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Adult Tobacco Use Questions on the National Health Interview Survey

1997 - Forward

Questions on adult tobacco that have been asked on the National Health Interview Survey over the course of its history are shown here in their original format. The NHIS dates back to 1957, however, tobacco questions were first included in 1965. The full questionnaires from which these questions were extracted are available from the “Guide for Data Users” on the Adult Tobacco Use Information website: http://www.cdc.gov/nchs/nhis/tobacco/tobacco_guide.htm

http://www.cdc.gov/nchs/nhis/tobacco/tobacco_guide.htm

NHIS Tobacco Questions: 1997 – Forward

1997 – Forward: NHIS Sample Adult Core Adult Health Behavior (AHB) Section (18 years and over)

Section IV - health behaVIorS Part a - tobacco

These next questions are about cigarette smoking.

AHB.010 Have you smoked at least 100 cigarettes in your enTire life?

>SMKeV< (1) Yes (AHB.020) (7) refused (AHB.090) (2) no (AHB.090) (9) DK (AHB.090)

AHB.020 How old were you when you firST started to smoke fairly regularly?

>SMKreG< (06-94) 6-94 years of age (95) 95 years or older (97) refused (96) never smoked regularly (99) DK

AHB.030 Do you now smoke cigarettes every day, some days or not at all?

>SMKNoW< (1) every day (AHB.050) (7) refused (AHB.060) (2) Some days (AHB.060) (9) DK (AHB.060) (3) not at all (AHB.040)

AHB.040 How long has it been since you quit smoking cigarettes?

>SMKQtNo< [ ] numBer

(01-94) 1-94 (97) refused (95) 95+ (99) DK

>SMKQttP< [ ] Time perioD

(1) Days (AHB.090) (4) Years (AHB.090) (2) weeks (AHB.090) (7) refused (AHB.090) (3) months (AHB.090 (9) DK (AHB.090)

AHB.045 Have you quit smoking since {current month 1 year ago)

>SMKQtD2< (1) Yes (AHB.090) (7) refused (AHB.090) (2) no (AHB.090) (9) DK (AHB.090)

[note: Question AHB.045 was dropped beginning in 2004.]

NHIS Tobacco Questions: 1997 – Forward

1997 – Forward: NHIS Sample Adult Core Adult Health Behavior (AHB) Section (18 years and over)

AHB.050 on the average, how many cigarettes do you now smoke a day?

>CIGSDa1< (01-94) 1-94 cigarettes (AHB.080) (97) refused (AHB.080) (95) 5+ cigarettes (AHB.080) (99) DK (AHB.080)

AHB.060 on how many of the pAST 30 DAYS did you smoke a cigarette?

>CIGDaMo< (00) none (AHB.080) (97) refused (01-30) 1-30 Days (99) DK

AHB.070 on the average, when you smoked during the pAST 30 DAYS, about how many cigarettes did you smoke a day?

>CIGSDa2< (01-94) 1-94 cigarettes (97) refused (95) 95+ cigarettes (99) DK

AHB.080 During the pAST 12 monTHS, have you stopped smoking for more than one day BecAuSe You were TrYing To QuiT SmoKing?

>CIGQtYr< (1) Yes (7) refused (2) no (9) DK

[note: in 1997, Question AHB.080 read: “During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking?”. in 1998, the wording changed to that shown above and has remained unchanged.]

NHIS Tobacco Questions: 1997 – Forward

1998 Family Prevention (2000 Objectives) Supplement Pregnancy and Smoking Section (18–49 years)

faMIlY PreVeNtIoN MoDule Pregnancy and Smoking

This section should begin AfTer the family section is completed, i.e. fSTAT has been entered and all related code closing the family questionnaire (including setting up callbacks at ArrAnge2) has been executed.

check item Begin_pfA: if any females in the family greater than or equal to 18 and less than or equal to 49, [go to Bir5/(pfA.010)]; else go to enD_pfA.

pfA.010 {Has/Have} {reAD nAmeS} given birth to a liveborn infant in the past 5 years?

>bIr5< (1) Yes (pfA.015) (7) refused (enD_pfA) (2) no (enD_pfA) (9) Don’t know (enD_pfA)

pfA.015 fr: aSK or VerIfY. eNter aPPlICable lINe NuMber(S). eNter (N) for No More after the laSt NuMber.

>PbIr5< who is this? (Anyone else) [enter person #s] [ ] [ ] [ ] [ ] [ ] [ ]

(go to enD_Scr)

[Assign pSflAg = 1 to every person listed in pBir5 (pfA.015)]

check item enD_Scr: For first/next woman with PSFLAG=1

fr: reaD If NeCeSSarY:

The next few questions are about smoking during pregnancy. Is (fill name) available to answer these questions?

(1) Yes (pfA.017) (2) no (enD_pfA)

NHIS Tobacco Questions: 1997 – Forward

1998 Family Prevention (2000 Objectives) Supplement Pregnancy and Smoking Section (18–49 years)

Part a - tobacco use

pfA.017 earlier i was told you had a live birth within the past 5 years. in what month and year was yourlast child born?

fr: eNter (N) If reSPoNDeNt SaYS She DID Not haVe lIVe bIrth IN PaSt 5 YearS.

>bIrVer_M< monTH: _________________ >bIrVer _D< DAY: _________________ >bIrVer_Y< YeAr: _________________

[If bIrVer = N go to eND_Pfa; else go to Pfa.020]

pfA.020 Have you smoked at least 100 cigarettes in your enTire life?

>PSMKeV< (1) Yes (pfA.030) (7) refused (enD_pfA) (2) no (enD_pfA) (9) Don’t know (enD_pfA)

pfA.030 How old were you when you firST started to smoke fairly regularly?

fr: If leSS thaN 6 YearS olD, eNter “6”.

>PSMKrG< (06) 6 years of age and younger (06-49) 06-49 years of age (97) refused (96) never smoked regularly (99) Don’t know

pfA.040 Do you now smoke cigarettes every day, some days, or not at all?

>PSMKNoW< (1) every day (pfA.060) (2) Some days (pfA.070) (7) refused (pfA.070) (3) not at all (pfA.050) (9) Don’t know (pfA.070)

NHIS Tobacco Questions: 1997 – Forward

1998 Family Prevention (2000 Objectives) Supplement Pregnancy and Smoking Section (18–49 years)

pfA.050 How long has it been since you quit smoking cigarettes?

>PSMKQt_N< [ ] numBer

(01-94) 01-94 (97) refused (95) 95+ (99) Don’t know

>PSMKQt_t< [ ] Time perioD

(1) Days (4) Years (2) weeks (7) refused (3) months (9) Don’t know

[If PSMKQt_N = 99 and PSMKQt_t = 9 then go to Pfa.055; else go to Pfa.120]

pfA.055 Have you quit smoking since {current month in word format} {last year [current year minus 1] in digit format}?

>PSMKQtD< (1) Yes (7) refused (2) no (9) Don’t Know (go to pfA.120)

pfA.060 fr: If leSS thaN “1”, eNter “1”.

on the average, how many cigarettes do you now smoke a day?

>PCIGSDa1< (01-94) 01-94 cigarettes (95) 95+ cigarettes (97) refused (99) Don’t know

pfA.070 on how many of the pAST 30 DAYS did you smoke a cigarette?

>PCIGDaMo< (0) none (pfA.090) (01-30) 01-30 days (pfA.080) (97) refused (pfA.080) (99) Don’t know (pfA.080)

NHIS Tobacco Questions: 1997 – Forward

1998 Family Prevention (2000 Objectives) Supplement Pregnancy and Smoking Section (18–49 years)

pfA.080 fr: If leSS thaN “1” eNter “1”.

on the average, when you smoked during the pAST 30 DAYS, about how many cigarettes did you smoke a day?

>PCIGSDa2< (01-94) 01-94 cigarettes (95) 95+ cigarettes (97) refused (99) Don’t know

pfA.090 During the pAST 12 monTHS, have you stopped smoking for more than one day BecAuSe You were TrYing To QuiT SmoKing?

>PCIGQtYr< (1) Yes (2) no (7) refused (9) Don’t know

NHIS Tobacco Questions: 1997 – Forward

1998 Family Prevention (2000 Objectives) Supplement Pregnancy and Smoking Section (18–49 years)

Part b - Smoking During Pregnancy

pfA.120 were you smoking cigarettes when you became pregnant with your last child?

>PSMStlPG< (1) Yes {pfA.130} (7) refused {enD_pfA) (2) no {enD_pfA} (9) Don’t know {enD_pfA)

pfA.130 Did you smoke cigarettes at any time during your pregnancy with your last child?

>PSMDurPG< (1) Yes {pfA.140} (7) refused {enD_pfA} (2) no {enD_pfA} (9) Don’t know {enD_pfA}

pfA.140 Did you quit smoking for seven days or longer during your pregnancy with your last child?

>PSMKQtPG< (1) Yes {pfA.150} (7) refused {enD_pfA} (2) no {enD_pfA} (9) Don’t know {enD_pfA}

PFA.150 In what month of your pregnancy did you first quit for 7 days or longer?

>PSQPGM< (01-09) 1-9 month (97) refused (99) Don’t know

pfA.160 Did you start smoking again during that pregnancy or did you stay off cigarettes for the rest of the pregnancy?

>PSMPGSta< (1) Stayed off rest of pregnancy (7) refused (2) Started again (9) Don’t know (3) never started again

check item enD pfA: Arrange for callback if eligible woman (pSflAg = 1) not available to answer questions. loop to enD_Scr for next woman with pSflAg=1. if there are no more eligible women (or no women at all), proceed to next section of HiS interview.

NHIS Tobacco Questions: 1997 – Forward

1998 Prevention Sample Adult (2000 Objectives) Supplement (18 years and over)

Section b. - environmental health

pAB.010 These next questions are about this home.

pAB.110 Does AnYone smoke cigarettes, cigars, or pipes AnYwHere inSiDe this home?

>SMaNY< (1) Yes (pAB.120) (7) refused (enD_pAB) (2) no (enD_pAB) (9) Don’t know (enD_pAB)

pAB.120 on the average, about how many days per week is there smoking AnYwHere inSiDe this home?

>SMDaYS< (00) less than 1 day per week/rarely (97) refused (01-07) 1-7 days (99) Don’t know

check item enD_pABi: go to next section--Tobacco

NHIS Tobacco Questions: 1997 – Forward

1998 Prevention Sample Adult (2000 Objectives) Supplement (18 years and over)

Section C. - tobacco

pAc.010 These next questions are about tobacco use

Have you ever smoked a pipe?

>PIPeeV< (1) Yes (pAc.020) (7) refused (pAc.040) (2) no (pAc.040) (9) Don’t know (pAc.040)

pAc.020 Have you smoked a pipe at least 50 times in your entire life?

>PIPe50< (1) Yes (pAc.030) (7) refused (pAc.040) (2) no (pAc.030) (9) Don’t know (pAc.030)

pAc.030 Do you now smoke a pipe every day, some days, or not at all?

>PIPeNoW< (1) every day (7) refused (2) Some days (9) Don’t know (3) not at all

pAc.040 Have you ever smoked cigars?

>CIGareV< (1) Yes (pAc.050) (7) refused (pAc.070) (2) no (pAc.070) (9) Don’t know (pAc.070)

pAc.050 Have you smoked at least 50 cigars in your entire life?

>CIGar50< (1) Yes (pAc.060) (7) refused (pAc.070) (2) no (pAc.060) (9) Don’t know (pAc.060)

pAc.060 Do you now smoke cigars every day, some days, or not at all?

>CIGarNoW< (1) every day (7) refused (2) Some days (9) Don’t know (3) not at all

NHIS Tobacco Questions: 1997 – Forward

1998 Prevention Sample Adult (2000 Objectives) Supplement (18 years and over)

pAc.070 Have you used snuff, such as Skoal, Skoal Bandits, or copenhagen, at least 20 times in your entire life?

>SNuff20< (1) Yes (pAc.080) (7) refused (pAc.090) (2) no (pAc.090) (9) Don’t know (pAc.080)

pAc.080 Do you now use snuff every day, some days, or not at all?

>SNuffNoW< (1) every day (7) refused (2) Some days (9) Don’t know (3) not at all

pAc.090 Have you used chewing tobacco, such as redman, levi garrett, or Beechnut at least 20 times in your entire life?

>CheW20< (1) Yes (pAc.100) (7) refused (enD_pAc) (2) no (enD_pAc) (9) Don’t know (pAc.100)

pAc.100 Do you now use chewing tobacco every day, some days, or not at all?

>CheWNoW< (1) every day (7) refused (2) Some days (9) Don’t know (3) not at all

check item enD_pAc: go to next section--nutrition

NHIS Tobacco Questions: 1997 – Forward

1998 Prevention Sample Adult (2000 Objectives) Supplement Workplace Health Promotion Section (Currently employed 18 years and over)

Section e. - Workplace health Promotion

These next questions are about health programs in the workplace.

earlier, you told me that you were employed during the past two weeks. which best describes the area in which you work most of the time?

>WrKarea< (1) work mainly indoors (pAe.110) (5) other (pAe.140) (2) work mainly outdoors (pAe.140) (7) refused (pAe.140) (3) Travel to different buildings or sites (pAe.140) (9) Don’t know (pAe.140) (4) in a motor vehicle (pAe.140)

PAE.110 Does your employer have an official policy that restricts smoking in any way?

>SMPolICY< (1) Yes (pAe.120) (7) refused (pAe.140) (2) no (pAe.140) (9) Don’t know (pAe.140)

pAe.120 fr: ShoW CarD a16.

which of these best describes your employer’s smoking policy for indoor public or common areas, such as lobbies, rest rooms, and lunch rooms?

>CoPolICY< (1) not allowed in AnY indoor common areas (2) Allowed in Some indoor common areas, including designated smoking areas (3) Allowed in All indoor common areas (7) refused (9) Don’t know

NHIS Tobacco Questions: 1997 – Forward

1998 Prevention Sample Adult (2000 Objectives) Supplement Workplace Health Promotion Section (Currently employed 18 years and over)

pAe.130 fr: ShoW CarD a17.

which of these best describes your employer’s smoking policy for work areas?

>WKPolICY< (1) not allowed in AnY work areas (7) refused (2) Allowed in Some work areas (9) Don’t know (3) Allowed in All work areas

pAe.140 Does your employer offer a quit smoking program or any other help to employees who want to quit smoking?

>SMQProG< (1) Yes (pAecci03) (7) refused (pAecci04) (2) no (pAecci04) (9) Don’t know (pAecci04)

check item pAecci03: Smoked at least 100 cigarettes. refer to AHB.010/ SmKew, in Section iV - Health Behaviors, Adult core.

If SMKeV eq <1> [go to SMQPYou/(Pae.150); else go to PaeCCI04]

pAe.150 in the past year, have you participated in a quit smoking program made available by your employer?

>SMQPYou< (1) Yes (7) refused (2) no (9) Don’t know

NHIS Tobacco Questions: 1997 – Forward

2000 NHIS Sample Adult Cancer Supplement (18 years and over)

CaNCer 2000 MoDule Section e - tobacco

check item nAecci01: refer to Adult core, Basic module. SmKeV/AHB.010, “Have you smoked at least 100 cigarettes in your enTire life?”

[If SMKeV is not = 1, then go to Check Item NaeCCI11]

check item nAecci03: refer to Adult core, Basic module. SmKnow/AHB.030, “Do you now smoke cigarettes every day, some days, or not at all?”

[If SMKNoW is not = 3, then go to Nae.050]

nAe.010 earlier you said that you used to smoke cigarettes.

Did you ever uSe or SwiTcH to a lower tar and nicotine cigarette to reduce your health risk?

>fSSWItC< (1) Yes (2) no (7) refused (9) Don’t know

nAe.020 fr: ShoW CarD CaN8.

when you stopped smoking completely, which of these methods did you use?

fr: MarK all that aPPlY. eNter the NuMber ‘1’ for eaCh IteM MeNtIoNeD. eNter (N) for No More. Probe: “Anything else?” nAe.020 >fSQStoP< Stopped all at once (“cold turkey”) nAe.021 >fSQDeCr< gradually decreased the number of cigarettes smoked in a day nAe.022 >fSQbooK< instructions in a pamphlet or book nAe.023 >fSQCouN< one-on-one counseling nAe.024 >fSQClIN< Stop-smoking clinic or program nAe.025 >fSQPatC< nicotine patch nAe.026 >fSQGuM< nicotine containing gum (such as “nicorette) nAe.027 >fSQSPrY< nicotine nasal spray nAe.028 >fSQINha< nicotine inhaler nAe.029 >fSQZYb< Zyban/Buproprion/wellbutrin medication nAe.030 >fSQSWIt< Switched to chewing tobacco or snuff nAe.031 >fSQoth< Any other method

NHIS Tobacco Questions: 1997 – Forward

2000 NHIS Sample Adult Cancer Supplement (18 years and over)

nAe.040 in your wHole life, including the last time, how many times did you stop smoking for one day or longer BecAuSe You were TrYing To QuiT SmoKing?

>fSQuItN< (001-994) 1-994 times (995) 995+ times (997) refused (999) Don’t know

[Go to Check Item NaeCCI11]

nAe.050 Did you eVer uSe or SwiTcH to a lower tar and nicotine cigarette to reduce your health risk?

>CSSWItC< (1) Yes (2) no (7) refused (9) Don’t know

nAe.060 Have you eVer stopped smoking for one day or longer BecAuSe You were TrYing To QuiT SmoKing?

>CSQeV< (1) Yes (nAe.070) (2) no (nAe.100) (7) refused (nAe.070) (9) Don’t know (nAe.070)

nAe.070 in your wHole life, how many times have you stopped smoking for one day or longer BecAuSe You were TrYing To QuiT SmoKing?

>CSQ12< (001-994) 1-994 times (995) 995+ times (997) refused (999) Don’t know

NHIS Tobacco Questions: 1997 – Forward

2000 NHIS Sample Adult Cancer Supplement (18 years and over)

nAe.080 fr: ShoW CarD CaN8.

The lAST Time you stopped smoking, which of these methods did you use?

fr: MarK all that aPPlY. eNter the NuMber ‘1’ for eaCh IteM MeNtIoNeD. eNter (N) for No More. Probe: “Anything else?”

nAe.080 >CSQStoP< Stopped all at once (“cold turkey”) nAe.081 >CSQDeCr< gradually decreased the number of cigarettes smoked in a day nAe.082 >CSQbooK< instructions in a pamphlet or book nAe.083 >CSQCouN< one-on-one counseling nAe.084 >CSQClIN< Stop-smoking clinic or program nAe.085 >CSQPatC< nicotine patch nAe.086 >CSQGuM< nicotine containing gum (such as “nicorette”) nAe.087 >CSQSPrY< nicotine nasal spray nAe.088 >CSQINha< nicotine inhaler nAe.089 >CSQZYb< Zyban /Buproprion/wellbutrin medication nAe.090 >CSQSWIt< Switched to chewing tobacco or snuff nAe.091 >CSQoth< Any other method

nAe.100 would you like to completely quit smoking cigarettes?

>QWaNt< (1) Yes (nAe.110) (2) no (nAe.150) (7) refused (nAe.110) (9) Don’t know (nAe.110)

nAe.110 Are you seriously considering quitting smoking within the nexT 6 monTHS?

>CSQ6M< (1) Yes (nAe.120) (2) no (nAe.150) (7) refused (nAe.150) (9) Don’t know (nAe.150)

nAe.120 Are you planning to quit smoking within the nexT 30 DAYS?

>CSQ30D< (1) Yes (2) no (7) refused (9) Don’t know

check item nAecci11: refer to Adult core, Basic module. AmDlongr/AAu.305, “Time since last saw/talked to health professional” if AmDlongr is not = 1 or 2, then store ‘5’ in nAe.130 and go to nAe.140.

NHIS Tobacco Questions: 1997 – Forward

2000 NHIS Sample Adult Cancer Supplement (18 years and over)

nAe.130 The following questions are about cigarette smoking.

in the pAST 12 monTHS has a medical doctor or other health professional ASKeD you about whether you smoke cigarettes or use other kinds of tobacco?

>MDtob1< (1) Yes (check item nAecci12) (2) no (check item nAecci12) (3) my doctor doesn’t ask as {he/she} knows i Do smoke or use tobacco (check item nAecci12) (4) my doctor doesn’t ask as {he/she} knows i Don’T use tobacco (nAe.140) (5) Did not see a doctor in the past 12 months (nAe.140) (7) refused (check item nAecci12) (9) Don’t know (check item nAecci12)

check item nAecci12: if never smoked or if quit more than a year ago, then go to nAe.140.

nAe.135 in the pAST 12 monTHS has a medical doctor or other health professional ADViSeD you to quit smoking or quit using other kinds of tobacco?

>MDtob2< (1) Yes (2) no (7) refused (9) Don’t know

nAe.140-142 Have you eVer smoked . . . (1) Yes (2) no (7) refused (9) Don’t know

nAe.140 >eVPIPe< ... A pipe? nAe.141 >eVCIGar< ... A cigar?

helP: include small, thin, cigars called ‘cigarillos’, ‘puritos’ or ‘chicos’, that are wrapped in tobacco leaf rather than paper, and are made by machine or handrolled.

nAe.142 >eVbIDI< ... A bidi?

helP: A bidi is a flavored cigarette from India.

nAe.143-144 Have you eVer used . . . (1)Yes (2)no (7) refused (9)Don’t know

nAe.143 >eVSNuff< ... Snuff? nAe.144 >eVCheW< ... chewing tobacco?

[If eVePIPe is not = 1, then go to Check item NaeCCI13]

NHIS Tobacco Questions: 1997 – Forward

2000 NHIS Sample Adult Cancer Supplement (18 years and over)

nAe.150 Have you smoked a pipe at least 50 times in your enTire life?

>PIPe50< (1) Yes (2) no (7) refused (9) Don’t know

nAe.151 Do you now smoke a pipe every day, some days, or not at all?

>PIPeeD< (1) every day (2) Some days (3) not at all (7) refused (9) Don’t know

check item nAecci13: if eVcigAr is not = 1, then go to check item nAecci14.

nAe.160 Have you smoked at least 50 cigars in your enTire life?

>CIGar50< (1) Yes ` (2) no (7) refused (9) Don’t know

nAe.161 Do you now smoke cigars every day, some days, or not at all?

>CIGareD< (1) every day (check item nAecci14) (2) Some days (nAe.162) (3) not at all (check item nAecci14) (7) refused (nAe.162) (9) Don’t know (nAe.162)

nAe.162 on how many of the pAST 30 DAYS have you smoked a cigar?

>CIG30D< (0) none (01-30) 1-30 days (97) refused (99) Don’t know

check item nAecci14: if eVBiDi is not = 1, then go to check item nAecci15.

nAe.170 Have you smoked bidis least 20 times in your enTire life?

>bIDI20< (1) Yes (2) no (7) refused (9) Don’t know

NHIS Tobacco Questions: 1997 – Forward

2000 NHIS Sample Adult Cancer Supplement (18 years and over)

nAe.171 Do you now smoke bidis every day, some days, or not at all?

>bIDIeD< (1) every day (2) Some days (3) not at all (7) refused (9) Don’t know

check item nAecci15: if eVSnuff is not = 1, then go to check item nAecci16.

nAe.180 Have you used snuff, (such as Skoal, Skoal Bandits, or copenhagen) at least 20 times in your enTire life?

>SNuff20< (1) Yes (2) no (7) refused (9) Don’t know

nAe.181 Do you now use snuff every day, some days, or not at all?

>SNuffeD< (1) every day (2) Some days (3) not at all (7) refused (9) Don’t know

check item nAecci16: if eVcHew is not = 1, then go to nAe.200

nAe.190 Have you used chewing tobacco, (such as redman, levi garrett, or Beechnut) at least 20 times in your enTire life?

>CheW20< (1) Yes (2) no (7) refused (9) Don’t know

nAe.191 Do you now use chewing tobacco every day, some days, or not at all?

>CheWeD< (1) every day (2) Some days (3) not at all (7) refused (9) Don’t know

NHIS Tobacco Questions: 1997 – Forward

2000 NHIS Sample Adult Cancer Supplement (18 years and over)

nAe.200 During the pAST weeK, how many days did AnYone smoke cigarettes, cigars, or pipes AnYwHere inSiDe your home?

>SMhoMe< (00) less than 1 day per week/rarely/none (01-07) 1-7 days per week (97) refused (99) Don’t know

check item nAecci17: refer to Adult core, Basic module. Doinglw/fSD.050 “which of the following were you doing last week?”

(1) working at a job or business (check item nAecci18) (2) with a job or business but not at work (check item nAecci18) (3) looking for work (nAe.260) (4) not working at a job or business (nAe.260) (7) refused (nAe.260) (9) Don’t Know (nAe.260)

check item nAecci18: refer to Adult core, Basic module. wrKcAT/ASD.110 “looking at the card, which of these best describes your current job or work situation?”

(1) private business (nAe.210) (2) federal employee (nAe.210) (3) State government employee (nAe.210) (4) local government employee (nAe.210) (5) Self employed in own business, professional practice, or farm (nAe.260) (6) working without pay in family business or farm (nAe.260) (7) refused (nAe.260) (9) Don’t Know (nAe.260)

nAe.210 fr: ShoW CarD CaN9.

The next questions are about smoking where you work.

which of these BeST describes the area in which you work most of the time?

>areaWrK< (1) work mainly indoors (nAe.220) (2) work mainly outdoors nAe.260) (3) Travel to different buildings or sites (nAe.260) (4) in a motor vehicle (nAe.260) (5) Some other area (nAe.260) (7) refused (nAe.260) (9) Don’t know (nAe.260)

NHIS Tobacco Questions: 1997 – Forward

2000 NHIS Sample Adult Cancer Supplement (18 years and over)

nAe.220 As far as you know, has anyone smoked in your work area in the lAST weeK?

>SMarea< (1) Yes (2) no (7) refused (9) Don’t know

NAE.230 Does your employer have an official policy that restricts smoking in any way?

>SMPol< (1) Yes (nAe.240) (2) no (nAe.260) (7) refused (nAe.260) (9) Don’t know (nAe.260)

nAe.240 fr: ShoW CarD CaN10.

which of these BeST describes your employer’s smoking policy for indoor public or common areas, such as lobbies, rest rooms, and lunch rooms?

>SMPolP< (1) not allowed in AnY indoor public or common areas (2) Allowed in Some indoor public or common areas (3) Allowed in All indoor public or common areas (7) refused (9) Don’t Know

nAe.250 fr: ShoW CarD CaN11.

which of these BeST describes your employer’s smoking policy for work areas?

>SMPolW< (1) not allowed in AnY work areas (2) Allowed in Some work areas (3) Allowed in All work areas (7) refused (9) Don’t Know

nAe.260 fr: ShoW CarD CaN12

which BeST describes your opinion about smoking in indoor public places? Smoking should be...

>NoSMoK< (1) noT allowed in AnY indoor public places (2) Allowed onlY in smoking areas (3) Allowed in All indoor public places (7) refused (9) Don’t Know

NHIS Tobacco Questions: 1997 – Forward

2000 NHIS Sample Adult Cancer Supplement (18 years and over)

nAe.270 fr: ShoW CarD CaN13

now, i am going to read a list of statements about cigarette smoking. After i read each one, please tell me whether you agree, disagree or have no opinion.

The smoke from other people’s cigarettes is harmful to you.

>SMharM< (1) Agree (2) Disagree (3) Have no opinion (7) refused (9) Don’t Know

nAe.280 fr: ShoW CarD CaN13

To help prevent smoking in young people, the price of cigarettes should be increased by at least $1.50 per pack.

>INCr150< (1) Agree (2) Disagree (3) Have no opinion (7) refused (9) Don’t Know

check item enD_nAe: go to the next section, Section f -- cancer Screening

NHIS Tobacco Questions: 1997 – Forward

2001 NHIS Sample Adult Core Adult Health Care Access and Utilization (AAU) Section Supplement Questions (18 years and over)

Part a-access to Care [asked of current smokers and former smokers who quit in the past year]

AAu.050.130 During THe pAST 12 monTHS, has your {fill from kind of provider-- taken from AQHpKnD2, AHcplKnD, or AplKinD} advised you to quit smoking?

>ahCQSMK< (1) Yes (AAu.050.140) (7) refused (AAu_cci5) (2) no (AAu_cci5) (9) Don’t know (AAu_cci5)

AAU.050.140 Did your {fill from kind of provider-- taken from AQHPKND2, AHCPLKND, OR AplKinD} give you help to quit smoking?

fr: reaD If NeCeSSarY: Help would include recommending a program to help you quit smoking, counseling, quitting tips, nicotine gum, patch, spray or inhaler, or the non-nicotine medication called Zyban.

>ahChelP< (1) Yes (7) refused (2) no (9) Don’t know

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.010_00.000 Instrument Variable Name: menTHolf QuestionnairefileName: Sample Adult

Questiontext: earlier you said you used to smoke cigarettes. Think back to the 12 months Before you quit smoking. During that time, was your usual cigarette brand menthol or non-menthol?

1 menthol 2 non menthol 3 no usual type 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and gave a valid number and time period answer for time quitting smoking

SkipInstructions: <1-3,r,D> [goto numcig]

Question ID: nAe.015_00.000 Instrument Variable Name: numcig QuestionnairefileName: Sample Adult

Questiontext: Thinking back over the years you have smoked regularly, about how many cigarettes did you usually smoke each day?

*read if necessary. 1 pack equals 20 cigarettes. *enter ‘95’ if varied. *enter ‘96’ if never smoked cigarettes regularly. 01-94 1-94 cigarettes 95 Varied 96 never smoked cigarettes regularly 97 refused 99 Don’t know

universetext: Sample adults 18+ who are former smokers and gave a valid number and time period answer for time quitting smoking

SkipInstructions: <1-94,96,r,D> if SmKQTno and SmKQTTp le 2 years ago [goto fe1A_1]; else if AmDlong=1,2,r,D or ADenlong = 1,2,r,D [goto mDToB1A]; else if AmDlong=0,3,4,5 or ADenlong = 0,3,4,5 [goto pipeeV] <95> [goto numcVAr]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.017_00.000 Instrument Variable Name: numcVAr QuestionnairefileName: Sample Adult

Questiontext: what is the average number of cigarettes that you smoked daily during the longest period that you smoked?

*read if necessary: 1 pack equals 20 cigarettes. 01-94 1-94 cigarettes 97 refused 99 Don’t know

universetext: Sample adults 18+ who said number of cigarettes smoked daily varied

SkipInstructions: <1-94,r,D> if SmKQTno and SmKQTTp le 2 years ago [goto fe1A_1]; else if AmDlong=1,2,r,D or ADenlong = 1,2,r,D [goto mDToB1A]; AmDlong=0,3,4,5 or ADenlong = 0,3,4,5 [goto pipeeV]

Question ID: nAe.020_01.000 Instrument Variable Name: fe1A_1 QuestionnairefileName: Sample Adult

Questiontext: Thinking back to when you stopped smoking completely, did you use AnY of the following proDucTS:

A nicotine gum?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1A_2]

Question ID: nAe.020_02.000 Instrument Variable Name: fe1A_2 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following proDucTS:

A nicotine patch?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1A_3]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.020_03.000 Instrument Variable Name: fe1A_3 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following proDucTS:

Any of these other nicotine products---nasal spray, inhaler, lozenge or tablet?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1A_4]

Question ID: nAe.020_04.000 Instrument Variable Name: fe1A_4 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following proDucTS:

A prescription pill, such as Zyban, Buproprion, or wellbutrin?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1B_1]

Question ID: nAe.025_01.000 Instrument Variable Name: fe1B_1 QuestionnairefileName: Sample Adult

Questiontext: Thinking back to when you stopped smoking completely, did you use AnY of the following:

A telephone help line or quit line?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1B_2]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.025_02.000 Instrument Variable Name: fe1B_2 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following:

A stop smoking clinic, class, or support group?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1B_3]

Question ID: nAe.025_03.000 Instrument Variable Name: fe1B_3 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following:

one-on-one counseling?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1B_4]

Question ID: nAe.025_04.000 Instrument Variable Name: fe1B_4 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following:

Help or support from friends or family?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1B_5]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.025_05.000 Instrument Variable Name: fe1B_5 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following:

The internet or world wide web?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1B_6]

Question ID: nAe.025_06.000 Instrument Variable Name: `fe1B_6 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following:

Books, pamphlets, videos, or other materials?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fe1B_7]

Question ID: nAe.025_07.000 Instrument Variable Name: fe1B_7 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following:

Acupuncture or hypnosis?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> if AmDlong=1,2,r,D or ADenlong = 1,2,r,D [goto mDToB1A]; else if AmDlong=0,3,4,5 or ADenlong = 0,3,4,5 [goto pipeeV]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.060_00.000 Instrument Variable Name: menTHol QuestionnairefileName: Sample Adult

Questiontext: earlier you said you smoke cigarettes.

is your usual cigarette brand menthol or non-menthol?

1 menthol 2 non menthol 3 no usual type 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers

SkipInstructions: <1-3,r,D> if cigQTYr=1 [goto ce1A_1]; else [goto cSQeV]

Question ID: nAe.075_00.000 Instrument Variable Name: cSQeV QuestionnairefileName: Sample Adult

Questiontext: Have you eVer stopped smoking for one day or longer BecAuSe You were TrYing To QuiT SmoKing?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers

SkipInstructions: <1,2,r,D> [goto compQT]

Question ID: nAe.080_01.000 Instrument Variable Name: ce1A_1 QuestionnairefileName: Sample Adult

Questiontext: Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following proDucTS:

A nicotine gum?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1A_2]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.080_02.000 Instrument Variable Name: ce1A_2 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following proDucTS:

A nicotine patch?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1A_3]

Question ID: nAe.080_03.000 Instrument Variable Name: ce1A_3 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following proDucTS:

Any of these other nicotine products---nasal spray, inhaler, lozenge or tablet?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1A_4]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.080_04.000 Instrument Variable Name: ce1A_4 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following proDucTS:

A prescription pill, such as Zyban, Buproprion, or wellbutrin?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1B_1]

Question ID: nAe.085_01.000 Instrument Variable Name: ce1B_1 QuestionnairefileName: Sample Adult

Questiontext: Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

A telephone help line or quit line?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1B_2]

Question ID: nAe.085_02.000 Instrument Variable Name: ce1B_2 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

A stop smoking clinic, class, or support group?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1B_3]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.085_03.000 Instrument Variable Name: ce1B_3 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

one-on-one counseling?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1B_4]

Question ID: nAe.085_04.000 Instrument Variable Name: ce1B_4 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

Help or support from friends or family?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1B_5]

Question ID: nAe.085_05.000 Instrument Variable Name: ce1B_5 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

The internet or world wide web?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1B_6]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.085_06.000 Instrument Variable Name: ce1B_6 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

Books, pamphlets, videos, or other materials?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto ce1B_7]

Question ID: nAe.085_07.000 Instrument Variable Name: ce1B_7 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

Acupuncture or hypnosis?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto QwAnT]

Question ID: nAe.100_00.000 Instrument Variable Name: QwAnT QuestionnairefileName: Sample Adult

Questiontext: would you like to completely quit smoking cigarettes?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers

SkipInstructions: <1,2,r,D> if AmDlong=1,2, r,D or ADenlong = 1,2,r,D [goto mDToB1A]; else if AmDlong=0,3,4,5 or ADenlong =0,3,4,5 [goto pipeeV]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.130_00.000 Instrument Variable Name: mDToB1A QuestionnairefileName: Sample Adult

Questiontext: [fill1: These questions are about tobacco use.]

in the pAST 12 monTHS, has a medical doctor, dentist, or other health professional ASKeD you about whether you smoke cigarettes or use other kinds of tobacco?

1 Yes 2 no 3 Did not see a doctor in the past 12 months 7 refused 9 Don’t know

universetext: Sample adults 18+ who have seen a doctor or other health care professional in the past year

SkipInstructions: <1,r,D> if SmKnow=1,2 or SmKnow=3 and SmKQTno and SmKQTTp le 1 year ago [goto mDToB2]; else [goto pipeeV] <2> [goto mDToB1B] <3> [goto pipeeV]

Question ID: nAe.131_00.000 Instrument Variable Name: mDToB1B QuestionnairefileName: Sample Adult

Questiontext: was this because the doctor, dentist, or other health professional already knew whether or not you smoke or use tobacco?

1 Yes 2 no 3 Varies from doctor to doctor 7 refused 9 Don’t know

universetext: Sample adults 18+ whose doctor did not ask them about smoking habits in the past 12 months

SkipInstructions: <1,2,3,r,D> if SmKnow=1,2 or SmKnow=3 and SmKQTno and SmKQTTp le 1 year ago [goto mDToB2]; else [goto pipeeV]

Question ID: nAe.135_00.000 Instrument Variable Name: mDToB2 QuestionnairefileName: Sample Adult

Questiontext: in the pAST 12 monTHS, has a medical doctor, dentist, or other health professional ADViSeD you to quit smoking, or quit using other kinds of tobacco?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have seen a doctor or other health professional in the past year and are current smokers or former smokers who have quit in the past 12 months

SkipInstructions: <1> [goto HpToB2] <2,r,D> [goto pipeeV]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.137_00.000 Instrument Variable Name: HpToB2 QuestionnairefileName: Sample Adult

Questiontext: (book) cAn9

in the pAST 12 monTHS, which health professional(s) advised you to quit smoking or quit using other kinds of tobacco?

*enter all that apply, separate with commas.

1 medical doctor 2 Dentist 3 nurse 4 Dental Hygienist 5 other health professional (specify) 7 refused 9 Don’t know

universetext: Sample adults 18+ whose doctor or other health professional advised them to quit smoking or using other kinds of tobacco in the past 12 months

SkipInstructions: <1-4,r,D> [goto pipeeV] <5> [goto HpToTH]

Question ID: nAe.138_00.000 Instrument Variable Name: HpToTH QuestionnairefileName: Sample Adult

Questiontext: *enter other health professional.

7 refused 9 Don’t know

verbatim Verbatim response

universetext: Sample adults 18+ who were advised to quit using tobacco by other health professional

SkipInstructions: <allow 20,r,D> [goto pipeeV]

Question ID: nAe.140_00.000 Instrument Variable Name: pipeeV QuestionnairefileName: Sample Adult

Questiontext: [fill1: These questions are about tobacco use.]

Have you ever smoked tobacco in a pipe eVen one Time?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1> [goto pipeeV50> <2,r,D> [goto cigeV1>

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.142_00.000 Instrument Variable Name: pipeeV50 QuestionnairefileName: Sample Adult

Questiontext: Have you smoked a pipe at least 50 times in your entire life?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever smoked a pipe

SkipInstructions: <1,2,r,D> [goto pipecur]

Question ID: nAe.144_00.000 Instrument Variable Name: pipecur QuestionnairefileName: Sample Adult

Questiontext: Do you now smoke a pipe every day, some days, or not at all?

1 every day 2 Some days 3 not at all 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever smoked a pipe

SkipInstructions: <1-3,r,D> [goto cigeV1]

Question ID: nAe.146_00.000 Instrument Variable Name: cigeV1 QuestionnairefileName: Sample Adult

Questiontext: Have you ever smoked a cigar eVen one Time?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1> [goto cigeV50] <2,r,D> [goto SnuffeV]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.148_00.000 Instrument Variable Name: cigeV50 QuestionnairefileName: Sample Adult

Questiontext: Have you smoked at least 50 cigars in your entire life?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever smoked a cigar

SkipInstructions: <1,2,r,D> [goto cigcur]

Question ID: nAe.150_00.000 Instrument Variable Name: cigcur QuestionnairefileName: Sample Adult

Questiontext: Do you now smoke a cigar every day, some days, or not at all?

1 every day 2 Some days 3 not at all 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever smoked a cigar

SkipInstructions: <1,3> [goto SnuffeV] <2,r,D> [goto cig30D]

Question ID: nAe.152_00.000 Instrument Variable Name: cig30D QuestionnairefileName: Sample Adult

Questiontext: on how many of the pAST 30 DAYS have you smoked a cigar?

*enter ‘0’ for none. *enter ‘30’ for all days in the month. 00 none 01-30 1-30 days 97 refused 99 Don’t know

universetext: Sample adults 18+ who smoke a cigar some days or refused or don’t know current cigar smoking status

SkipInstructions: <0-30,r,D> [goto SnuffeV]

NHIS Tobacco Questions: 1997 – 2Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.154_00.000 Instrument Variable Name: SnuffeV QuestionnairefileName: Sample Adult

Questiontext: Have you eVer used snuff, such as Skoal, Skoal Bandits, or copenhagen, eVen one Time?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1> [goto SnufeV20> <2,r,D> [goto cHeweV>

Question ID: nAe.156_00.000 Instrument Variable Name: SnufeV20 QuestionnairefileName: Sample Adult

Questiontext: Have you used snuff, (such as Skoal, Skoal Bandits, or copenhagen) at least 20 times in your entire life?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever used snuff

SkipInstructions: <1,2,r,D> [goto Snuffcur]

Question ID: nAe.158_00.000 Instrument Variable Name: Snuffcur QuestionnairefileName: Sample Adult

Questiontext: Do you now use snuff every day, some days, or not at all?

1 every day 2 Some days 3 not at all 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever used snuff

SkipInstructions: <1-3,r,D> [goto cHeweV]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.160_00.000 Instrument Variable Name: cHeweV QuestionnairefileName: Sample Adult

Questiontext: Have you eVer used chewing tobacco, such as redman, levi garrett, or Beechnut eVen one Time?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1> [goto cHeweV20> <2,r,D> [goto BiDiSeV]

Question ID: nAe.162_00.000 Instrument Variable Name: cHeweV20 QuestionnairefileName: Sample Adult

Questiontext: Have you used chewing tobacco (such as redman, levi garrett, or Beechnut) at least 20 times in your entire life?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever used chewing tobacco

SkipInstructions: <1,2,r,D> [goto cHewcur]

Question ID: nAe.164_00.000 Instrument Variable Name: cHewcur QuestionnairefileName: Sample Adult

Questiontext: Do you now use chewing tobacco every day, some days, or not at all?

1 every day 2 Some days 3 not at all 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever used chewing tobacco

SkipInstructions: <1-3,r,D> [goto BiDiSeV]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.166_00.000 Instrument Variable Name: BiDiSeV QuestionnairefileName: Sample Adult

Questiontext: Have you ever smoked a bidi (bee-dee) eVen one Time?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1-3,r,D>[goto liVinTro]

Question ID: nAe.168_00.000 Instrument Variable Name: BiDieV20 QuestionnairefileName: Sample Adult

Questiontext: Have you smoked a bidi at least 20 times in your entire life?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever smoked a bidi

SkipInstructions: <1,2,r,D> [goto BiDiScur]

Question ID: nAe.170_00.000 Instrument Variable Name: BiDiScur QuestionnairefileName: Sample Adult

Questiontext: Do you now smoke a bidi every day, some days, or not at all?

1 every day 2 Some days 3 not at all 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever smoked a bidi

SkipInstructions: <1-3,r,D>[goto liVinTro]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement (18 years and over)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.173_00.000 Instrument Variable Name: liVinTro QuestionnairefileName: Sample Adult

Questiontext: in a usual week, does AnYone who lives here, including yourself, smoke cigarettes, cigars, or pipes anywhere inside this home?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1> [goto liVSmoKe] <2,r,D> [if Sex = 2 and Age = 18-49 [goto liVeBTH]]; else goto next section

Question ID: nAe.174_00.000 Instrument Variable Name: liVSmoKe QuestionnairefileName: Sample Adult

Questiontext: in a usual week, how many people wHo liVe here, including yourself, smoke cigarettes, cigars, or pipes anywhere inSiDe this home?

*enter ‘0’ for none. *enter ‘96’ for 96 or more smokers. 00 none 01-95 01-95 persons 96 96+ 97 refused 99 Don’t know

universetext: Sample adults 18+ who have people living in the home that smoke in a usual week

SkipInstructions: <1-96> [goto lVDYSmoK] <0,r,D> [if Sex = 2 and Age = 18-49 [goto liVeBTH]]; else goto next section

Question ID: nAe.176_00.000 Instrument Variable Name: lVDYSmo QuestionnairefileName: Sample Adult

Questiontext: usually, about how many days per week do people wHo liVe here smoke anywhere inSiDe this home?

*enter ‘0’ for less than 1 day per week/rarely/none *enter ‘7’ for all days per week 00 less than one day per week/rarely/none 01-07 01-07 days 97 refused 99 Don’t know

universetext: Sample adults 18+ who have at least one resident smoking inside the home

SkipInstructions: <0-7,r,D> [if Sex = 2 and Age = 18-49 [goto liVeBTH]]; else goto next section

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement Pregnancy and Smoking Questions (18–49 years)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.190_00.000 Instrument Variable Name: liVeBTH QuestionnairefileName: Sample Adult

Questiontext: Have you given birth to a live born infant within the past 5 years?

1 Yes 2 no 7 refused 9 Don’t know

universetext: female sample adults age 18-49

SkipInstructions: <1> if SmKeV=1 [goto SmKpreg]; else [goto next section] <2,r,D> [goto next section]

Question ID: nAe.200_00.000 Instrument Variable Name: SmKpreg QuestionnairefileName: Sample Adult

Questiontext: were you smoking cigarettes when you became pregnant with your last child?

1 Yes 2 no 7 refused 9 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and have had a live birth in the past 5 years

SkipInstructions: <1,2,r,D> [goto SmKlST]

Question ID: nAe.210_00.000 Instrument Variable Name: SmKlST QuestionnairefileName: Sample Adult

Questiontext: Did you smoke cigarettes at any time during your pregnancy with your last child?

1 Yes 2 no 7 refused 9 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and have had a live birth in the past 5 years

SkipInstructions: <1> [goto QuTwK] <2,r,D> [goto next section]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement Pregnancy and Smoking Questions (18–49 years)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.220_00.000 Instrument Variable Name: QuTwK QuestionnairefileName: Sample Adult

Questiontext: Did you quit smoking for 7 days or longer during your pregnancy with your last child?

1 Yes 2 no 7 refused 9 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and smoked during last pregnancy

SkipInstructions: <1> [goto mTHQuiT] <2,r,D> [goto next section]

Question ID: nAe.230_00.000 Instrument Variable Name: mTHQuiT QuestionnairefileName: Sample Adult

Questiontext: in what month of your pregnancy did you quit for 7 days or longer?

01 first 02 Second 03 Third 04 fourth 05 fifth 06 Sixth 07 Seventh 08 eighth 09 ninth 97 refused 99 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and smoked during last pregnancy, but quit for 7 days or longer

SkipInstructions: <1-9,r,D> [goto STSmoK]

NHIS Tobacco Questions: 1997 – Forward

2005 NHIS Sample Adult Cancer Supplement Pregnancy and Smoking Questions (18–49 years)

2005 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 12-feb-07

Question ID: nAe.240_00.000 Instrument Variable Name: STSmoK QuestionnairefileName: Sample Adult

Questiontext: Did you start smoking again during the pregnancy or did you stay off cigarettes for the rest of the pregnancy?

1 Stayed off rest of pregnancy 2 Started again 3 never started again 7 refused 9 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and smoked during last pregnancy, but quit for 7 days or longer

SkipInstructions: <1-3,r,D> [goto next section]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.010_00.000 Instrument Variable Name: menTHolf QuestionnairefileName: Sample Adult

Questiontext: earlier you said you used to smoke cigarettes. Think back to the 12 months Before you quit smoking. During that time, was your usual cigarette brand menthol or non-menthol?

1 menthol 2 non menthol 3 no usual type 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers

SkipInstructions: <1-3,r,D> if SmKreg ne ‘96’ [goto numcigA]; else if ((SmKQTno(e) le ‘95’ and SmKQTTp(e)=’1’) or (SmKQTno(e) le ‘95’ and SmKQTTp(e)=’2’) or (SmKQTno(e) le ‘24’ and SmKQTTp(e)=’3’) or (SmKQTno(e) le ‘02’ and SmKQTTp(e)=’4’)) [goto fQuiTA_1]; else [got o cigeV1]

Question ID: nAe.015_00.000 Instrument Variable Name: numcigA QuestionnairefileName: Sample Adult

Questiontext: when you last smoked fAirlY regulArlY, how many cigarettes did you usually smoke per day? *enter ‘95’ if varied. *enter ‘96’ if never smoked cigarettes regularly.

01-94 1-94 cigarettes 95 Varied 96 never smoked regularly 97 refused 99 Don’t know

universetext: Sample adults 18+ who are former smokers and had smoked regularly in the past

SkipInstructions: <1-94,96,r,D> if ((SmKQTno(e) le ‘95’ and SmKQTTp(e)=’1’) or (SmKQTno(e) le ‘95’ and SmKQTTp(e)=’2’) or (SmKQTno(e) le ‘24’ and SmKQTTp(e)=’3’) or (SmKQTno(e) le ‘02’ and SmKQTTp(e)=’4’)) [goto fQuiTA_1]; else [goto cigeV1] <95> [goto numcVAr]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.017_00.000 Instrument Variable Name: numcVAr QuestionnairefileName: Sample Adult

Questiontext: what is the average number of cigarettes that you smoked daily during the longest period that you smoked?

*read if necessary: 1 pack equals 20 cigarettes. *enter ‘95’ if 95 or more. 01-94 1-94 cigarettes 95 95 or more cigarettes 97 refused

universetext: Sample adults 18+ who said number of cigarettes smoked daily varied

SkipInstructions: <1-95,r,D> if ((SmKQTno(e) le ‘95’ and SmKQTTp(e)=’1’) or (SmKQTno(e) le ‘95’ and SmKQTTp(e)=’2’) or (SmKQTno(e) le ‘24’ and SmKQTTp(e)=’3’) or ` (SmKQTno(e) le ‘02’ and SmKQTTp(e)=’4’)) [goto fQuiTA_1]; else [goto cigeV1]

Question ID: nAe.020_01.000 Instrument Variable Name: fQuiTA_1 QuestionnairefileName: Sample Adult

Questiontext: Thinking back to when you stopped smoking completely, did you use AnY of the following proDucTS:

A nicotine patch?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fQuiTA_2]

Question ID: nAe.020_02.000 Instrument Variable Name: fQuiTA_2 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following proDucTS:

A nicotine gum or lozenge?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fQuiTA_3]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.020_03.000 Instrument Variable Name: fQuiTA_3 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following proDucTS:

A nicotine containing nasal spray or inhaler?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fQuiTA_4]

Question ID: nAe.020_04.000 Instrument Variable Name: fQuiTA_4 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following proDucTS:

A prescription pill called chantix (cHAn-tix) or Varenicline (vuh-ren-ih-klin)?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fQuiTA_5]

Question ID: nAe.020_05.000 Instrument Variable Name: fQuiTA_5 QuestionnairefileName:

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following proDucTS:

A prescription pill called Zyban (Zi-ban), Bupropion (byoo-pro-pee-on), or wellbutrin (well-BYoo-trin)?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fQuiTB_1]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.025_01.000 Instrument Variable Name: fQuiTB_1 QuestionnairefileName: Sample Adult

Questiontext: Thinking back to when you stopped smoking completely, did you use AnY of the following:

A telephone help line or quit line?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fQuiTB_2]

Question ID: nAe.025_02.000 Instrument Variable Name: fQuiTB_2 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following:

one-on-one counseling?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto fQuiTB_3]

Question ID: nAe.025_03.000 Instrument Variable Name: fQuiTB_3 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you stopped smoking completely, did you use AnY of the following:

A stop smoking clinic, class or support group?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are former smokers and quit in the last 2 years

SkipInstructions: <1,2,r,D> [goto cigeV1]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.060_00.000 Instrument Variable Name: menTHol QuestionnairefileName: Sample Adult

Questiontext: earlier you said you smoke cigarettes. is your usual cigarette brand menthol or non-menthol?

1 menthol 2 non menthol 3 no usual type 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers

SkipInstructions: <1-3,r,D> if cigQTYr=1 [store ‘1’ in cSQeV] and [goto cQuiTA_1]; else [goto cSQeV]

Question ID: nAe.075_00.000 Instrument Variable Name: cSQeV QuestionnairefileName: Sample Adult

Questiontext: Have you eVer stopped smoking for one day or longer BecAuSe You were TrYing To QuiT SmoKing?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers

SkipInstructions: <1,2,r,D> [goto QwAnT]

Question ID: nAe.080_01.000 Instrument Variable Name: cQuiTA_1 QuestionnairefileName: Sample Adult

Questiontext: Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following proDucTS:

A nicotine patch?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto cQuiTA_2]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.080_02.000 Instrument Variable Name: cQuiTA_2 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following proDucTS:

A nicotine gum or lozenge?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto cQuiTA_3]

Question ID: nAe.080_03.000 Instrument Variable Name: cQuiTA_3 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following proDucTS:

A nicotine containing nasal spray or inhaler?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto cQuiTA_4]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.080_04.000 Instrument Variable Name: cQuiTA_4 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following proDucTS:

A prescription pill called chantix or Varenicline?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto cQuiTA_5]

Question ID: nAe.080_05.000 Instrument Variable Name: cQuiTA_5 QuestionnairefileName:

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following proDucTS:

A prescription pill, such as Zyban, Bupropion, or wellbutrin?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto cQuiTB_1]

Question ID: nAe.085_01.000 Instrument Variable Name: cQuiTB_1 QuestionnairefileName: Sample Adult

Questiontext: Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

A telephone help line or quit line?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto cQuiTB_2]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.085_02.000 Instrument Variable Name: cQuiTB_2 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

one-on-one counseling?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto cQuiTB_3]

Question ID: nAe.085_03.000 Instrument Variable Name: cQuiTB_3 QuestionnairefileName: Sample Adult

Questiontext: *read if necessary.

Thinking back to when you tried to QuiT smoking in the pAST 12 monTHS, did you use AnY of the following:

A stop smoking clinic, class or support group?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers and tried to quit in the last year

SkipInstructions: <1,2,r,D> [goto QwAnT]

Question ID: nAe.100_00.000 Instrument Variable Name: QwAnT QuestionnairefileName: Sample Adult

Questiontext: would you like to completely quit smoking cigarettes?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who are current smokers

SkipInstructions: <1,2,r,D> [goto cigeV1]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.146_00.000 Instrument Variable Name: cigeV1 QuestionnairefileName: Sample Adult

Questiontext: ? [f1]

[fill1: These questions are about tobacco use.]

Have you ever smoked a cigar eVen one Time?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1> [goto cigeV50] <2,r,D> [goto SnuffeV]

Question ID: nAe.148_00.000 Instrument Variable Name: cigeV50 QuestionnairefileName: Sample Adult

Questiontext: Have you smoked at least 50 cigars in your entire life?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever smoked a cigar

SkipInstructions: <1,2,r,D> [goto cigcur]

Question ID: nAe.150_00.000 Instrument Variable Name: cigcur QuestionnairefileName: Sample Adult

Questiontext: Do you now smoke a cigar every day, some days, or not at all?

1 every day 2 Some days 3 not at all 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever smoked a cigar

SkipInstructions: <1,3> [goto SnuffeV] <2,r,D> [goto cig30D]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 Document NhIS Questionnaire - Sample adult tobacco

Version Date: 04-Mar-10

Question ID: nAe.152_00.000 Instrument Variable Name: cig30D QuestionnairefileName: Sample Adult

Questiontext: on how many of the pAST 30 DAYS have you smoked a cigar?

*enter ‘0’ for none.

*enter ‘30’ for all days in the month.

00 none 01-30 1-30 days 97 refused 99 Don’t know

universetext: Sample adults 18+ who smoke a cigar some days or refused or don’t know current cigar smoking status

SkipInstructions: <0-30,r,D> [goto SnuffeV]

Question ID: nAe.154_00.000 Instrument Variable Name: SnuffeV QuestionnairefileName: Sample Adult

Questiontext: ? [f1]

Have you eVer used snuff, such as Skoal, Skoal Bandits, or copenhagen, eVen one Time?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1> [goto SnufeV20> <2,r,D> [goto cHeweV>

Question ID: nAe.156_00.000 Instrument Variable Name: SnufeV20 QuestionnairefileName: Sample Adult

Questiontext: Have you used snuff, (such as Skoal, Skoal Bandits, or copenhagen) at least 20 times in your entire life?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever used snuff

SkipInstructions: <1,2,r,D> [goto Snuffcur]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 Document NhIS Questionnaire - Sample adult tobacco

Version Date: 04-Mar-10

Question ID: nAe.158_00.000 Instrument Variable Name: Snuffcur QuestionnairefileName: Sample Adult

Questiontext: Do you now use snuff every day, some days, or not at all?

1 every day 2 Some days 3 not at all 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever used snuff

SkipInstructions: <1,3> [goto cHeweV] <2,r,D> [goto Snuff30D]

Question ID: nAe.159_00.000 Instrument Variable Name: Snuff30D QuestionnairefileName: Sample Adult

Questiontext: on how many of the pAST 30 DAYS have you used snuff?

*enter ‘0’ for none.

*enter ‘30’ for all days in the month.

00 none 01-30 1-30 days 97 refused 99 Don’t know

universetext: Sample adults 18+ who use snuff some days or refused or don’t know current snuff using status

SkipInstructions: <0-30,r,D> [goto cHeweV]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 Document NhIS Questionnaire - Sample adult tobacco

Version Date: 04-Mar-10

Question ID: nAe.160_00.000 Instrument Variable Name: cHeweV QuestionnairefileName: Sample Adult

Questiontext: Have you eVer used chewing tobacco, such as redman, levi garrett, or Beech-nut eVen one Time?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1> [goto cHeweV20] <2,r,D> if (01<= Snuff30D <=30) or Snuffcur=1 [goto cHewTYp] elseif (AmDlong in (‘1’,’2’,’7’,’9’) or ADenlong in (‘1’,’2’,’7’,’9’)) and ((cigcur in (‘1’,’2’) or Snuffcur in (‘1’,’2’) or cHewcur in (‘1’,’2’)) or (SmKeV=’1’ and (SmKnow in (‘1’,’2’) or (SmKnow=’3’ and ((SmKQTno(e) le ‘95’ and SmKQTTp(e)=’1’) or (SmKQTno(e) le ‘52’ and SmKQTTp(e)=’2’) or (SmKQTno(e) le ‘12’ and SmKQTTp(e)=’3’) or (SmKQTno(e) le ‘01’ and SmKQTTp(e)=’4’)))))) [goto mDToB2] else [goto liVinTro]

Question ID: nAe.162_00.000 Instrument Variable Name: cHeweV20 QuestionnairefileName: Sample Adult

Questiontext: Have you used chewing tobacco (such as redman, levi garrett, or Beech-nut) at least 20 times in your entire life?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever used chewing tobacco

SkipInstructions: <1,2,r,D> [goto cHewcur]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 Document NhIS Questionnaire - Sample adult tobacco

Version Date: 04-Mar-10

Question ID: nAe.164_00.000 Instrument Variable Name: cHewcur QuestionnairefileName: Sample Adult

Questiontext: Do you now use chewing tobacco every day, some days, or not at all?

1 every day 2 Some days 3 not at all 7 refused 9 Don’t know

universetext: Sample adults 18+ who have ever used chewing tobacco

SkipInstructions: <1> [goto cHewTYp] <2,r,D> [goto cHew30D] <3> if (01<= Snuff30D <=30) or Snuffcur=1 [goto cHewTYp] elseif (AmDlong in (‘1’,’2’,’7’,’9’) or ADenlong in (‘1’,’2’,’7’,’9’)) and ((cigcur in (‘1’,’2’) or Snuffcur in (‘1’,’2’) or cHewcur in (‘1’,’2’)) or (SmKeV=’1’ and (SmKnow in (‘1’,’2’) or (SmKnow=’3’ and ((SmKQTno(e) le ‘95’ and SmKQTTp(e)=’1’) or (SmKQTno(e) le ‘52’ and SmKQTTp(e)=’2’) or (SmKQTno(e) le ‘12’ and SmKQTTp(e)=’3’) or (SmKQTno(e) le ‘01’ and SmKQTTp(e)=’4’)))))) [goto mDToB2] else [goto liVinTro]

Question ID: nAe.166_00.000 Instrument Variable Name: cHew30D QuestionnairefileName: Sample Adult

Questiontext: on how many of the pAST 30 DAYS have you used chewing tobacco?

*enter ‘0’ for none.

*enter ‘30’ for all days in the month.

00 none 01-30 1-30 days 97 refused 99 Don’t know

universetext: Sample adults 18+ who use chewing tobacco some days or refused or don’t know current chewing tobacco status

SkipInstructions: <0,r,D> if (01<= Snuff30D <=30) or Snuffcur=1 [goto cHewTYp] elseif (AmDlong in (‘1’,’2’,’7’,’9’) or ADenlong in (‘1’,’2’,’7’,’9’)) and ((cigcur in (‘1’,’2’) or Snuffcur in (‘1’,’2’) or cHewcur in (‘1’,’2’)) or (SmKeV=’1’ and (SmKnow in (‘1’,’2’) or (SmKnow=’3’ and ((SmKQTno(e) le ‘95’ and SmKQTTp(e)=’1’) or (SmKQTno(e) le ‘52’ and SmKQTTp(e)=’2’) or (SmKQTno(e) le ‘12’ and SmKQTTp(e)=’3’) or (SmKQTno(e) le ‘01’ and SmKQTTp(e)=’4’)))))) [goto mDToB2] else [goto liVinTro]; <1-30> [goto cHewTYp]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 Document NhIS Questionnaire - Sample adult tobacco

Version Date: 04-Mar-10

Question ID: nAe.167_00.000 Instrument Variable Name: cHewTYp QuestionnairefileName: Sample Adult

Questiontext: During the past 30 days, what brand of [fill: snuff/chewing tobacco/snuff or chewing tobacco] did you use moST ofTen?

*Do not read categories. 01 Beech-nut 02 camel Snus 03 cope 04 copenhagen 05 cougar 06 grizzly 07 Hawken 08 Husky 09 Kayak 10 Kodiak 11 levi garrett 12 longhorn 13 marlboro Snus 14 red man 15 red Seal 16 rooster 17 Silver creek 18 Skoal 19 Taylor’s pride 20 Timber wolfe 21 Brand not on list (specify) 97 refused 99 Don’t know

universetext: Sample adults 18+ who use snuff or chewing tobacco at least once in the past 30 days

SkipInstructions: <1-20,r,D> if (AmDlong in (‘1’,’2’,’7’,’9’) or ADenlong in (‘1’,’2’,’7’,’9’)) and ((cigcur in (‘1’,’2’) or Snuffcur in (‘1’,’2’) or cHewcur in (‘1’,’2’)) or (SmKeV=’1’ and (SmKnow in (‘1’,’2’) or (SmKnow=’3’ and ((SmKQTno(e) le ‘95’ and SmKQTTp(e)=’1’) or (SmKQTno(e) le ‘52’ and SmKQTTp(e)=’2’) or (SmKQTno(e) le ‘12’ and SmKQTTp(e)=’3’) or (SmKQTno(e) le ‘01’ and SmKQTTp(e)=’4’)))))) [goto mDToB2] else [goto liVinTro] <21> [goto cHTYpoTH]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 Document NhIS Questionnaire - Sample adult tobacco

Version Date: 04-Mar-10

Question ID: nAe.168_00.000 Instrument Variable Name: cHTYpoTH QuestionnairefileName: Sample Adult

Questiontext: *enter other brand of snuff/chewing tobacco.

97 refused 99 Don’t know verbatim verbatim

universetext: Sample adults 18+ who use other brand of snuff/chewing tobacco

SkipInstructions: <allow 50,r,D> if (AmDlong in (‘1’,’2’,’7’,’9’) or ADenlong in (‘1’,’2’,’7’,’9’)) and ((cigcur in (‘1’,’2’) or Snuffcur in (‘1’,’2’) or cHewcur in (‘1’,’2’)) or (SmKeV=’1’ and (SmKnow in (‘1’,’2’) or (SmKnow=’3’ and ((SmKQTno(e) le ‘95’ and SmKQTTp(e)=’1’) or (SmKQTno(e) le ‘52’ and SmKQTTp(e)=’2’) or (SmKQTno(e) le ‘12’ and SmKQTTp(e)=’3’) or (SmKQTno(e) le ‘01’ and SmKQTTp(e)=’4’)))))) [goto mDToB2] else [goto liVinTro]

Question ID: nAe.170_00.000 Instrument Variable Name: mDToB2 QuestionnairefileName: Sample Adult

Questiontext: in the pAST 12 monTHS, has a medical doctor, dentist, or other health professional ADViSeD you to quit smoking, or quit using other kinds of tobacco?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+ who have seen a doctor or other health professional in the past year and are current smokers or former smokers who have quit in the past 12 months or who currently smoke cigars, use snuff, or chew tobacco every day or some days

SkipInstructions: <1> [goto HpToB2] <2,r,D> [goto liVinTro]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 Document NhIS Questionnaire - Sample adult tobacco

Version Date: 04-Mar-10

Question ID: nAe.171_00.000 Instrument Variable Name: HpToB2 QuestionnairefileName: Sample Adult

Questiontext: ? [f1]

in the pAST 12 monTHS, which health professional(s) advised you to quit smoking or quit using other kinds of tobacco?

*read answer categories below.

*enter all that apply, separate with commas.

1 medical doctor 2 Dentist 3 nurse 4 Dental Hygienist 5 other health professional (specify) 7 refused 9 Don’t know

universetext: Sample adults 18+ whose doctor or other health professional advised them to quit smoking or using other kinds of tobacco in the past 12 months

SkipInstructions: <1-4,r,D> [goto liVinTro] <5> [goto HpToTH]

Question ID: nAe.172_00.000 Instrument Variable Name: HpToTH QuestionnairefileName: Sample Adult

Questiontext: *enter other health professional.

7 refused 9 Don’t know verbatim Verbatim response

universetext: Sample adults 18+ who were advised to quit using tobacco by other health professional

SkipInstructions: <allow 20,r,D> [goto liVinTro]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement (18 years and over)

Draft 2010 Document NhIS Questionnaire - Sample adult tobacco

Version Date: 04-Mar-10

Question ID: nAe.173_00.000 Instrument Variable Name: liVinTro QuestionnairefileName: Sample Adult

Questiontext: in a usual week, does AnYone who lives here, including yourself, smoke cigarettes, cigars, or pipes anywhere inside this home?

1 Yes 2 no 7 refused 9 Don’t know

universetext: Sample adults 18+

SkipInstructions: <1> [goto liVSmoKe] <2,r,D> [if Sex = 2 and Age = 18-49 [goto liVeBTH]]; else goto next section

Question ID: nAe.174_00.000 Instrument Variable Name: liVSmoKe QuestionnairefileName: Sample Adult

Questiontext: in a usual week, how many people wHo liVe here, including yourself, smoke cigarettes, cigars, or pipes anywhere inSiDe this home?

*enter ‘0’ for none.

*enter ‘96’ for 96 or more smokers.

00 none 01-95 1-95 persons 96 96+ 97 refused 99 Don’t know

universetext: Sample adults 18+ who have people living in the home that smoke in a usual week

SkipInstructions: <1-96> [goto lVDYSmoK] <0,r,D> [if Sex = 2 and Age = 18-49 [goto liVeBTH]]; else goto next section

Question ID: nAe.176_00.000 Instrument Variable Name: lVDYSmoK QuestionnairefileName: Sample Adult

Questiontext: usually, about how many days per week do people wHo liVe here smoke anywhere inSiDe this home?

*enter ‘0’ for less than 1 day per week/rarely/none

*enter ‘7’ for all days per week

00 less than one day per week/rarely/none 01-07 1-07 days 97 refused 99 Don’t know

universetext: Sample adults 18+ who have at least one resident smoking inside the home

SkipInstructions: <0-7,r,D> [if Sex = 2 and Age = 18-49 [goto liVeBTH]]; else goto next section

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement Pregnancy and Smoking Questions (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.190_00.000 Instrument Variable Name: liVeBTH QuestionnairefileName: Sample Adult

Questiontext: Have you given birth to a live born infant within the past 5 years?

1 Yes 2 no 7 refused 9 Don’t know

universetext: female sample adults age 18-49

SkipInstructions: <1> if SmKeV=1 [goto SmKpreg]; else [goto next section] <2,r,D> [goto next section]

Question ID: nAe.200_00.000 Instrument Variable Name: SmKpreg QuestionnairefileName: Sample Adult

Questiontext: were you smoking cigarettes when you became pregnant with your last child?

1 Yes 2 no 7 refused 9 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and have had a live birth in the past 5 years

SkipInstructions: <1,2,r,D> [goto SmKlST]

Question ID: nAe.210_00.000 Instrument Variable Name: SmKlST QuestionnairefileName: Sample Adult

Questiontext: Did you smoke cigarettes at any time during your pregnancy with your last child?

1 Yes 2 no 7 refused 9 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and have had a live birth in the past 5 years

SkipInstructions: <1> [goto QuTwK] <2,r,D> [goto next section]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement Pregnancy and Smoking Questions (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.220_00.000 Instrument Variable Name: QuTwK QuestionnairefileName: Sample Adult

Questiontext: Did you quit smoking for 7 days or longer during your pregnancy with your last child?

1 Yes 2 no 7 refused 9 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and smoked during last pregnancy

SkipInstructions: <1> [goto mTHQuiT] <2,r,D> [goto next section]

Question ID: nAe.230_00.000 Instrument Variable Name: mTHQuiT QuestionnairefileName: Sample Adult

Questiontext: in what month of your pregnancy did you quit for 7 days or longer?

01 first 02 Second 03 Third 04 fourth 05 fifth 06 Sixth 07 Seventh 08 eighth 09 ninth 97 refused 99 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and smoked during last pregnancy, but quit for 7 days or longer

SkipInstructions: <1-9,r,D> [goto STSmoK]

NHIS Tobacco Questions: 1997 – Forward

2010 NHIS Sample Adult Cancer Supplement Pregnancy and Smoking Questions (18 years and over)

Draft 2010 NhIS Questionnaire - Sample adult tobacco

Document Version Date: 04-Mar-10

Question ID: nAe.240_00.000 Instrument Variable Name: STSmoK QuestionnairefileName: Sample Adult

Questiontext: Did you start smoking again during the pregnancy or did you stay off cigarettes for the rest of the pregnancy?

1 Stayed off rest of pregnancy 2 Started again 3 never started again 7 refused 9 Don’t know

universetext: female sample adults age 18-49 who have smoked at least 100 cigarettes in their entire life and smoked during last pregnancy, but quit for 7 days or longer

SkipInstructions: <1-3,r,D> [goto next section]

NHIS Tobacco Questions: 1997 – Forward

2011 NHIS Sample Adult Core Adult Health Care Access and Utilization (AAU) Section Supplement Questions (18 years and over) Question ID: AAU.570_00.010 Instrument Variable Name: APSSMKC QuestionnaireFileName: Sample Adult

QuestionText: DURING THE PAST 12 MONTHS, has a doctor or other health professional talked to you about your smoking?

1 Yes 2 No 7 Refused 9 Don’t know

UniverseText: Sample adults 18+ currently who smoke every day or some days

SkipInstructions: <1,2,R,D> if (40<=AGE<=65) [goto LTCFAM];

else [goto AINDINS] 2012 NHIS Adult Alternative Health/Complementary And Alternative Medicine (ALT) Section Supplement Questions (18 years and over)

Question ID: ALT.518_00.000 Instrument Variable Name: TP1_MOT4 QuestionnaireFileName: Adult CAM QuestionText: *Read if necessary. Did {fill1: seeing a practitioner for/using} {fill2: modality} motivate you to Cut back or stop smoking cigarettes? 1 Yes 2 No 7 Refused 9 Don't know UniverseText: Sample adults 18+ who have used first of top three modalities and who currently smoke every day or some days

SkipInstructions: <1,2,R,D> [goto TP1_MOT5] 2012 NHIS Adult Alternative Health/Complementary And Alternative Medicine (ALT) Section Supplement Questions (18 years and over)

Question ID: ALT.528_00.000 Instrument Variable Name: TP1_MOST QuestionnaireFileName: Adult CAM QuestionText: Of these reasons, which ONE was the most important for using [fill1: modality]? *Read list below. 09 To cut back or stop smoking cigarettes UniverseText: Sample adults 18+ who have used first of top three modalities and two or more reasons for seeing a practitioner/using modality chosen

SkipInstructions: <1-18> [goto TP1_HELP] <R,D> [goto TP1_TRET]

NHIS Tobacco Questions: 1997 – Forward

2012 NHIS Adult Alternative Health/Complementary And Alternative Medicine (ALT) Section Supplement Questions (18 years and over)

Question ID: ALT.603_00.000 Instrument Variable Name: TP2_MOT4 QuestionnaireFileName: Adult CAM QuestionText: *Read if necessary. Did {fill1: seeing a practitioner for/using} {fill2: modality} motivate you to Cut back or stop smoking cigarettes? 1 Yes 2 No 7 Refused 9 Don't know UniverseText: Sample adults 18+ who have used second of top three modalities and who currently smoke every day or some

SkipInstructions: <1,2,R,D> [goto TP2_MOT5] 2012 NHIS Adult Alternative Health/Complementary And Alternative Medicine (ALT) Section Supplement Questions (18 years and over)

Question ID: ALT.613_00.000 Instrument Variable Name: TP2_MOST QuestionnaireFileName: Adult CAM QuestionText: Of these reasons, which ONE was the most important for using [fill1: modality]? *Read list below. 09 To cut back or stop smoking cigarettes UniverseText: Sample adults 18+ who have used second of top three modalities and two or more reasons for seeing a practitioner/using modality chosen

SkipInstructions: <1-18> [goto TP2_HELP] <R,D> [goto TP2_TRET] 2012 NHIS Adult Alternative Health/Complementary And Alternative Medicine (ALT) Section Supplement Questions (18 years and over)

Question ID: ALT.698_00.000 Instrument Variable Name: TP3_MOT4 QuestionnaireFileName: Adult CAM QuestionText: *Read if necessary. Did {fill1: seeing a practitioner for/using} {fill2: modality} motivate you to Cut back or stop smoking cigarettes? 1 Yes 2 No 7 Refused 9 Don't know

NHIS Tobacco Questions: 1997 – Forward

UniverseText: Sample adults 18+ who have used third of top three modalities and who currently smoke every day or some

SkipInstructions: <1,2,R,D> [goto TP3_MOT5] 2012 NHIS Adult Alternative Health/Complementary And Alternative Medicine (ALT) Section Supplement Questions (18 years and over)

Question ID: ALT.708_00.000 Instrument Variable Name: TP3_MOST QuestionnaireFileName: Adult CAM QuestionText: Of these reasons, which ONE was the most important for using [fill1: modality]? *Read list below. 01 Your general wellness or general disease prevention 02 To improve your energy 03 To improve your immune function 04 To improve your athletic or sports performance 05 To improve your memory or concentration 06 To eat healthier 07 To eat more organic foods 08 To cut back or stop drinking alcohol 09 To cut back or stop smoking cigarettes 10 To exercise more regularly 11 To give you a sense of control over your health 12 To help to reduce your stress level or to relax 13 To help you to sleep better 14 To make you feel better emotionally 15 To make it easier to cope with health problems 16 To improve your overall health and make you feel better 17 To improve your relationships with others 18 To improve your attendance at a job or school 97 Refused 99 Don't know UniverseText: Sample adults 18+ who have used third of top three modalities and had two or more reasons for seeing a practitioner/using modality chosen

SkipInstructions: <1-18> [goto TP3_HELP] <R,D> [goto TP3_TRET]

1997_forward_tobacco_questions_01.14.13.pdf

Coverpage for 1997-Forward Questions
1997_forward_tobacco_questions_original.pdf

1997 – Forward: NHIS Sample Adult Core Adult Health Behavior (AHB) Section (18 years and over)
1998 Family Prevention (2000 Objectives) Supplement Pregnancy and Smoking Section (18–49 years)
1998 Prevention Sample Adult (2000 Objectives) Supplement(18 years and over)
1998 Prevention Sample Adult (2000 Objectives) SupplementWorkplace Health Promotion Section (Currently employed 18 years and over)
2000 NHIS Sample Adult Cancer Supplement (18 years and over)
2001 NHIS Sample Adult CoreAdult Health Care Access and Utilization(AAU) Section Supplement Questions (18 years and over)
2005 NHIS Sample Adult Cancer Supplement (18 years and over)
2005 NHIS Sample Adult Cancer Supplement Pregnancy and Smoking Questions (18–49 years)
2010 NHIS Sample Adult Cancer Supplement (18 years and over)
2010 NHIS Sample Adult Cancer Supplement Pregnancy and Smoking Questions (18 years and over)
2011 NHIS Sample Adult CoreAdult Health Care Access and Utilization(AAU) Section Supplement Questions (18 years and over)

Tobacco Questions 2011_2012.pdf