FOR NJOSH ONLY

1.Age: __________ years old

2.Male/Female

3. What do you think of smoking?

4.Do you smoke?（ if no, quit question 5.6.7)

5.How long have you been smoking?

A. 0-2years B.2-4years C.4-6years D. more than 6 years

6.When do you want to smoke?

A. tired B. stressful C. dysphoric D. nothing to do E. other

7. How much will you spend for buying cigarettes?

A. $0-30 B. $30-60 C. $60-90 D. other

8.Do you think smoke can cause some disease?

A. yes B. no C. I don’ care

9.What is the most seriously disadvantage of smoking?

A. unhealthy B. costly C. aroused the aversion of other

10. Do you consider to quit smoking?

1. 22, male, smoking make me calm down, yes, 3 years, E thinking,C, A, C, NO

2. 20,Female, cool, yes, A,A,A,A,A,NO

3.