Smoking Survey

Please pick the BEST answer or the answer CLOSEST to your situation: 1. What gender are you? o 2. Male

What age group are you in? o 18 - 25 Do your smoke? (Please tick yes even if you have smoked once also) o No

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If you are socializing with friends, do you ever feel pressured to smoke? o No, I never or rarely get pressured to smoke

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If you have tried a cigarette (even one), at what age did you try your first cigarette? o I have never tried a cigarette How often do you smoke now? o No, I never smoke

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If one of your best friends offered you a cigarette, would you smoke it? o Definitely Not

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At any time during the next year (12 months) do you think you will smoke a cigarette? o Definitely Not Smokers are more popular o Dont Know Smoking helps people forget their worries o Dont Know Do you think cigarette smoking is harmful to your health? o Definitely Yes

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Do you think the smoke from other peoples cigarettes is harmful to you? o Probably yes

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If you have tried a cigarette (even one), at what age did you try your first cigarette? o I have never tried a cigarette

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Have you ever urged or tried to support a person to quit smoking, chewing, or using? Pick the answer closest to your situation. o No, I believe it is their choice and/or do not want to get involved

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Do you want to quit smoking o I am not a smoker