1998 FLORIDA YOUTH TOBACCO SURVEY HIGH SCHOOL QUESTIONNAIRE This survey is about tobacco use. It has been developed so you can tell us what you do that may affect your health. The information you give will be. used to develop better tobacco education programs for young people like yourself. DO NOT write your name on this survey. The answers you give will be kept private. No one will know what you write. Answer the questions based on what you really do. Completing the survey is voluntary .Whether or not you answer the questions will not affect your grade in this class. If you are not comfortable answering a question, just leave it blank. The questions that ask about your background will only be used to describe the types of students completing this survey. The information will not be used to find out your name. No names will ever be reported. Make sure to. answer every question. Fill in the circles on the answer sheet completely. When you are finished, follow the instructions of the person giving you the survey.
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1998
FLORIDA YOUTH TOBACCO SURVEY
HIGH SCHOOL QUESTIONNAIRE
This survey is about tobacco use. It has been developed soyou can tell us what you do that may affect your health. Theinformation you give will be. used to develop better tobaccoeducation programs for young people like yourself.
DO NOT write your name on this survey. The answers yougive will be kept private. No one will know what you write.Answer the questions based on what you really do.
Completing the survey is voluntary .Whether or not youanswer the questions will not affect your grade in this class. If youare not comfortable answering a question, just leave it blank.
The questions that ask about your background will only beused to describe the types of students completing this survey. Theinformation will not be used to find out your name. No names willever be reported.
Make sure to. answer every question. Fill in the circles onthe answer sheet completely. When you are finished, follow theinstructions of the person giving you the survey.
1. How old are you? 6. How old were you when you smoked a
whole cigarette for the first time?a
b
c
d~
e
f.
9
abc.de."
I have never smoked a whole cigarette
8 years old or younger
9 or 10 years old
11 or 12 years old
13 or 14 years old
15 or 16 years old
17 years old or older
12 years old or younger13 years old14 years old15 years old16 years old17 years old18 years old or older
92. What is your sex?
7. Have you ever smoked cigarettes daily,that is, at least one cigarette every day for30 days?
a. Yesb. No
FemaleMale
a~
b
3. In what grade are you?
a
b
c
d
e.
8.
9th
lOth
llth
l2th
Ungraded or other
During the past 30 days, on how manydays did you smoke cigarettes?
a. I did not smoke cigarettes during thepast 30 days
b. lor 2 daysc. 3 to 5 daysd. 6 to 9 dayse. 10 to 19 daysf. 20 to 29 daysg. All 30 days
4. How do you describe yourself?
a
b
c"
d
e,
f.
White, not-HispanicBlack, not-HispanicHispanic or LatinoAsian or Pacific IslanderAmerican Indian or Alaskan NativeOther
9. During the past 30 days, on how manydays did you smoke cigarettes on school
property?THE NEXT 26 QUESTIONS A&K ABOUTYOUR USE OF CIGARETTES AND OTHERTOBACCO PRODUCTS.
I did not smoke cigarettes QJ1 school
property during the past 30 dayslor 2 days3 to 5 days
6 to 9 days10 to 19 days20 to 29 daysAll 30 days
a
b
Cc
d
e,
f.
9
5. Have you ever tried cigarette smoking,even one or two puffs?
YesNo
a.
b
Page 1
13. During the past 30 days, where did youbuy the last pack of cigarettes you bought?
a. I did not buy a pack of cigarettes duringthe past 30 days
b. A gas stationc. A convenience stored. A discount storee. A grocery storef. A drugstoreg. A vending machineh. A restaurant
10. During the past 30 days, on the days yousmoked, how many cigarettes did yousmoke per day?
a. I did not smoke cigarettes during thepast 30 days
b. Less than I cigarette per dayc. I cigarette per dayd. 2 to 5 cigarettes per daye. 6 to 10 cigarettes per dayf. II to 20 cigarettes per dayg. More than 20 cigarettes per day
II. During the past 30 days, what brand ofcigarettes did you usually smoke?(SELECT ONL Y ONE RESPONSE)
14. When you bought or tried to buycigarettes in a store during the past 30days, were you ever asked to show proof of
age?a.
ab.
c
d
e.
bc
I did not buy cigarettes in a store duringthe past 30 daysYes, I was asked to show proof of ageNo, I was not asked to show proof of
age
I did not smoke cigarettes during thepast 30 daysNo usual brandCamelMarlboro
NewportVirginia SlimsGPC, Basic, or Dora}Other
9h
15 During the past 30 days, did anyone everrefuse to sell you cigarettes because of your
age?12. During the past 30 days, how did youusually get your own cigarettes?(SELECT ONL Y ONE RESPONSE)
a
b
I did not try to buy cigarettes in a storeduring the past 30 daysYes, someone refused to sell mecigarettes because of my ageNo, my age did not keep me from
buying cigarettes
a
cb
.6. During the past 12 months, have you evertried to quit smoking cigarettes?
cd
YesNo
abe
f9h
I did not smoke cigarettes during the
past 30 daysI bought them in a store such as a
convenience store, supermarket, or gasstationJ bought them from a vending machineI gave someone else money to buy them
for meI borrowed them from someone else
I stole themAn older person gave them to me
I got them some other way
Page 2
17. During the past 7 days, on how many dayswere you in the same room with someonewho was smoking cigarettes?
21. During the past 30 days, on how manydays did you use chewing tobacco orsnuff?
O days
lor 2 days3 or 4 days5 or 6 days7 days
abcd.e.
a I did not use chewing tobacco or snuff
during the past 30 dayslor 2 days3 to 5 days
6 to 9 days1 oto 19 days20 to 29 daysAll 30 days
bc.de.
18. During the past 7 days, on how many daysdid you ride in a car with someone whowas smoking cigarettes?
9
O dayslor 2 days3 or 4 days
5 or 6 days7 days
a,
b
Cc
d
e.
22. During the past 30 days, on how manydays did you use chewing tobacco or snuffon school property?
a I did not use chewing tobacco or snuffon school property during the past 30
dayslor 2 days3 to 5 days6 to 9 days10 to 19 days20 to 29 daysAll 30 days
bcde
19. Have you ever used chewing tobacco orsnuff, such as Redman, Levi Garrett,Beechnut, Skoal, Skoal Bandits, orCopenhagen?
Yes
No
9a.
b
23. During the past 30 days, how did youusually get your own chewing tobacco orsnuff! (SELECT ONL Y ONE
RESPONSE)
20. How old were you when you used chewingtobacco or snuff for the first time?
aa,
b
c
dc
ec
.':"
I have never used chewing tobacco orsnuff7 years old or younger8 or 9 years old10 or 11 years old12 or 13 years old14 or 15 years old16 or 17 years old18 years old or older
b
c
g,
h d
e
I did not use chewing tobacco or snuff
during the past 30 daysI bought it in a store such as a
convenience store, supermarket, or gasstation -,I gave someone else money to buy it formeI borrowed it from someone elseI stole it
An older person gave it to meI got it some other way9
Page 3
24. When you bought or tried to buy chewingtobacco or snuff in a store during the past30 days, were you ever asked to showproof of age?
28. During the past 30 days, on how manydays did you smoke a cigar, cigarillo, orlittle cigar?
a. I did not smoke a cigar, cigarillo, orlittle cigar during the past 30 days
b. lor 2 daysc. 3 to 5 daysd. 6 to 9 dayse. 10 to 19 daysf. 20 to 29 daysg. All 30 days
I did not buy chewing tobacco or snuffin a store during the past 30 daysYes, I was asked to show proof of ageNo, I was not asked to show proof of
age
a
b,
Cc
25. During the past 30 days, did anyone everrefuse to sell you chewing tobacco or snuffbecause of your age? 29. During the past 30 days, how did you
usually get your own cigars, cigarillos, orlittle cigars? (SELECT ONL Y ONE
RESPONSE)
a
ba
I did not try to buy chewing tobacco orsnuff in a store during the past 30 daysYes, someone refused to sell mechewing tobacco or snuff because of my
ageNo, my age did not keep me frombuying chewing tobacco or snuff
bc
26. Have you ever tried to smoke a cigar ,cigarillo, or little cigar, even one or two
puffs?
c
de.
Yes
No
ab
I did not smoke cigars, cigarillos, orlittle cigars during the past 30 daysI bought them in a store such as aconvenience store, supermarket, or gasstationI gave someone else money to buy themfor meI borrowed them from someone elseI stole themAn older person gave them to meI got them some other way9
27. How old were you when you smoked awhole cigar, cigarillo, or little cigar for the
first time?
30. When you bought or tried to buy cigars,cigarillos, or little cigars in a store duringthe past 30 days, were you ever asked toshow proof of age?I have never smoked a whole cigar,
cigarillo or little cigar7 years old or younger8 or 9 years old10 or 11 years old12 or 13 years old14 or 15 years old16 or 17 years old18 years old or older
a
I did not buy cigars, cigarillos, or little
cigars in a store during the past 30 daysYes, I was asked to show proof of ageNo, I was not asked to show proof of
age
abc,de,
bc
g.
h
Pa2e 4
THE NEXT 48 QUESTIONS ASK ABOUTYOUR OPINIONS AND BELIEFS ABOUTCIGARETTE SMOKING
36. During this school year, did you practicein any of your classes ways to say 'no' totobacco (for example, in role plays)?
YesNoNot sure
a-
b
c.
31. Do you think that you will try a cigarette
soon?
abc
I have already tried smoking cigarettes
Yes
No37. During this school year, were you taught
in any of your classes about the effects ofsmoking like it makes your teeth yellow,causes wrinkles, or makes you smell bad?
YesNoNot sure
a
bc
c,
32. If one of your best friends offered you acigarette, would you smoke it?
a. Definitely yesb. Probably yesc. Probably notdo Definitely not
38. During this school year, were you taughtin any of your classes about the effects ofusing chewing tobacco or snuff like itmakes your teeth brown or damages your
gums?
33. During this school year, were you taughtin any of your classes about tobacco use?
YesNoNot sure
abc,
a.
b
c
YesNoNot sure
34. During this school year, were you taughtin any of your classes the reasons whypeople your age smoke cigarettes?
39. During this school year, has what you havelearned in school helped you feel it is okayto say 'no' to friends who offer you
cigarettes?YesNoNot sure
a
b
c.I was not taught about smokinga
b"
c,35. During this school year, were you taught
in any of your classes that most peopleyour age do not smoke cigarettes?
a. Yesb. Noc. Not sure
40. Do your parents know that you smoke
cigarettes?
I do not smoke cigarettes
Yes
No
a"
b
c"
Page 5
cIgarettes In schoolYesNo
41. Have your parents ever told you not tosmoke cigarettes?
47. Do smokers have shorter lives than
nonsmokers?
Yes
NoDefinitely yes
Probably yesProbably notDefinitely not
a,
b
a
b
cd
48. Does smoking cigarettes help people feelmore comfortable at parties and in othersocial situations?
42. At any time during the next year do youthink you will smoke a cigarette?
a. Definitely yesb. Probably yesc. Probably notd. Definitely not Definitely yes
Probably yesProbably notDefinitely not
a,
b
c,
d
43. Do you think people your age care aboutstaying off cigarettes?
a. Definitely yesb. Probably yesc. Probably notd. Definitely not
49. Does smoking cigarettes make youngpeople look cool?
DefinitProbabProbabDefinit
a.
b
c,
d
50. Do you believe that light (Iow-tar)cigarettes are somewhat less risky than
regular (full-flavor) cigarettes?
44. Can people get addicted to cigarette
smoking just like they can get addicted toa drug?
a. Definitely yesb. Probably yesc. Probably notd. Definitely not Yes
No
ab
45. Is breathing second-hand smoke bad foryour health? 51. Is smoking cigarettes less dangerous for a
person your age because you can alwaysquit later?
DefinitProbabProbabDefinit
a~
bc
c~
d
Definitely yesProbably yesProbably not
Definitely not
a
b
c-
d46. Do young people who smoke cigaretteshave more friends?
DefinitProbabProbabDefinit
abcd
Pa2e 6
elyyes
Iyyes
Iynot
ely not
elyyes
lyyes
lynot
ely not
ely yeslyyeslynotely not
52. Do people risk harming themselves if theysmoke one or more packs of cigarettes per
day?
56. What is the youngest age a person canlegally buy cigarettes in Florida?
a. Less than 16 years oldb. 16 years oldc. 17 years oldd. 18 years olde. 19 years oldf. 20 years oldg. 21 years old or olderh. Not sure
Definitely yesProbably yesProbably notDefinitely not
abcd
53. Does anyone who lives in your homesmoke cigarettes?
a
b
c.
d
57. During the past 30 days, how manycommercials have you seen on TV aboutNOT smoking cigarettes?
No one in my home smokes cigarettes
Only I smoke cigarettes
Someone else smokes cigarettesSomeone else and I smoke cigarettes
A lotA fewNone
a
b
c.54. How many of your four best friends smoke
cigarettes?
NoneOneTwoThreeFourNot sure
a
b"
c
dc
ec
f.
58. During the past 30 days, how manycommercials have you heard on the radioabout NOT smoking cigarettes?
A lotA fewNone
a-
b
c.
55. How many of your four best friends usechewing tobacco or snuff? 59. During the past 30 days, how many
messages have you seen on billboardsabout NOT smoking cigarettes?
NoneOneTwoThreeFourNot sure
abc"d,e
A lotA fewNone
a-
b~
c
60. During the past 30 days, how many postershave you seen about NOT smoking
cigarettes?
A lotA few
None
a-
b"
Co
Page 7
61. During the past 30 days, how manymessages have you seen in newspapers ormagazines about NOT smoking cigarettes?
66. Some tobacco companies make items like
sports gear, t-shirts, lighters, hats, jackets,and sunglasses that people can buy orreceive free. During the past 12 months,did you buy or receive anything that has atobacco company name or picture on it?
A lotA fewNone
a-
b
c,
Yes
No
ab62. During the past 12 months, have you seen
a TV commercial that compares the gasesfrom cows and what you inhale fromcigarette smoke?
abc
67. Would you ever use or wear somethingthat has a tobacco company name orpicture on it such as a lighter, t-shirt, hat,or sunglasses?
a. Definitely yesb. Probably yesc. Probably notd. Definitely not
YesNoNot sure
63 What do you think the "cow" commercialis about?
a,
b
68. During the past 30 days, when youwatched sports events or other programson TV how often did you see cigarettebrand names?
I did not see itShowing cows smoking makes smokinglook foolishCigarette smoking contains the samemethane gas that cows produce whenthey digest foodNot sure
c
A lot
Sometimes
Never
a,
b
c~d
64. When you watch TV, how often do you seeactors smoking? 69. During the past 30 days, when you listened
to the radio how often do you hearcigarette brand names mentioned?I never watch TV
A lot
Sometimes
Never
abcd
A lot
Sometimes
Never
a
b"
c,
65. When you go to movies, how often do yousee actors smoking?
70. During the past 30 days, how many ads forcigarettes have you seen on billboards?
I never go to the movies
A lot
Sometimes
Never
A lotA fewNone
a-
b
c
d
ab
c.
Page 8
71. During the past 30 days, how many ads or
promotions for cigarettes have you seen innewspapers or magazines?
a. A lot
b. A fewc. None
75. During the past 12 months, have youparticipated in any community events todiscourage people your age from usingcigarettes, chewing tobacco, or snuff!
Yes
No
ab
76. Does Florida have a law that punishesanyone under age 18 who has cigarettes orany other tobacco product in their
possession?
72. When you go to a convenience store or gasstation, how often do you seeadvertisements for cigarettes, chewingtobacco, or snuff on items like sportinggear, t-shirts, hats, sunglasses, lighters, orashtrays that have tobacco names orpictures on them.
YesNoNot sure
abc
1 never go to convenience stores or gas
stations
A lot
Sometimes
Never
a
77. In the area where you live, .do you know of
any places that sell single or loosecigarettes ?
b
c"
d
YesNo
ab
73. When you go to sports events, fairs, orcommunity events, how often do you seeads about NOT using cigarettes, chewingtobacco, or snuff!
78. Does your school have any special groupsor classes for students who want to quitusing tobacco?
I never go to sports events, fairs, or
community events
A lot
Sometimes
Never
aYesNoNot sure
a~
b
cb
c
d~79. What grades did you get in school last
year?74. When you go to sports events, fairs, or
community events, how often do you seeads for cigarettes, chewing tobacco, orsnuff!
Most
Mos1"
Mos1
MOS1'
Most
abc.de.a. I never go to sports events, fairs, or
community eventsb. A lotc. Sometimesd. .Never
Pa2e 9
yA's
y B's
y C's
yD's
yF's
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