Questionnaire

Dear participants,
I am Md. Mohaiminul Islam, a Undergraduate student of Bangladesh University of
Professionals (BUP). As a part of my course I am carrying a research. My research topic is “The
addiction to smoking among the school going students in Bangladesh”.
This is purely academic. I would like to ask you some questions related to this research paper.
Please know that all information provided by you will kept strictly confidential, it will be used
only for research purpose. I will be highly obliged if you co-operate me in answering this
questions.

Thank you in advance.

………………………………………………..
Questionnaire Signature & date

Direction: Please use tick mark on right option.

Section A: General Information
1. Age ……………….. years
2. Gender: A) Male B) Female
3. Which level do you study?..............................
4. Father’s occupation
A) service B) Businessman C) Farmer D) other…………………..
5. Mother’s occupation
A) Housewife B) Service holder
6. Education status of father: A) Illiterate B) Literate
7. Education status of mother: A) Illiterate B) Literate
8. Family Type: A) Nuclear B) Joint
9. Family Member: …………………………. Person.
 10. Family income (monthly) taka: ……………………

Section B: Specific Information

11. Do you know about tobacco? A) Yes B) No

12. If yes which of the following have you heard?
A) Cigarette C) Biri
B) Hukka D) Sigar
13. How did you know about tobacco?
A) Friend C) Newspaper
B) TV/ Radio D) Family
14. How long have you been smoking? …………………………………..
15. How many stick do you smoke per day?
A) 1-3 C) 4-7
B) 8-10 D) 10 <
16. How do you get tobacco?
A) Friend B) Family C) General Store
17. Do your parents smoke tobacco? A) Yes B) No
18. Did you know/ hear about termination tobacco smoking? A) Yes B) No
19. If yes, what are terminations tobacco smoking?
A) Asthma D) Cancer
B) Heart attack E) Others
C) COPD
20. How did you know about the termination of tobacco Smoking?
A) Family/ Friends C) Educational Sector/ seminars
B) Media/ Newspaper D) others
21. Did you suffer from any problem after tobacco smoking?
A) Yes B) No
22. Why do you smoke?
A) Fellow Pressure C) To test
B) To relief tension D) Others
 23. Is there any anti-tobacco campaign in your area of residence?
A) Yes B) No
24. How do you manage money for buying tobacco?
Explain:
25. Where is your hometown?
A) Inside Dhaka B) Outside Dhaka

Thanks for your kind co-operation.

Time Frame & Tentative Cost:

Task Tentative Cost Time Duration

Introduction 1000 BDT 05 days
Research Gap 2000 BDT 20 days
Problem statement 0500 BDT 05 days
Research Objectives 1500 BDT 10 days
Literature Review 4000 BDT 20 days
Conceptual Framework 3000 BDT 15 days
Methodology 5000 BDT 25 days
Expected Outcome 0500 BDT 05 days
Reference 0200 BDT 05 days
Appendix 0300 BDT 20 days
Data Compilation 2000 BDT 10 days
Data Interpretation 3000 BDT 20 days
Data Collection 6000 BDT 10 days
Editing & Printing 1500 BDT 10 days
Total Time & Tentative Cost 30500 BDT 180 days (06 Months)