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  1. Surveys
  2. 2014
  3. January
  4. C
  5. Controlling Cigarette Intake
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*This survey only require opinions from people who smoke*

Hello there! :)

This survey asks questions about controlling your cigarette intake and it will help me in my exam. So, of the responses given, please choose the one you agree with most. If you are not sure how to answer, make your choice based on your most typical response or feeling in the given question. Your survey responses will be confidential. However, if you feel uncomfortable answering any questions, you can leave the survey at any point. It will also take less than 5 minutes to complete this survey.

Thank you very much for your time and hope you have a nice day!
 
 
 
Do you ever feel that you smoke too many cigarettes per day?
 
Yes
 
No
 
Sometimes
 
Other
 
 
 
 
How many cigarettes do you usually smoke per day? (If your first question answer is no, skip question 3.)
   
 
 
 
How many cigarettes do you wish to smoke per day?
   
 
 
 
Where do you usually place your box of cigarettes when you are at home?
 
Coffee table
 
Bag
 
Drawer
 
Pocket
 
Others
 
 
 
 
Where do you usually place your cigarette box when you go out?
 
Bag
 
Back pocket of pants
 
Front pocket of pants
 
Shirt pocket
 
You hold it
 
Other
 
 
 
 
What way(s) do you think will deter you from smoking? (You can choose more than one.)
 
Timer (e.g. You can only smoke one cigarette in 5 hours)
 
Game (e.g. You have to play a game and score at it in order to smoke a cigarette)
 
Pictures (Pictures of the consequences of smoking)
 
Facts (Facts about smoking)
 
Friends or families persuading you not to smoke
 
Other
 

 
 
 
What colour(s) do you think will not tempt you to smoke? (You can choose more than one)
 
Blue
 
Yellow
 
Red
 
Grey
 
Black
 
White
 
Other