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How often do you use tobacco products?
 
Frequently
 
Occasionally
 
Socially
 
Infrequently
 
Never
 
 
 
How long have you been using tobacco?
 
1-5 years
 
5-10 years
 
10-15 years
 
15-20 years
 
 
 
Have you considered quitting?
 
Yes, and I've tried
 
Yes, but haven't tried
 
No, but plan on trying
 
No, but would prefer an alternative to smoking.
 
 
 
What negative aspects of smoking do you least like?
 
Cost
 
Smell
 
Inconvenience
 
Health Impacts
 
Lack of Flavor choices

 
 
 
Have you ever tried an E cigarette?
 
Yes
 
No
 
 
 
Would you ever consider using an E Cigarette in lieu of tobacco?
 
Yes
 
No
 
Maybe
 
 
 
How old are you?
 
18-22
 
23-27
 
28-32
 
33-37
 
38-42
 
43-47
 
48-up