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Hello:
You are invited to participate in my survey Cigarette Smokers at West Virginia State University. In this survey, approximately 40 people will be asked to complete a survey that asks questions about their smoking habits. It will take approximately 5 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. It is very important for me to get this information for a research study I have to complete for Statistics.

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 Jasmine Withrow by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
When did you start smoking?
 
1) 12-15
 
2) 16-19
 
3) 20-23
 
4) 23 and older
 
5) None Apply
 
 
 
Why did you start smoking?
 
1) Peer Pressure
 
2) Stress
 
3) Wanted to try it
 
4) Parents Smoked
 
5) Other-
 
 
 
Do you regret your decision to start smoking?
 
Yes
 
No
 
 
 
What types of cigarettes do you smoke? (Select all that apply)
 
Full flavored
 
Lights
 
Ultralights
 
Smooths
 
Menthol

 
 
 
How many cigarettes do you smoke a day?
 
0-5
 
6-10
 
11-15
 
16-20
 
20 or more
 
 
 
How much money do you spend on cigarettes per week?
 
$0-10.00
 
$11.00-20.00
 
$21.00-30.00
 
$31.00-40.00
 
$41.00-50.00