BCCP Tobacco Control Research Grant Program- 2016

Impact of Taxation on the Consumption of Cigarette: A Study on Smoking Behavior

among the Undergraduate Students
Interview Questionnaire
(Confidential- Only for Research Purpose)

Serial Number (Will be Filled by PI): Date of Interview

Name of Interviewer:

ID Number:

Note:

Public University (PU) Private University (PV) National University (NU)

Dhaka University Prime University Govt. Titumir College
(DU) (PR) (GT)
Jagannath University Daffodil International University Govt. Bangla College
(JU) (DF) (BC)
Bangladesh University of East West University Dhaka College
Engineering and Technology (EW) (DC)
(BT)

Dear Respondent, Greetings!!!

This survey questionnaire is used for collecting data to examine the Impact of Taxation on
the smoking behavior among Undergraduate Students under BCCP Tobacco Control
Research Grant Program 2016 which is funded by Institute of Global Tobacco Control
(IGTC) of Johns Hopkins Bloomberg School of Public Health, USA. The obtained
information will only be used for research purpose. Confidentiality of the information
provided by the respondents will be strictly maintained. Your participation is voluntary and
you can withdraw from the study any time even after having agreed to participate. You are
free to refuse to answer any question that is asked in the questionnaire. If you have any
questions about this study you may contact to the researcher [Mohammad Saeed Islam, cell:
+8801671021764]. Signing this consent indicates that you understand what will be expected
from you and are willing to participate in this survey.

I hereby provide INFORMED CONSENT to take part of this Study.

Name of the Respondent (Optional):

Signature (Including Date)

 Part Two: Questionnaire

Section A: Present Socio Economic Conditions and Consumption Patterns

Q- 1. Your age?
In Years …………………..
Q- 2. University category? 1. Public University
2. Private University
3. National University
Q- 3. Residence characteristics in Dhaka? 1. With Family
2. With Relatives
3. Hall
4. Mess
5. Sublet
6. Others………….(Please Specify)
Q- 4. Father’s Occupation? 1. Industrialist
2. Business
*** If parents are being Late, then the 3. Small Entrepreneur
Guardian’s Occupation 4. Service Holder
5. Farmer
Please put a Tick Mark if it is Guardian ( ) 6. Laborer
7. Others……………(Please Specify)
99. Late
Q- 5. Mother’s Occupation? 1. Housewife
2. Industrialist
3. Business
4. Small Entrepreneur
5. Service Holder
6. Farmer
7. Laborer
8. Others……………..(Please Specify)
99. Late
Q- 6. Family Average Income (Monthly) in
Total? Amount (In Taka)…………………….

Q- 7. Yours Main Sources of Money for 1. Part-time Job

Daily Expenditure? 2. Full Time Job
3. Tuition
(For Multiple sources please circle 4. Family
Multiple options) 5. Business
6. Others……….. (Please Specify)
Q- 8. On Average your daily Pocket Money?

(Pocket Money means your daily Amount (In Taka)…………………………

available/budget amount for expenditure.)

Q- 9. On Average your Daily Expenditure?

(Includes Smoking Costs and other Daily Amount (In Taka)…………………………
Hand-bill)
Q- 10. How many years ago you first start ……………………. Years
smoking cigarette daily?

Q- 11. Do you have any choice of Cigarette 1. Yes

Brands? 2. No (Move to Question No.-12)

Q- 11.1. Which Brand do you use currently? …………………………

Q- 12. Unit Cost of that Cigarette you

consume? Amount (Per Stick in Taka)…………….

Q- 13. How many sticks you consume daily? Number of Sticks …………………. Unit

Q- 13.1. Daily Cost on Cigarette Smoking?

Total Cost ………..……(In Taka)
(Will be Filled up by the PI)

Section A (Second Part): Past Consumption Behavior

Q- 14. Do you have any idea that 1. Yes

Government levies Taxes on Cigarette? 2. No

Q- 15. There was a change (Basically after 1. Yes

7th July, 2015 when the Budget proposed) in 2. No
the Cigarette Price; did you felt that your
costs on cigarette increases?

Q- 16. How many Sticks you consumed

before the Price changed? Number of Sticks …………………. Unit

Q- 16.1. The name of Brand you used in that Name of Brand ……………………
time?

Q- 17. Price of Per Cigarette in that time? …………………………… Taka

Q- 18. Did you look for cheaper brand in that 1. Yes

time for increasing price? 2. No
 Section A (Third Part): Future Consumption Behavior

Q- 19. From now If price of Cigarette

Increases (like given below) how much unit Consumption unit after tax………………..
of cigarette you will consume Daily?

***Note: If Government proposes 100% tax on retail price, the price will be following:
 If per stick is now 2 to 3 taka that will be 4 taka
 If per stick is now 5 to 6 taka that will be 8 taka
 If per stick is now 8 to 9 taka that will be 12 taka
 If per stick is now 11 to 12 taka that will be 15 taka

Q- 19.1. Changes in Consumption?

(Will be filled up by PI) ……………………………………..

Q- 20. Will you look for a cheaper brand if 1. Yes

the price hikes? 2. No (Move to Question No.- 22)

Q- 21. If yes, To which price Slab? 1. 2 Taka to 3 Taka (4 Taka after Tax)
2. 5 Taka to 6 Taka (8 Taka after Tax)
3. 8 Taka to 9 Taka (12 Taka after Tax)
4. 11 Taka to 12 Taka (15 Taka after Tax)

Section B: Social Awareness Issues

Q- 22. In the last 30 days, have you seen any

information on television about the dangers 1. Yes
of smoking cigarette or that encourages you 2. No
to quit the smoking? 99. Not Applicable

Q- 23. In the last 30 days, have you listened

1. Yes
any information on Radio about the dangers 2. No
of smoking cigarette or that encourages you 99. Not Applicable
to quit the smoking?

Q- 24. In the last 30 days, have you seen any

1. Yes
information on Billboards about the dangers 2. No
of smoking cigarette or that encourages you
to quit the smoking?
Q- 25. In the last 30 days, have you seen any
1. Yes
information on Posters about the dangers of 2. No
smoking cigarette or that encourages you to
quit the smoking?

Q- 26. In the last 30 days, have you seen any

1. Yes
information on somewhere else (example- 2. No
Internet) about the dangers of smoking 99. Not Applicable
cigarette or that encourages you to quit the
smoking?

Q- 26.1. If yes, please specify, where you

have seen? …………………………………..

Q- 27. Have you seen advertisements of

cigarette that influence you to smoke 1. Yes
2. No (Move to Question No.- 28)
cigarette?

Q- 27.1. Where have you seen 1. In Storefront

advertisements of cigarette? 2. In Internet
3. In Cinema/ Cinema Hall
(If you think style of smoking influence 4. By Poster
you to smoke please circle the option- 3) 5. From Retailer
6. Company Agents
For Multiple answer please circle Multiple 7. In Public Walls
Options 8. Other

Q- 28. Have warning labels on Cigarette

1. Yes
packages led you to think about quitting
2. No
smoking?

Q- 29. Do you think that warning labels are 1. Yes

eye catching? 2. No

Q- 30. Do you think that the words of

1. Yes
warning labels are good enough to aware
2. No
people about the danger of smoking?

Section C: Social Learning

1. Yes
Q- 31. Do any of your family member
smoke? 2. No (Move to Question No.- 32)
99. Refused
Q- 31.1. If yes, How many members except ……………………….
you smoke?

Q- 32. On average, the Friend Circles with 1. Yes

whom you spend most of the time in a day do 2. No (Move to Question No.- 33)
any of them smoke? 99. Refused

Q- 32.1. If yes, write approximately how

many of them?
……………………………….

1. Yes
Q- 33. The friend with whom you spend most
time, does he/she smoke? 2. No
99. Refused

Section D: Rational Addiction

Q- 34. Based on what you know or believe, 1. Yes

does smoking cause serious illness? 2. No

Q- 35. Do you believe cigarettes are 1. Yes

addictive? 2. No

Q- 36. Do Health statistics regarding 1. Yes

smoking cigarettes and health problem make 2. No
any impression on you? 3. Not Applicable

Section E: Behavior Analysis

Q- 37. I find smoking enjoyable Strongly Disagree Neutral Agree Strongly

Disagree Agree
Q- 38. When I feel stressed, tense, or nervous, I light Strongly Disagree Neutral Agree Strongly
up a cigarette Disagree Agree
Q- 39. I smoke cigarette to relieve boredom Strongly Disagree Neutral Agree Strongly
Disagree Agree
Q- 40. Lighting up a cigarette is a habit to me Strongly Disagree Neutral Agree Strongly
Disagree Agree
Q- 41. I enjoy lighting up after pleasurable experiences Strongly Disagree Neutral Agree Strongly
(for example, after a good meal) Disagree Agree
Q- 42. Smoking relax me Strongly Disagree Neutral Agree Strongly
Disagree Agree
Q- 43. Smoking allows me to be ‘part of a crowd’ in Strongly Disagree Neutral Agree Strongly
friend circle Disagree Agree
Q- 44. Smoking helps me to concentrate when I am Strongly Disagree Neutral Agree Strongly
working Disagree Agree
Q- 45. I smoke because it makes me feel confident Strongly Disagree Neutral Agree Strongly
Disagree Agree
Q- 46. Smoking makes me feel sophisticated and Strongly Disagree Neutral Agree Strongly
glamorous Disagree Agree
Q- 47. I feel matured when I light up a cigarette Strongly Disagree Neutral Agree Strongly
Disagree Agree
Q- 48. I smoke because I find it difficult to quit Strongly Disagree Neutral Agree Strongly
Disagree Agree
Q- 49. It is trendy/fashionable to smoke Strongly Disagree Neutral Agree Strongly
Disagree Agree
Q- 50. I am willing to live with my health problems Strongly Disagree Neutral Agree Strongly
that my smoking may cause me Disagree Agree

Thanks for your time and patience