smoking

Age Group

17 and younger

18-21

older then 21

Gender

male

female

Have you ever been exposed to secondhand smoke?

yes

no

Do you currently smoke?

Yes, all the time

Yes, only occasionally

No

If yes, for how long?

What encouraged you to smoke?

Does anyone in your family smoke (Select all that apply)?

Do any of your friends/co-workers smoke?

yes, all of them

yes, most of them

yes, only a few of them

none

Have you ever quit?

yes

no

have you ever TRIED to quit?

yes, several times

yes, once or twice

no