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    Supplementary File Survey Question Response Options

    Uploaded by

    Eliza DN
    This document contains a survey with questions about smoking status, alcohol use, cannabis use, internet use, and interest in quitting smoking programs. The smoking questions ask about current and past smoking habits. The alcohol questions ask about drinking frequency and typical daily intake. The cannabis question asks about use in the last 30 days. The internet questions ask about frequency of internet access, devices used to access the internet, and attitudes about using the internet for health. The final questions gauge interest in using quit smoking programs either at home or in the hospital. Response options are provided for each question.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Supplementary File Survey Question Response Options

    Uploaded by

    Eliza DN
    43 views3 pages
    This document contains a survey with questions about smoking status, alcohol use, cannabis use, internet use, and interest in quitting smoking programs. The smoking questions ask about current and past smoking habits. The alcohol questions ask about drinking frequency and typical daily intake. The cannabis question asks about use in the last 30 days. The internet questions ask about frequency of internet access, devices used to access the internet, and attitudes about using the internet for health. The final questions gauge interest in using quit smoking programs either at home or in the hospital. Response options are provided for each question.

    Original Description:

    smoking questionnaire

    Original Title

    smoking questionnaire

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    This document contains a survey with questions about smoking status, alcohol use, cannabis use, internet use, and interest in quitting smoking programs. The smoking questions ask about current and past smoking habits. The alcohol questions ask about drinking frequency and typical daily intake. The cannabis question asks about use in the last 30 days. The internet questions ask about frequency of internet access, devices used to access the internet, and attitudes about using the internet for health. The final questions gauge interest in using quit smoking programs either at home or in the hospital. Response options are provided for each question.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    43 views3 pages

    Supplementary File Survey Question Response Options

    Uploaded by

    Eliza DN
    This document contains a survey with questions about smoking status, alcohol use, cannabis use, internet use, and interest in quitting smoking programs. The smoking questions ask about current and past smoking habits. The alcohol questions ask about drinking frequency and typical daily intake. The cannabis question asks about use in the last 30 days. The internet questions ask about frequency of internet access, devices used to access the internet, and attitudes about using the internet for health. The final questions gauge interest in using quit smoking programs either at home or in the hospital. Response options are provided for each question.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Supplementary file

    Survey question Response options


    Smoking status and smoking related variables [1].
    Do you currently smoke tobacco? Yes, daily
    Yes, at least once a week
    Yes, less than once a week
    No, not at all
    Have you smoked at least 100 cigarettes or a Yes
    similar amount of tobacco in your life?
    No
    Not sure
    Alcohol use [2]
    How often do you have a drink containing Never
    alcohol?
    Monthly or less
    2-4 times a month
    2-3 times a week
    4 or more times a week
    How many standard drinks containing alcohol do 0 drinks
    you have on a typical day?
    1 or 2 drinks
    3 or 4 drinks
    5 or 6 drinks
    7 to 9 drinks
    10 or more drinks
    How often have you had four or more standard Never
    drinks on one occasion?
    Less than monthly
    Monthly
    Weekly
    Daily or almost daily
    Cannabis use [3]
    Have you used cannabis (marijuana, dope, grass, Yes
    hash, pot) in the last 30 days
    No
    Internet related questions [4]
    In the last 12 months, how often have you Every day
    accessed the internet?
    A few times per week
    About once a week
    Less than once a week
    Not at all
    In the last 12 months, did you access the internet Yes
    through any of the following?*
    Computer (desktop or laptop)
    Smart phone (e.g. iPhone or Android)
    Tablet (e.g. iPad)
    A device not owned by you (e.g. a friends
    smartphone, library or work computer)
    No
    Would you use the internet to help improve your Yes
    health?
    No
    Do you have a computer with internet access at Yes
    home?
    No
    Interest in quit smoking programs^
    Would you use a quit smoking program on your Definitely yes
    computer at home?
    Maybe
    Unlikely
    No
    If available, what types of quit smoking Yes
    programs would you be interested in using while
    in hospital?#
    DVD/television
    Printed booklet
    Telephone counselling
    Mobile phone text messaging
    Internet program
    Face-to-face counselling
    No
    *
    Individuals were asked to indicate Yes or No to each computer, smart phone, tablet etc. for this
    question.
    ^
    Only current tobacco users were asked these question.
    #
    Individuals were asked to indicate Yes or No to each DVD/Television, printed booklet, telephone
    counselling etc. for this question.
    References
    1. Mullins R, Borland R. Changing the way smoking is measured among Australian adults: a
    preliminary investigation of Victorian data. Quit evaluation studies 1998;9:163-73.
    2. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption
    questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care
    Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med
    1998;158:1789-95. PMID: 9738608
    3. Darke S, Ward J, Hall W, Heather N, A W. The Opiate Treatment Index (OTI) Researchers Manual.
    Sydney: National Drug and Alcohol Research Centre, 1991 Contract No.: 11.
    4. Klein B, White A, Kavanagh D, Shandley K, Kay-Lambkin F, Proudfoot J, Drennan J, Connor J,
    Baker A, Young R. Content and functionality of alcohol and other drug websites: results of an online
    survey. J Med Internet Res 2010;12:e51. PMID: 21169168

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