Surveys 2015 July S Smoking Study

Smoking Study Tobacco Usage Screener

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Exit Survey

Hello: You are invited to participate in our tobacco usage screener.  It will take approximately 7-8 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Jill at (651) 644-3150 or by email at the email address specified below. Thank you very much for your time and support. Please start with the screener now by clicking on the Continue button below.       * Name       * Phone Number       * Email       * What is your gender?   Male   Female       * For classification purposes, please tell me which of the following ranges best describes your age?   19 - 24   25 - 34   35 - 44   45 - 49   50 - 55   56 and older       * Do you consider yourself to be:   African-American (black)   Caucasian (white)   Hispanic   Asian   Some other group       * Have you EVER participated in a focus group/discussion regarding "Tobacco Products"?   Yes   No       * Which, if any of the groups, were focused on?   Camel brand   General brand   Skoal brand   Swedish Snus   American Snus   Advertising/Marketing   Something Different       * Which, if any of these tobacco products do you use at least once a week?   Cigarettes   Cigars or Pipe   Snus (Pronounced "Snoos")   Moist snuff, which some call "dip"   Other tobacco products like chewing tobacco   Other nicotine products (e,g. nicotine gum, nicotine patch, nicotine lozenges, etc.)   None of the above       * Which ONE of the tobacco products you mentioned is your most preferred form of tobacco?   Cigarettes   Cigars or pipe   Snus   Moist snuff, which some call "dip"       * You mentioned that you use snus. What brand(s) of snus have you purchased in the last 30 days?   Camel Snus   Copenhagen Snus   Skoal Snus   Newport Snus   Marlboro Snus   General Snus   Other   None of the above       * Which  of the following best describes your typical snus usage? I use...   ...one individual snus pouch per week   ...one individual snus pouch every few days   ...one individual snus pouch per day   ...two individual snus pouches per day   ...three individual snus pouches per day   ...four or more individual pouches per day   None of the above       * How many cans of moist snuff do you use per week?   Less than 2 cans   2 cans or more       * How many packs of cigarettes do you smoke per week?   Less than 2 packs   2 packs or more       * Are you aware of smokeless, spitless, oral tobacco product in a pouch called snus?   Yes   No       * Have you ever used snus ("snoos") in the past?   Yes   No       * Are you open to considering using a smokeless, spitless oral tobacco called snus?   Yes   No       * Now just a little information to make sure we have a good mix of people. What is the last grade of school or college you had the opportunity to complete?   Some high school or less   High school graduate   Some college or vocational/technical   4-year college degree or more       * Which of the following best reflects your employment status?   Employed full time   Own a business   Employed part time   Student   Homemaker   Retired   Looking for work       * What kind of work do you do for a living?       * Which of these groups includes your total household income?   Less than $25,000   $25,000 - $49,999   $50,000 - $74,999   $75,000 - $99,999   $100,000 - $149,999   $150,000 or more       * Do you or anyone in your household  work for any of the following: an advertising or public relations agency, a marketing research firm, a government agency or any business or organization involved in the manufacturing, distribution, sales or regulation of tobacco?   Yes   No       * Do you or anyone in your household currently have a health condition related to tobacco use?   Yes   No       * Do you have a valid email address?   Yes   No       * During the discussion group you will be asked to read and write in English. Are you comfortable with doing this?   Yes   No