener Non-Response
A1.
ORIGINAL REASON FOR FINAL NON-RESPONSE AT SAMPLED ADDRESS:
______________________________
ROUTING INSTRUCTIONS:
IF FINAL DISPOSITION CODE IS:
FVC - VACANT,
FDU - DU NO ACCESS/ENTRY,
FDE - DEMOLISHED/EMPTY LOT,
FSH - SEASONAL HOME,
FCT - CONSTRUCTION,
FNL - NOT ABLE TO LOCATE,
FNE - ADDRESS DOES NOT EXIST,
FEF - NOT ON FRAME,
FOS - OUT OF SEGMENT,
FBS - BUSINESS,
FIG - INSTITUTION/GROUP HOME/CORRECTIONAL FACILITY,
FMB - MILITARY BASE,
FDA - DUPLICATE ADDRESS,
FON - OTHER – NON RESPONSE, OR
FOT - OTHER: SPECIFY
THEN CONTINUE WITH A2.
IF FINAL DISPOSITION CODE IS:
FNA - UNAVAILABLE DURING WINDOW,
FBO - BREAK-OFF,
FIL - ILLNESS,
FPM - PHYSICAL/MENTAL IMPAIRMENT, OR
FLP - LANGUAGE PROBLEM – NOT SPANISH
THEN SKIP TO A4.
A2:
CODE STATUS OF DWELLING UNIT (DU) BASED ON YOUR VISIT:
ADDRESS QUALIFIES AS DU .............................................. 1 (CONTINUE)
ADDRESS DOES NOT QUALIFY AS DU ............................ 2 (SKIP TO A12)
DON’T KNOW ........................................................................ 3 (SKIP TO A12)
A3.
CODE STATUS BASED ON YOUR VISIT:
VACANT ................................................................................ 1 (SKIP TO A12)
NOT VACANT ....................................................................... 2 (SKIP TO A4)
3
A4.
ASK TO SPEAK TO ANY HOUSEHOLD MEMBER AGE 18 OR OVER:
Hello, my name is from the Population Assessment of Tobacco and Health (PATH)
Study. On one of our interviewers may have visited this address in
person to conduct an interview with either you or one of your household members. Do you remember
if anyone in your household talked to him or her in person?
YES ......................................................................................... 1 (SKIP TO A8)
NO ........................................................................................... 2 (CONTINUE)
DON’T KNOW ....................................................................... -8 (CONTINUE)
A5.
The PATH Study is an ongoing national study on tobacco and health. The interviewer would have
shown you a brochure like this one about the Study [HAND BROCHURE TO RESPONDENT]. Do
you remember the visit now?
YES .........................................................................................
NO ...........................................................................................
A6.
1 (SKIP TO A8)
2 (CONTINUE)
On did your household live at ?
YES ......................................................................................... 1 (SKIP TO A10)
NO ........................................................................................... 2 (CONTINUE)
A7.
When did you move to this address?
__________________________________________________________ (SKIP TO A10)
A8.
Did the interviewer enter your responses into a laptop?
YES .......................................................................................
NO .........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
A9.
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
During the in person visit, was the interviewer polite and courteous? Would you say yes, somewhat,
or no?
YES .......................................................................................
SOMEWHAT ........................................................................
NO .........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
4
1
2
3
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
A10.
What is the best telephone number we can use to reach you in case we have additional questions?
__________________________________________________________ (CONTINUE)
A11.
Is this a cell phone number?
YES ......................................................................................... 1 (CONTINUE)
NO ........................................................................................... 2 (CONTINUE)
A12.
(Thank you very much for your time.)
FOR INTERVIEWER ONLY: WHAT IS YOUR ASSESSMENT OF THE DWELLING UNIT OR
CONTACT PROBLEM?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
A_END: RECORD DETAILS IN SECTION C.
IF QUESTIONS ARE ASKED, REFER THEM TO THE PATH SUPPORT DESK
AT 1-888-311-1819.
5
SECTION B
Household Screener Complete
B1.
Hello, my name is from the Population Assessment of Tobacco and Health (PATH)
Study. May I please speak with ?
[REINTRODUCE SELF IF NECESSARY]
Hello, my name is from the Population Assessment of Tobacco and Health (PATH)
Study. On one of our interviewers may have visited this address in
person to conduct an interview with either you or one of your household members. Do you
remember if anyone in your household talked to him or her in person?
YES ....................................................................................... 1 (SKIP TO B5)
NO ......................................................................................... 2 (GO TO INSTRUCTION BOX)
DON’T KNOW ..................................................................... 3 (GO TO INSTRUCTION BOX)
ASK TO SPEAK WITH ANOTHER ADULT MEMBER OF HOUSEHOLD WHO MAY HAVE
COMPLETED THE SCREENER
[REINTRODUCE SELF IF SPEAKING WITH NEW HH MEMBER.]
On one of our interviewers visited this address to conduct an
interview with you in person as part of our PATH Study. Do you remember talking to him or her in
person?
YES ....................................................................................... 1 (SKIP TO B5)
NO ......................................................................................... 2 (CONTINUE)
B2.
The interviewer talked to you about the members of your household and their use of tobacco
products. Do you remember the visit now?
YES ....................................................................................... 1 (SKIP TO B5)
NO ......................................................................................... 2 (CONTINUE)
B3.
On did your household live at ?
YES ......................................................................................... 1 (SKIP TO B_END)
NO ........................................................................................... 2 (CONTINUE)
B4.
When did you move to this address?
_______________________________________________ (SKIP TO B_END)
6
B5.
On all of our studies, we routinely re-contact some people who were interviewed to make sure our
interviewers are following procedures correctly. My questions today will take only a few minutes.
The information from my visit today will be kept private and used only for the PATH Study.
(CONTINUE)
B6.
During the in person visit, was the interviewer polite and courteous? Would you say yes, somewhat,
or no?
YES .......................................................................................
SOMEWHAT ........................................................................
NO .........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B7.
1
2
3
4
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did the interviewer enter your responses into a laptop?
YES .......................................................................................
NO .........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B9.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
On the day of the interview, approximately how long would you say the visit lasted?
LESS THAN 15 MINUTES ..................................................
15-30 MINUTES ...................................................................
31-60 MINUTES ...................................................................
LONGER THAN ONE HOUR .............................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B8.
1
2
3
-8
-7
What was your age on the date of the interview?
_____________________________________________ 1 (CONTINUE)
DON'T RECALL ................................................................... -8 (CONTINUE)
REFUSED ............................................................................. -7 (CONTINUE)
B10. On the date of the interview, did you serve on active duty in the U.S. Armed Forces, Military Reserves
or National Guard?
YES .......................................................................................
NO .........................................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
7
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
B11.
On the date of the interview, did you smoke cigarettes, cigars, or a pipe, every day, some days or not
at all? Do not include the time after interview.
EVERY DAY ........................................................................
SOME DAYS ........................................................................
NOT AT ALL ........................................................................
DON'T RECALL ...................................................................
REFUSED .............................................................................
B12.
1
2
3
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
On the date of the interview, including you, how many people lived at this address? Do not include
anyone who had a usual place of residence elsewhere.
IF NEEDED: Household members include people who think of your address as their primary
residence. It includes people who usually stay at your address but are temporarily away on business,
vacation, in a hospital, or living at school in a dorm or fraternity or sorority.
IF NEEDED: Do not include college students living in off-campus housing as household members.
ENTER NUMBER ........................................................ |__|__|
(CONTINUE)
DON'T RECALL ................................................................... -8 (CONTINUE)
REFUSED ............................................................................. -7 (CONTINUE)
B13.
Would you like to tell me anything about the interviewer?
____________________________________________________________________________
____________________________________________________________________________
_____________________________________________________________
B14.
What is the best telephone number we can use to reach you in case we have additional questions?
__________________________________________________________
B15.
(CONTINUE)
(CONTINUE)
Is this a cell phone number?
YES ......................................................................................... 1
NO ........................................................................................... 2
B_END: Thank you very much for your time.
IF QUESTIONS ARE ASKED, REFER THEM TO THE PATH SUPPORT DESK
AT 1-888-311-1819.
RECORD DETAILS IN SECTION C.
8
SECTION C
Documentation of Validation Problem Situations
RECORD ANY DETAILS FROM THE ORIGINAL INTERVIEW OR THE VALIDATION THAT MIGHT BE
HELPFUL IN INTERPRETING THE VALIDATION RESULT:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
9
OMB Control Number: xxxx-xxxx
Expiration Date: mm/dd/yyyy
PATH STUDY WAVE 4
PARENT AND YOUTH FIELD VISIT VALIDATION FORM
INSTRUCTIONS:
1.
FILL OUT THE FIELDS BELOW WITH THE CASE INFORMATION YOU RECEIVE FROM YOUR FIELD SUPERVISOR (VIA
PHONE CALL OR BSM EMAIL). THROUGHOUT THE FORM, YOU WILL SEE THE FIELDS BELOW REFERENCED WITHIN
BRACKETS (FOR EXAMPLE ). YOU WILL USE THE INFORMATION IN THE FIELDS BELOW FOR THESE
REFERENCES. OTHER THAN THE DUID/SPID, DO NOT WRITE ANY OF THE DATA BELOW ON THE REMAINING PAGES
OF THIS FORM.
2.
PRINT CLEARLY THE DUID/SPID IN THE SPACE PROVIDED ON THE TOP RIGHT CORNER OF EVERY PAGE OF THE
SECTION USED.
3.
COMPLETE THE VALIDATION ASSIGNMENT BY DATE INDICATED BY YOUR SUPERVISOR. SPACE IS ALLOWED ON
PAGE 2 FOR RECORDING UP TO 5 CONTACT ATTEMPTS. IF THE SP REFUSES VALIDATION, DO NOT RECONTACT,
SPEAK TO YOUR SUPERVISOR. SEE EXAMPLE BELOW OF HOW TO FILL OUT THE VALIDATION LOG:
Validation
Contact
Date
Time
Validator name
Validator ID
Validation
Result
Unable to
Contact
1
9/26
4:30pm
Jane Smith
PATH1234
2
9/27
7:00pm
Jane Smith
PATH1234
Language
Problem
3
9/28
2:05pm
Jane Smith
PATH1234
Complete
Comments
Knocked 3 times, did not
answer door
Able to make contact, was able
to gather someone who speaks
English will be home at 2pm
tomorrow
4.
AFTER COMPLETING THE VALIDATION FORM, USING A BLACK MARKER, MARK THROUGH THE SP NAME BELOW SO
THE NAME NO LONGER APPEARS ON THE FORM.
5.
RETURN PAGES OF THE VALIDATION FORM TO YOUR FIELD MANAGER VIA FEDEX PRIORITY OVERNIGHT.
DUID/SPID: ______________________________________
INTERVIEWER NAME/ID: __________________________
YOUTH SP NAME: _________________________________
PARENT PID: _ ____________________________________
YOUTH INT STATUS: ______________________________
PARENT NAME: __ _________________________________
YOUTH INT DATE:_________________________________
PARENT INT STATUS:______________________________
YOUTH LANGUAGE: _____________________________
PARENT INT DATE: ________________________________
YOUTH PHONE NUMBER: _________________________
PARENT LANGUAGE: _____________________________
ADDRESS:________________________________________
# OF YOUTH SPs IN HH:_____________________________
__________________________________________________
__________________________________________________
Public reporting burden for this collection of information is estimated to average 4 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 (0925-0664). Do not return the completed form to this address.
VALIDATION RESULT
Complete – Successful contact or Verification of Non-Response
Refused Validation – Respondent refuses to participate in Validation
Unable to Contact – No contact made with SP
Break-off – Completed part of validation interview
Language Problem – e.g. Language issue
Validation
Contact
Date
Time
Validator name
Validator ID
Validation
Result
Comments
1
2
3
4
5
FINAL VALIDATION STATUS – FOR FIELD MANAGEMENT USE ONLY (CIRLE ONE)
ACCEPTABLE
UNACCEPTABLE
REFUSAL / BREAKOFF
UNABLE TO CONTACT
SECTION A
Parent and Youth Interview Complete
A1.
Hello, my name is from the Population Assessment of Tobacco and Health (PATH)
Study. May I please speak with ?
[REINTRODUCE SELF IF NECESSARY]
On one of our interviewers visited this address in person to conduct an
interview with your son or daughter as part of the PATH Study. Do you remember talking to him or
her in person?
YES ........................................................................................ 1 (SKIP TO A5)
NO .......................................................................................... 2 (CONTINUE)
A2.
During the interview, you were asked questions about your son or daughter. Do you remember the visit
now?
YES ........................................................................................ 1 (SKIP TO A5)
NO .......................................................................................... 2 (CONTINUE)
A3.
On did you live at this address?
YES ........................................................................................ 1 (SKIP TO A_END)
NO .......................................................................................... 2 (CONTINUE)
A4.
When did you move to this address?
________________________________________________ (SKIP TO A_END)
A5.
On all of our studies, we routinely re-contact some people who were interviewed to make sure our
interviewers are following procedures correctly. My questions today will take only a few minutes.
The information from my visit today will be kept private and used only for the PATH Study.
(CONTINUE)
A6.
On the day of the interview, approximately how long would you say the visit lasted?
[PROBE FOR PARENT INTERVIEW AND YOUTH INTERVIEW LENGTHS]
PARENT INTERVIEW ______________________________________
YOUTH INTERVIEW _______________________________________ (CONTINUE)
A7.
During the visit, was the interviewer polite and courteous? Would you say yes, somewhat, or no?
YES ........................................................................................
SOMEWHAT .........................................................................
NO ..........................................................................................
DON'T RECALL ...................................................................
REFUSED ..............................................................................
A8.
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did your son or daughter give a urine sample?
YES ........................................................................................
NO…….….. ...........................................................................
DON'T RECALL ...................................................................
REFUSED ..............................................................................
A12.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did your son or daughter participate in the interview?
YES ........................................................................................
NO…….….. ...........................................................................
DON'T RECALL ...................................................................
REFUSED ..............................................................................
A11.
1
2
-8
-7
Another document discussed your consent to allow your son or daughter to provide a urine sample. Did
the interviewer give you a copy of this consent document to read?
YES ........................................................................................
NO ..........................................................................................
DON’T RECALL ...................................................................
REFUSED ..............................................................................
A10.
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Did the interviewer give you a copy of our consent documents to read? One of these documents
included information about the PATH Study and discussed your consent to allow your son or daughter
to participate in an interview.
YES ........................................................................................
NO ..........................................................................................
DON’T RECALL ...................................................................
REFUSED ..............................................................................
A9.
1
2
3
-8
-7
Did your son or daughter receive a payment on a debit card to thank him or her for his or her
participation?
YES ........................................................................................
NO…….….. ...........................................................................
DON'T RECALL ...................................................................
REFUSED ..............................................................................
1
2
-8
-7
(SKIP TO A14)
(CONTINUE)
(SKIP TO A14)
(SKIP TO A14)
A13.
you?
If no: Did your son or daughter not receive a payment because you requested the payment be given to
YES ........................................................................................
NO…….….. ...........................................................................
DON'T RECALL ...................................................................
REFUSED ..............................................................................
A14.
1
2
-8
-7
(CONTINUE)
(CONTINUE)
(CONTINUE)
(CONTINUE)
Would you like to tell me anything else about the interviewer?
__________________________________________________________________________
_______________________________________________________________(CONTINUE)
A15.
What is/Is this the best telephone number to reach you?
_______________________________________________________________(CONTINUE)
A16.
Is this a cell phone number?
YES ........................................................................................ 1
NO .......................................................................................... 2
A_END: Thank you very much for your time.
IF QUESTIONS ARE ASKED, REFER THEM TO THE PATH SUPPORT DESK
AT 1-888-311-1819.
RECORD DETAILS IN SECTION B.
SECTION B
Documentation of Validation Problem Situations
RECORD ANY DETAILS FROM THE ORIGINAL INTERVIEW OR THE VALIDATION THAT MIGHT BE
HELPFUL IN INTERPRETING THE VALIDATION RESULT:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Population Assessment of Tobacco and Health (PATH) Study (NIDA)
Respondent ID (Text Readable Barcode)
DCN
OMB Control Number: 0925-0664
Expiration Date: xx/xx/20xx
IN4-14
PATH Study Blood Data Collection Form
Health Professional-Administered
Part A: Administrative
1.
Part C: Blood Collection Status
Staff ID: Preprinted
2. Today’s Date:
| |__|/| | |/|__|
M
M
D
D
Y
| | |
Y
Y
Y
3. Blood Collection:
Agreed
Not Agreed (Go to Part C)
4. Blood Kit ID:
(Place Label Here)
1. Collection Status (Mark one):
Collected (End)
Not Collected
Attempted, Not Collected
2. Reason not collected (Mark one main reason):
Respondent refused, specify:
Respondent refused, unwilling to give reason
Safety exclusion
No time/busy
No show
Respondent ill/emergency
Defective/missing collection supplies
Physical limitations, specify:
Other, specify:
Part B: Blood Suitability Questions
1. Do you have hemophilia or any bleeding
disorder?
Yes (Go to Part C)
Refused (Go to Part C)
No
Don’t Know (Go to Part C)
2. Have you had cancer chemotherapy within the past 2
weeks?
Yes
No
Refused
Don’t Know
3. Have you had any problems with a blood draw in
the past?
4. What problems have you had with a blood draw in
the past? (Mark all that apply.)
Yes
No (Go to Part D)
Refused (Go to Part D)
Don’t Know (Go To Part D)
Fainting
Bruising
Light-headedness
Other, specify
Hematoma
Population Assessment of Tobacco and Health (PATH) Study (NIDA)
Part D: Blood Tube Status
Full draw
Full draw
Full draw
Full draw
Full draw
Full draw
Blue Top Tube (BL01)
Red Top Tube #1 (RD01)
Red Top Tube #2 (RD02)
Lavender Tube #1 (LV01)
Lavender Tube #2 (LV02)
PAXgene Tube (PX01)
Short draw
Short draw
Short draw
Short draw
Short draw
Short draw
No draw
No draw
No draw
No draw
No draw
No draw
Part E: Blood Collection Results
1. Collection Time:
| |
| : | | |
H
H
M M
a.m.
p.m.
2. Time specimen placed in shipping
container:
| | | : | |__|
H
H
Part F: Comments
M
a.m.
3. Problems with the blood draw? (Mark all that apply.)
No problems
Hematoma
Fainting
Bruising
Light-headedness
Other, specify
p.m.
M
GO TO TOP OF FORM AND COMPLETE PART C BLOOD COLLECTION STATUS
Public reporting burden for this collection of information is estimated to average 18 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 20892-7974, ATTN: PRA (0925-0664). Do not return the completed form to this address.
IN4-15 – Blood Data Collection Form
Respondent ID (Text Readable Barcode)
DCN
OMB Control Number: 0925-0664
Expiration Date:
Date Printed
Una colaboración entre los NIH y la FDA
PATH Study Blood Data Collection Form
Health Professional-Administered
Part A: Administrative
1.
Part C: Blood Collection Status
Staff ID: Preprinted
2. Today’s Date:
|__|__|/|__|__|/|__|__|__|__|
M
M
D
D
Y
Y
Y
Y
3. Blood Collection:
Agreed
Not Agreed (Go to Part C)
4. Blood Kit ID:
(Place Label Here)
1. Collection Status (Mark one):
Collected (End)
Not Collected
Attempted, Not Collected
2. Reason not collected (Mark one main reason):
Respondent refused, specify:
______________________
Respondent refused, unwilling to give reason
Safety exclusion
No time/busy
No show
Respondent ill/emergency
Defective/missing collection supplies
Physical limitations, specify:
______________________
Other, specify:
_________________________________
Part B: Blood Suitability Questions
1. ¿Tiene hemofilia o algún problema de
hemorragias o sangrados?
Sí (Go to Part C)
Refused (Go to Part C)
No
Don’t Know (Go to Part
C)
2. ¿Ha tenido quimioterapia para el cáncer en las
últimas 2 semanas?
Sí
No
Refused
Don’t
Know
3. ¿Ha tenido algún problema con una
extracción de sangre anteriormente?
Sí
Refused (Go to Part D)
No (Go to Part D)
Don’t Know (Go To
Part D)
4. ¿Qué problemas ha tenido anteriormente con
extracciones de sangre? (Marque todo lo que
corresponda.)
Desmayos
Sensación de mareos
Hematomas
Moretones
Otro, especifique
_________________________
Part D: Blood Tube Status
Full draw
Full draw
Full draw
Full draw
Full draw
Full draw
Blue Top Tube (BL01)
Red Top Tube #1 (RD01)
Red Top Tube #2 (RD02)
Lavender Tube #1 (LV01)
Lavender Tube #2 (LV02)
PAXgene Tube (PX01)
Short draw
Short draw
Short draw
Short draw
Short draw
Short draw
No draw
No draw
No draw
No draw
No draw
No draw
Part E: Blood Collection Results
1. Collection Time:
|__|__| : |__|__|
H H
M
M
a.m.
p.m.
2. Time specimen placed in shipping
container:
|__|__| : |__|__|
H
H
M
M
a.m.
3. Problems with the blood draw? (Mark all that apply.)
No problems
Fainting
Light-headedness
Hematoma
Bruising
Other,
specify
p.m.
________________
Part F: Comments
GO TO TOP OF FORM AND COMPLETE PART C BLOOD COLLECTION STATUS
Se calcula que el tiempo para esta recolección de información es de 18 minutos por cuestionario, incluyendo el tiempo necesario para revisar las
instrucciones, buscar fuentes de datos existentes, reunir y mantener los datos necesarios y completar y revisar la recolección de información.
Ninguna agencia puede realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha recolección de
información, a menos que esta muestre un número de control vigente de la OMB. Envíe sus comentarios respecto a este cálculo de tiempo o a
otro aspecto de esta recolección de información, incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance
Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). No devuelva el cuestionario contestado a esta
dirección.
OMB Control Number: 0925-0664
Expiration Date: xx/xx/xxxx
IN4-16
PATH Study Urine Data Collection Form
Interviewer-Administered
Part A: Administrative
1.
Part C: Urine Collection Status
Staff ID: Preprinted
1. Collection Status (Mark one):
Collected (End)
Not Collected
Attempted, Not Collected
2. Today’s Date:
|__|__|/|__|__|/|__|__|__|__|
M
M
D
D
Y
Y
Y
Y
2. Reason not collected (Mark one main reason):
Respondent refused, specify: ______________________
Respondent refused, unwilling to give reason
Respondent ill/emergency
Unable to urinate
No time/busy
Uncomfortable with self-collection procedures
Defective/missing collection supplies
Physical limitation, specify: ______________________
Other, specify: _________________________________
3. Urine Collection:
Agreed
Not Agreed (Go to Part C)
4. Urine Kit ID:
(Place Label Here)
Part B: Urine Collection Questions
1. When was the last time you urinated?
Date: |__|__|/|__|__|/|__|__|__|__|
M
M
D
D
Y
Y
Time: |__|__| : |__|__|
H
Refused
H
M
M
Y
2. When was the last time you had anything to eat or drink
other than water?
Date: |__|__|/|__|__|/|__|__|__|__|
Y
a.m.
p.m.
Don’t Know
M
M
D
D
Y
Time: |__|__| : |__|__|
H
Refused
H
M
M
Y
Y
Y
a.m.
p.m.
Don’t Know
3. Have you had cancer chemotherapy within the past 2 weeks?
Yes
No
Refused
Don’t Know
Part D: Urine Collection Results
1. Collection time:
|__|__| : |__|__|
H
H
M M
a.m.
p.m.
2. Time specimen placed in shipping container:
|__|__| : |__|__|
H
H
M M
a.m.
p.m.
Part E: Comments
GO TO TOP OF FORM AND COMPLETE PART C URINE COLLECTION STATUS
Public reporting burden for this collection of information is estimated to average 10 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 20892-7974, ATTN: PRA (0925-0664). Do not return the completed form to this address.
IN4-16 –Urine Data Collection Form
OMB Control Number: 0925-0664
Expiration Date: xx/xx/xxxx
IN4-16
Una colaboración entre los NIH y la FDA
PATH Study Urine Data Collection Form
Interviewer-Administered
1. Staff ID: Preprinted
1. Collection Status (Mark one):
Collected (End)
Not Collected
Attempted, Not Collected
2. Today’s Date:
|__|__|/|__|__|/|__|__|__|__|
M
M
D
D
Y
Y
Y
Y
2. Reason not collected (Mark one main reason):
Respondent refused, specify:
______________________
Respondent refused, unwilling to give reason
Respondent ill/emergency
Unable to urinate
No time/busy
Uncomfortable with self-collection procedures
Defective/missing collection supplies
Physical limitation, specify:
______________________
Other, specify:
_________________________________
3. Urine Collection:
Agreed
Not Agreed (Go to Part C)
4. Urine Kit ID:
(Place Label Here)
Part B: Urine Collection Questions
1. ¿Cuándo fue la última vez que orinó?
Date: |__|__|/|__|__|/|__|__|__|__|
M
M
D
D
Y
Time: |__|__| : |__|__|
H
Refused
H
M
M
Y
Y
Y
a.m.
Don’t Know
p.m.
2. ¿Cuándo fue la última vez que comió o bebió algo,
aparte de agua?
Date: |__|__|/|__|__|/|__|__|__|__|
M
M
D
D
Y
Time: |__|__| : |__|__|
H
Refused
H
M
3. ¿Ha tenido quimioterapia para el cáncer en las últimas 2 semanas?
Sí
No
Refused
Don’t Know
M
Y
Y
Y
a.m.
Don’t Know
p.m.
Part D: Urine Collection Results
1. Collection time:
|__|__| : |__|__|
H
H
a.m.
p.m.
M M
2. Time specimen placed in shipping container:
|__|__| : |__|__|
H
H
M M
a.m.
p.m.
Part E: Comments
GO TO TOP OF FORM AND COMPLETE PART C URINE COLLECTION STATUS
Se calcula que el tiempo para esta recolección de información es de 10 minutos por cuestionario, incluyendo el tiempo necesario para revisar las
instrucciones, buscar fuentes de datos existentes, reunir y mantener los datos necesarios y completar y revisar la recolección de información.
Ninguna agencia puede realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha recolección de
información, a menos que esta muestre un número de control vigente de la OMB. Envíe sus comentarios respecto a este cálculo de tiempo o a
otro aspecto de esta recolección de información, incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance
Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). No devuelva el cuestionario contestado a esta
dirección.
OMB Control Number: 0925-0664
Expiration Date: xx/xx/xxxx
If you’ve moved or any of your contact information has changed since you last participated in the
Population Assessment of Tobacco and Health (PATH) Study,* please give us your new contact
information by either:
(1)
(2)
Filling out this form and returning it using the enclosed postage-paid envelope; OR
Completing the form online by logging into www.pathstudyinfo.nih.gov. If you have a
smartphone, you can scan this QR code to visit the website.
www.pathstudyinfo.nih.gov
As a thank you for giving us your new contact information, an additional $5 will be added to your
PATH Study debit card (only once every 6 months). **
Please review the information requested on this form. If none of your contact information has
changed, simply check this box:
Current Name: First
MI
Last
UPDATE YOUR NAME IF NOT LISTED CORRECTLY ABOVE. (PLEASE PRINT CLEARLY.)
NAME: ____________________________________________________________________________
FIRST
MI
LAST
Current Address:
Street
Apt#
City
ST
ZIP
UPDATE YOUR STREET ADDRESS IF NOT LISTED CORRECTLY ABOVE.
(PLEASE PRINT CLEARLY.)
STREET ADDRESS:_________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
UPDATE YOUR MAILING ADDRESS. (If different from the street address. PLEASE PRINT CLEARLY.)
STREET ADDRESS:_________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
* This study is sponsored by the National Institutes of Health (NIH), in partnership with the Food and Drug Administration (FDA).
**The funds should be on the card within five days after the date you mail this form. Also, after 2 months, if any money is still on the
card, a $3 fee will be deducted from it each month. Please contact us toll-free at 1-888-311-1819, if the card was misplaced.
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1
IN4-17
PLEASE PROVIDE YOUR TELEPHONE NUMBER(S). (PLEASE PRINT CLEARLY.)
HOME: |___|___|___|-|___|___|___|-|___|___|___|___|
CELL: |___|___|___|-|___|___|___|-|___|___|___|___|
PLEASE PROVIDE YOUR EMAIL ADDRESS(ES). (PLEASE PRINT CLEARLY.)
EMAIL: _____________________________________________________ @ ___________________________
EMAIL: _____________________________________________________ @ ____________________________
PLEASE PROVIDE CONTACT INFORMATION FOR SOMEONE WHO WILL ALWAYS
KNOW HOW TO LOCATE YOU, WHO IS NOT A HOUSEHOLD MEMBER. (PLEASE PRINT
CLEARLY.)
NAME: ____________________________________________________________________________
FIRST
MI
LAST
TELEPHONE NUMBER(S):
HOME: |___|___|___|-|___|___|___|-|___|___|___|___|
CELL: |___|___|___|-|___|___|___|-|___|___|___|___|
EMAIL ADDRESS: _____________________________________ @ __________________________
STREET ADDRESS: _______________________________________________________________________
STREET
APT#
_____________________________________________________________________________________
CITY
STATE
ZIP
In addition to mail, how can we contact you? (PLEASE SELECT ALL THAT APPLY.)
HOME PHONE
CELL PHONE (VOICE)
CELL PHONE (TEXTING)
EMAIL
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2
IN4-17
Do you expect to move either permanently or temporarily in the next 6 to 12 months?
NO
YES
IF YES, WHEN WILL YOU MOVE? ___________________________________________________
MONTH
YEAR
IF YES, PLEASE PRINT YOUR NEW CONTACT INFORMATION.
STREET ADDRESS:_________________________________________________________________
STREET
APT. #
_____________________________________________________________________________________
CITY
STATE
ZIP
Please return the completed form using the enclosed postage-paid envelope. You can also
mail the form to us at:
PATH Study
1600 Research Boulevard
RB 4264F
Rockville, MD 20850
.
Thank you for your time.
Public reporting burden for this collection of information is estimated to average 8 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 20892-7974, ATTN: PRA (0925-0664). Do not return
the completed form to this address.
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3
IN4-17
This page left intentionally blank.
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4
IN4-17
Número de control de la OMB: 0925-0664
Fecha de vencimiento:
Si se ha mudado o su información de contacto ha cambiado desde la última vez que participó en la
Evaluación demográfica del tabaco y la salud o Estudio PATH*, por favor denos su nueva
información de contacto de alguna de las siguientes maneras:
(1)
(2)
llene este formulario para darnos la nueva información y devuélvanoslo en el sobre con
franqueo pagado adjunto; O
conteste el formulario en línea en www.pathstudyinfo.nih.gov. Si tiene un teléfono
inteligente (smartphone), puede escanear este código QR para ir a la página Web del estudio.
www.pathstudyinfo.nih.gov
Como agradecimiento por darnos su nueva información de contacto, recibirá 5 dólares adicionales
en su tarjeta de débito del Estudio PATH (únicamente una vez cada 6 meses). **
Por favor mire la información que se solicita en este formulario. Si su información de contacto
no ha cambiado, marque este recuadro:
Nombre actual:
Primer
Inicial del segundo nombre
Apellidos
ACTUALICE SU NOMBRE SI ARRIBA NO ESTÁ BIEN ESCRITO. (ESCRIBA EN LETRA LEGIBLE)
NOMBRE:__________________________________________________________________________
PRIMER
INICIAL DEL SEGUNDO NOMBRE
Dirección actual: Calle
Ciudad
APT #
Estado
APELLIDOS
Código postal
ACTUALICE SU DIRECCIÓN SI ARRIBA NO ESTÁ BIEN ESCRITA. (ESCRIBA EN LETRA
LEGIBLE)
DIRECCIÓN:_______________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
ACTUALICE SU DIRECCIÓN POSTAL. (Si es diferente a la dirección de su domicilio. ESCRIBA EN LETRA
LEGIBLE)
DIRECCIÓN:_______________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
* Patrocinan este estudio los Institutos Nacionales de la Salud (NIH, por sus siglas en inglés) en colaboración con la Administración de
Alimentos y Medicamentos (FDA, por sus siglas en inglés).
**Los fondos aparecerán en su tarjeta en un plazo de cinco días a partir de la fecha en que envíe este formulario. Después de 2 meses, si
queda algún saldo en la tarjeta, se descontará un cargo mensual de 3 dólares. Llámenos a la línea directa y gratuita, 1-888-311-1819 si ha
perdido la tarjeta.
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1
IN4-17 v3
POR FAVOR ANOTE SUS NÚMEROS DE TELÉFONO. (ESCRIBA EN LETRA LEGIBLE).
CASA: |___|___|___|-|___|___|___|-|___|___|___|___|
CELULAR: |___|___|___|-|___|___|___|-|___|___|___|___|
POR FAVOR ANOTE SU CORREO ELECTRÓNICO. (ESCRIBA EN LETRA LEGIBLE).
CORREO ELECTRÓNICO: __________________________________ @ ___________________________
CORREO ELECTRÓNICO: __________________________________ @ ____________________________
POR FAVOR ANOTE LA INFORMACIÓN DE CONTACTO DE ALGUNA PERSONA QUE
SEPA SIEMPRE CÓMO UBICARLO Y QUE NO VIVA CON USTED. (ESCRIBA EN LETRA
LEGIBLE)
NOMBRE:__________________________________________________________________________
PRIMER
INICIAL DEL SEGUNDO NOMBRE
APELLIDOS
NÚMEROS DE TELÉFONO:
CASA: |___|___|___|-|___|___|___|-|___|___|___|___|
CELULAR: |___|___|___|-|___|___|___|-|___|___|___|___|
CORREO ELECTRÓNICO: ______________________________ @ __________________________
DIRECCIÓN: _________________________________________________________________________
CALLE
APT#
_____________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
Aparte de correo postal, ¿cómo podemos comunicarnos con usted? (ELIJA TODAS LAS OPCIONES QUE
CORRESPONDAN)
TELÉFONO FIJO EN CASA
CELULAR (VOZ)
CELULAR (TEXTO)
CORREO ELECTRÓNICO
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2
IN4-17 v3
¿Tiene pensado mudarse de manera permanente o temporal en los próximos 6 a 12 meses?
NO
SÍ
SI CONTESTÓ SÍ, ¿CUÁNDO SE MUDARÁ? __________________________________________
MES
AÑO
SI CONTESTÓ SÍ, POR FAVOR PROPORCIONE SU NUEVA DIRECCIÓN
DIRECCIÓN:_______________________________________________________________________
CALLE
APT. #
_____________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
Por favor envíe el formulario contestado en el sobre con franqueo pagado adjunto.
También puede enviarnos el formulario a:
PATH Study
1600 Research Boulevard
RB 4264F
Rockville, MD 20850
Gracias por su colaboración.
Se calcula que el tiempo para esta recolección de información es de 8 minutos por cuestionario, incluyendo el tiempo necesario para revisar las
instrucciones, buscar fuentes de datos existentes, reunir y mantener los datos necesarios y completar y revisar la recolección de información. Ninguna
agencia puede realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha recolección de información, a
menos que esta muestre un número de control vigente de la OMB. Envíe sus comentarios respecto a este cálculo de tiempo o a otro aspecto de esta
recolección de información, incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance Branch, 6705 Rockledge Drive,
MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). No devuelva el cuestionario contestado a esta dirección.
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3
IN4-17 v3
Esta página se ha dejado en blanco de manera intencional.
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4
IN4-17 v3
OMB Control Number: 0925-0664
Expiration Date: xx/xx/xxxx
If you’ve moved or any of your contact information has changed since your child last participated in
the Population Assessment of Tobacco and Health (PATH) Study,* please give us your new contact
information by either:
(1)
(2)
Filling out this form and returning it using the enclosed postage-paid envelope; OR
Completing the form online by logging into www.pathstudyinfo.nih.gov. If you have a
smartphone, you can scan this QR code to visit the website.
www.pathstudyinfo.nih.gov
As a thank you for giving us your new contact information, an additional $5 will be added to your
PATH Study debit card (only once every 6 months). **
Please review the information requested on this form. If none of your contact information has
changed, check this box:
Youth’s First Name: Fname
UPDATE YOUTH’S FIRST NAME IF NOT LISTED CORRECTLY ABOVE. (PLEASE
PRINT CLEARLY.)
_______________________________________________________________________
FIRST NAME
Name of Parent:
First Name
MI
Last Name
UPDATE PARENT NAME IF NOT LISTED CORRECTLY ABOVE. (PLEASE PRINT CLEARLY.)
___________________________________________________________________________________
FIRST
Current Parent Address:
MI
LAST NAME
Street
City
Apt #
ST
ZIP
UPDATE YOUR STREET ADDRESS IF NOT LISTED CORRECTLY ABOVE. (PLEASE PRINT
CLEARLY.)
___________________________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
* This study is sponsored by the National Institutes of Health (NIH), in partnership with the Food and Drug Administration (FDA).
**The funds should be on the card within five days after the date you mail this form. Also, after 2 months, if any money is still on the
card, a $3 fee will be deducted from it each month. Please contact us toll-free at 1-888-311-1819, if the card was misplaced.
<>
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IN4-18
UPDATE YOUR MAILING ADDRESS. (If different from the Street Address. PLEASE PRINT CLEARLY.)
___________________________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
PLEASE PROVIDE YOUR TELEPHONE NUMBER(S). (PLEASE PRINT CLEARLY.)
HOME: |___|___|___|-|___|___|___|-|___|___|___|___|
CELL: |___|___|___|-|___|___|___|-|___|___|___|___|
PLEASE PROVIDE YOUR EMAIL ADDRESS(ES). (PLEASE PRINT CLEARLY.)
EMAIL: __________________________________________________ @ _____________________________
EMAIL: __________________________________________________ @ ____________________________
PLEASE PROVIDE CONTACT INFORMATION FOR SOMEONE WHO WILL ALWAYS
KNOW HOW TO LOCATE YOU, WHO IS NOT A HOUSEHOLD MEMBER. (PLEASE PRINT
CLEARLY.)
NAME: ____________________________________________________________________________
FIRST
MI
LAST
TELEPHONE NUMBER(S):
HOME: |___|___|___|-|___|___|___|-|___|___|___|___|
CELL: |___|___|___|-|___|___|___|-|___|___|___|___|
EMAIL ADDRESS: __________________________________________ @ ___________________________
STREET ADDRESS:_________________________________________________________________
STREET
APT. #
_____________________________________________________________________________________
CITY
STATE
ZIP
In addition to mail, how can we contact you? (PLEASE SELECT ALL THAT APPLY.)
HOME PHONE
CELL PHONE (VOICE)
EMAIL
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CELL PHONE (TEXTING)
2
IN4-18
Do you expect to move either permanently or temporarily in the next 6 to 12 months?
NO
YES
IF YES, WHEN WILL YOU MOVE? ___________________________________________________
MONTH
YEAR
IF YES, PLEASE PROVIDE YOUR NEW CONTACT INFORMATION.
STREET ADDRESS:_________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
Do you expect your child to move either permanently or temporarily in the next 6 to 12 months?
NO
YES
IF YES, WHEN WILL YOUR CHILD MOVE? __________________________________________
MONTH
YEAR
IF YES, PLEASE PROVIDE YOUR CHILD’S NEW CONTACT INFORMATION.
STREET ADDRESS:_________________________________________________________________
STREET
APT. #
____________________________________________________________________________________
CITY
STATE
ZIP
Is your child currently attending or planning to attend a college or university in the next 6 to 12
months?
NO
YES
IF YES, PLEASE PRINT THE NAME AND LOCATION OF THE COLLEGE OR
UNIVERSITY.
____________________________________________________________________________________c
COLLEGE OR UNIVERSITY NAME
<>
CITY
3
STATE
IN4-18
Please return the completed form using the enclosed postage-paid envelope. You can also
mail the form to us at:
PATH Study
1600 Research Boulevard
RB 4264F
Rockville, MD 20850
Thank you for your time.
Public reporting burden for this collection of information is estimated to average 8 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 20892-7974, ATTN: PRA (0925-0664). Do not return
the completed form to this address.
<>
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IN4-18
Número de control de la OMB: 0925-0664
Fecha de vencimiento:
Si se ha mudado o su información de contacto ha cambiado desde la última vez que su hijo(a)
participó en la Evaluación demográfica del tabaco y la salud o Estudio PATH*, por favor denos su
nueva información de contacto de alguna de las siguientes maneras:
(1)
(2)
llene este formulario para darnos la nueva información y devuélvanoslo en el sobre con
franqueo pagado adjunto; O
conteste el formulario en línea en www.pathstudyinfo.nih.gov. Si tiene un teléfono
inteligente (smartphone), puede escanear este código QR para ir a la página Web del estudio.
www.pathstudyinfo.nih.gov
Como agradecimiento por darnos su nueva información de contacto, recibirá 5 dólares adicionales
en la tarjeta de débito del Estudio PATH de su hijo(a) (únicamente una vez cada 6 meses).**
Por favor mire la información que se solicita en este formulario. Si su información de contacto
no ha cambiado, marque este recuadro:
Primer nombre del joven: Fname
ACTUALICE EL PRIMER NOMBRE DEL JOVEN SI ARRIBA NO ESTÁ BIEN
ESCRITO. (ESCRIBA EN LETRA LEGIBLE)
_____________________________________________________________________________
PRIMER NOMBRE
Nombre del padre o la madre:
Primer
Inicial del segundo nombre
Apellidos
ACTUALICE EL NOMBRE DEL PADRE O LA MADRE SI ARRIBA NO ESTÁ BIEN
ESCRITO. (ESCRIBA EN LETRA LEGIBLE)
___________________________________________________________________________________
PRIMER
INICIAL DEL SEGUNDO NOMBRE
APELLIDOS
Dirección actual del padre o de la madre: Calle
Apt #
Ciudad
Estado
Código postal
ACTUALICE SU DIRECCIÓN SI ARRIBA NO ESTÁ BIEN ESCRITA. (ESCRIBA EN LETRA
LEGIBLE)
___________________________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
* Patrocinan este estudio los Institutos Nacionales de la Salud (NIH, por sus siglas en inglés) en colaboración con la
Administración de Alimentos y Medicamentos (FDA, por sus siglas en inglés).
**Los fondos aparecerán en su tarjeta en un plazo de cinco días a partir de la fecha en que envíe este formulario. Después
de 2 meses, si queda algún saldo en la tarjeta, se descontará un cargo mensual de 3 dólares. Llámenos a la línea directa y
gratuita, 1-888-311-1819, si ha perdido la tarjeta.
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1
IN4-18 v3
ACTUALICE SU DIRECCIÓN POSTAL. (Si es diferente a la dirección de su domicilio. ESCRIBA EN LETRA
LEGIBLE)
___________________________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
POR FAVOR ANOTE SUS NÚMEROS DE TELÉFONO. (ESCRIBA EN LETRA LEGIBLE).
CASA: |___|___|___|-|___|___|___|-|___|___|___|___|
CELULAR: |___|___|___|-|___|___|___|-|___|___|___|___|
POR FAVOR ANOTE SU CORREO ELECTRÓNICO. (ESCRIBA EN LETRA LEGIBLE).
CORREO ELECTRÓNICO: ________________________________ @ ________________________
CORREO ELECTRÓNICO: ________________________________ @ _______________________
POR FAVOR ANOTE LA INFORMACIÓN DE CONTACTO DE ALGUNA PERSONA QUE
SEPA SIEMPRE CÓMO UBICARLO Y QUE NO VIVA CON USTED. (ESCRIBA EN LETRA
LEGIBLE)
NOMBRE:__________________________________________________________________________
PRIMER
INICIAL DEL SEGUNDO NOMBRE
APELLIDOS
NÚMEROS DE TELÉFONO:
CASA: |___|___|___|-|___|___|___|-|___|___|___|___|
CELULAR: |___|___|___|-|___|___|___|-|___|___|___|___|
CORREO ELECTRÓNICO: __________________________________ @ ___________________________
DIRECCIÓN:_______________________________________________________________________
CALLE
APT. #
_____________________________________________________________________________________
CIUDAD
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ESTADO
CÓDIGO POSTAL
2
IN4-18 v3
Aparte de correo postal, ¿cómo podemos comunicarnos con usted? (ELIJA TODAS LAS OPCIONES QUE
CORRESPONDAN)
TELÉFONO FIJO EN CASA
CELULAR (VOZ)
CORREO ELECTRÓNICO
CELULAR (TEXTO)
¿Tiene pensado mudarse de manera permanente o temporal en los próximos 6 a 12 meses?
NO
SÍ
SI CONTESTÓ SÍ, ¿CUÁNDO SE MUDARÁ? __________________________________________
MES
AÑO
SI CONTESTÓ SÍ, POR FAVOR PROPORCIONE SU NUEVA INFORMACIÓN DE
CONTACTO.
DIRECCIÓN:_______________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
¿Tiene su hijo(a) pensado mudarse de manera permanente o temporal en los próximos 6 a 12
meses?
NO
SÍ
SI CONTESTÓ SÍ, ¿CUÁNDO SE MUDARÁ SU HIJO(A)?
__________________________________________
MES
AÑO
SI CONTESTÓ SÍ, POR FAVOR ANOTE LA NUEVA INFORMACIÓN DE CONTACTO DE
SU HIJO(A).
DIRECCIÓN:_________________________________________________________________
CALLE
APT. #
____________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
¿Asiste su hijo a una universidad actualmente o tiene planes de asistir a una universidad en los
próximos 6 a 12 meses?
NO
SÍ
SI CONTESTÓ SÍ, ESCRIBA POR FAVOR EL NOMBRE Y LA UBICACIÓN DE LA
UNIVERSIDAD.
____________________________________________________________________________________
NOMBRE DE LA UNIVERSIDAD
<>
CIUDAD
3
ESTADO
IN4-18 v3
Por favor envíe el formulario contestado en el sobre con franqueo pagado adjunto.
También puede enviarnos el formulario a:
PATH Study
1600 Research Boulevard
RB 4264F
Rockville, MD 20850
Gracias por su colaboración.
Se calcula que el tiempo para esta recolección de información es de 8 minutos por cuestionario, incluyendo el tiempo necesario para revisar las
instrucciones, buscar fuentes de datos existentes, reunir y mantener los datos necesarios y completar y revisar la recolección de información. Ninguna
agencia puede realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha recolección de información, a
menos que esta muestre un número de control vigente de la OMB. Envíe sus comentarios respecto a este cálculo de tiempo o a otro aspecto de esta
recolección de información, incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance Branch, 6705 Rockledge Drive,
MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). No devuelva el cuestionario contestado a esta dirección.
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IN4-18 v3
OMB Control Number: 0925-0664
Expiration Date: xx/xx/xxxx
If you’ve moved or any of your contact information has changed since we last contacted you about
the Population Assessment of Tobacco and Health (PATH) Study,* please give us your new contact
information by filling out this form and returning it using the enclosed postage-paid envelope.
As a thank you for giving us your new contact information, you will receive $5 in the mail (only
once every 6 months).
Please review the information requested on this form. If none of your contact information has
changed check this box:
Child’s First Name: Fname
UPDATE CHILD’S FIRST NAME IF NOT LISTED CORRECTLY ABOVE. (PLEASE PRINT
CLEARLY.)
___________________________________________________________________________________________________________
FIRST NAME
Name of Parent :
First Name
MI
Last Name
UPDATE PARENT NAME IF NOT LISTED CORRECTLY ABOVE. (PLEASE PRINT CLEARLY.)
________________________________________________________________________________________________________________
FIRST
MI
LAST NAME
Current Address:
Street Address
City
Apt #
ZIP
ST
UPDATE YOUR STREET ADDRESS IF NOT LISTED CORRECTLY ABOVE. (PLEASE PRINT
CLEARLY.)
___________________________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
UPDATE YOUR MAILING ADDRESS. (If different from the Street Address. PLEASE PRINT CLEARLY.)
___________________________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
* This study is sponsored by the National Institutes of Health (NIH), in partnership with the Food and Drug Administration (FDA).
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1
IN4-19
PLEASE PROVIDE YOUR TELEPHONE NUMBER(S). (PLEASE PRINT CLEARLY.)
HOME: |__|__|__| - |__|__|__| - |__|__|__|__|
CELL: |__|__|__| - |__|__|__| - |__|__|__|__|
PLEASE PROVIDE YOUR EMAIL ADDRESS(ES) (PLEASE PRINT CLEARLY.)
EMAIL: _________________________________________________ @ ______________________________
EMAIL: _________________________________________________ @ ______________________________
PLEASE PROVIDE CONTACT INFORMATION FOR SOMEONE WHO WILL ALWAYS
KNOW HOW TO LOCATE YOU, WHO IS NOT A HOUSEHOLD MEMBER. (PLEASE PRINT
CLEARLY.)
NAME: ____________________________________________________________________________
FIRST
MI
LAST
TELEPHONE NUMBER(S):
HOME: |___|___|___|-|___|___|___|-|___|___|___|___|
CELL: |___|___|___|-|___|___|___|-|___|___|___|___|
EMAIL ADDRESS: ___________________________________________ @ __________________________
STREET ADDRESS:_________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
In addition to mail, how can we contact you? (PLEASE SELECT ALL THAT APPLY)
HOME PHONE
CELL PHONE (VOICE)
EMAIL
CELL PHONE (TEXTING)
<>
2
IN4-19
Do you expect to move either permanently or temporarily in the next 6 to 12 months?
NO
YES
IF YES, WHEN WILL YOU MOVE?____________________________________________________
MONTH
YEAR
IF YES, PLEASE PROVIDE YOUR NEW CONTACT INFORMATION.
STREET ADDRESS:_________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
Do you expect your child to move either permanently or temporarily in the next 6 to 12 months?
NO
YES
IF YES, WHEN WILL YOUR CHILD MOVE? __________________________________________
MONTH
YEAR
IF YES, PLEASE PROVIDE YOUR CHILD’S NEW CONTACT INFORMATION.
STREET ADDRESS:_________________________________________________________________
STREET
APT. #
___________________________________________________________________________________
CITY
STATE
ZIP
Please return the completed form using the enclosed postage-paid envelope. You can also
mail the form to us at:
PATH Study
1600 Research Boulevard
RB 4264F
Rockville, MD 20850
Thank you for your time.
Public reporting burden for this collection of information is estimated to average 8 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 20892-7974, ATTN: PRA (0925-0664). Do not return
the completed form to this address.
<>
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This page left intentionally blank.
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4
IN4-19
Número de control de la OMB: 0925-0664
Fecha de vencimiento:
Si se ha mudado o si ha cambiado su información de contacto desde la última vez que nos
comunicamos con usted respecto a la Evaluación demográfica del tabaco y la salud o Estudio
PATH*, llene este formulario para darnos la nueva información de contacto y devuélvanoslo en el
sobre con franqueo pagado adjunto.
Como agradecimiento por darnos su nueva información de contacto, recibirá 5 dólares en el correo
(únicamente una vez cada 6 meses).
Por favor mire la información que se solicita en este formulario. Si su información de contacto
no ha cambiado, marque este recuadro:
Primer nombre del niño o de la niña: Fname
ACTUALICE EL PRIMER NOMBRE DEL NIÑO O DE LA NIÑA SI NO ESTÁ
BIEN ESCRITO. (ESCRIBA EN LETRA LEGIBLE)
____________________________________________________________________________________________________________
PRIMER NOMBRE
Nombre del padre o la madre: Primer
Inicial del segundo nombre
Apellidos
ACTUALICE EL NOMBRE DEL PADRE O LA MADRE SI ARRIBA NO ESTÁ BIEN
ESCRITO. (ESCRIBA EN LETRA LEGIBLE)
___________________________________________________________________________________
PRIMER
Dirección actual: Calle
Ciudad
INICIAL DEL SEGUNDO NOMBRE
APELLIDOS
Apt #
Código postal
Estado
ACTUALICE SU DIRECCIÓN SI ARRIBA NO ESTÁ BIEN ESCRITA. (ESCRIBA EN LETRA
LEGIBLE)
___________________________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
* Patrocinan este estudio los Institutos Nacionales de la Salud (NIH, por sus siglas en inglés) en colaboración con la
Administración de Alimentos y Medicamentos (FDA, por sus siglas en inglés).
<>
1
IN4-19 v3
ACTUALICE SU DIRECCIÓN POSTAL. Si es diferente a la dirección de su domicilio. (ESCRIBA EN LETRA
LEGIBLE)
___________________________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
POR FAVOR ANOTE SUS NÚMEROS DE TELÉFONO. (ESCRIBA EN LETRA LEGIBLE)
CASA: |___|___|___|-|___|___|___|-|___|___|___|___|
CELULAR: |__|___|___|-|___|___|___|-|___|___|___|___|
POR FAVOR ANOTE SU CORREO ELECTRÓNICO. (ESCRIBA EN LETRA LEGIBLE)
CORREO ELECTRÓNICO: ___________________________ @ ______________________________
CORREO ELECTRÓNICO: _____________________________ @ ___________________________
POR FAVOR ANOTE LA INFORMACIÓN DE CONTACTO DE ALGUNA PERSONA QUE
SEPA SIEMPRE CÓMO UBICARLO Y QUE NO VIVA CON USTED. (ESCRIBA EN LETRA
LEGIBLE)
NOMBRE:__________________________________________________________________________
PRIMER
INICIAL DEL SEGUNDO NOMBRE
APELLIDOS
NÚMEROS DE TELÉFONO:
CASA: |___|___|___|-|___|___|___|-|___|___|___|___|
CELULAR: |___|___|___|-|___|___|___|-|___|___|___|___|
CORREO ELECTRÓNICO: __________________________________ @ __________________________
DIRECCIÓN:_______________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
<>
ESTADO
CÓDIGO POSTAL
2
IN4-19 v3
Aparte de correo postal, ¿cómo podemos comunicarnos con usted? (ELIJA TODAS LAS OPCIONES QUE
CORRESPONDAN)
TELÉFONO FIJO EN CASA
CELULAR (VOZ)
CORREO ELECTRÓNICO
CELULAR (TEXTO)
¿Tiene pensado mudarse de manera permanente o temporal en los próximos 6 a 12 meses?
NO
SÍ
SI CONTESTÓ SÍ, ¿CUÁNDO SE MUDARÁ?__________________________________________
MES
AÑO
SI CONTESTÓ SÍ, POR FAVOR PROPORCIONE SU NUEVA INFORMACIÓN DE
CONTACTO.
DIRECCIÓN:_______________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
ESTADO
CÓDIGO POSTAL
¿Tiene su hijo(a) pensado mudarse de manera permanente o temporal en los próximos 6 a 12
meses?
NO
SÍ
SI CONTESTÓ SÍ, ¿CUÁNDO SE MUDARÁ SU HIJO(A)? _______________________________
MES
AÑO
SI CONTESTÓ SÍ, POR FAVOR ANOTE LA NUEVA INFORMACIÓN DE CONTACTO DE
SU HIJO(A).
DIRECCIÓN:_______________________________________________________________________
CALLE
APT. #
___________________________________________________________________________________
CIUDAD
<>
ESTADO
CÓDIGO POSTAL
3
IN4-19 v3
Por favor envíe el formulario contestado en el sobre con franqueo pagado adjunto.
También puede enviarnos el formulario a:
PATH Study
1600 Research Boulevard
RB 4264F
Rockville, MD 20850
Gracias por su colaboración.
Se calcula que el tiempo para esta recolección de información es de 8 minutos por cuestionario, incluyendo el tiempo necesario para revisar las
instrucciones, buscar fuentes de datos existentes, reunir y mantener los datos necesarios y completar y revisar la recolección de información. Ninguna
agencia puede realizar ni patrocinar una recolección de información, y ninguna persona está obligada a responder a dicha recolección de información, a
menos que esta muestre un número de control vigente de la OMB. Envíe sus comentarios respecto a este cálculo de tiempo o a otro aspecto de esta
recolección de información, incluyendo sugerencias de cómo reducir este cálculo de tiempo a: NIH, Project Clearance Branch, 6705 Rockledge Drive,
MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). No devuelva el cuestionario contestado a esta dirección.
<>
4
IN4-19 v3
| File Type | application/pdf |
| Author | Victoria Castleman |
| File Modified | 2016-10-07 |
| File Created | 2016-09-06 |