F:\denorm.678\document.678\instruments\adultpaper.wpd

UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ SECTION A: INTRODUCTION & LIFETIME SMOKING HISTORY
SECTION A: INTRODUCTION, BACKGROUND INFORMATION, AND SMOKING STATUS
(*IF SELECTED RESPONDENT IS NOT INFORMANT FROM SCREENER)
DETERMINE SPEAKING TO CORRECT PERSON
VERIFY AGE, GENDER, SMOKING STATUS
We are gathering information from Massachusetts residents about their feelings about smoking and tobacco use in the state.
All answers are confidential. Your help is voluntary, but it is very important. You can skip any questions you'd like.
This interview may be monitored for quality control purposes.
Do you have any questions before we begin? >a5< I would like to begin by verifying some general information about you.
I have your age recorded as [fill age]. Is that correct? <1-11> INELIGIBLE
<12-17> [goto Youth questionnaire]
<18-98> YEARS OLD [goto a20] <99> NA >a15< Are you between the ages of: (INTERVIEWER: PICK A LIKELY AGE BRACKET AND GO FROM THERE) <0> 01-11 YEARS INELIGIBLE
<1> 12-17 YEARS [goto Youth questionnaire]
<2> 18-24 YEARS
<3> 25-44 YEARS
<4> 45-64 YEARS
<5> 65 YEARS OR OLDER
Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >a20< (IF NOT OBVIOUS ASK) Are you male or female? >a25< Have you smoked at least 100 cigarettes in your lifetime? >a30< What would you say is the total number of whole cigarettes that you have ever smoked? <0> None (ZERO SMOKER) [goto a45] <1-99> <998> DOESN'T KNOW EXACT NUMBER, BUT IT WAS MORE THAN 0 AND LESS THAN 100 >a35< Do you now smoke cigarettes every day, some days or not at all? <1> EVERY DAY <2> SOME DAYS <3> NOT AT ALL former, small former, small current Have you smoked any cigarettes at all during the past 12 months? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ zero smokers, small former, former Do you think you will smoke a cigarette in the next year? Would you say.
<1> definitely yes <2> probably yes <3> probably not <4> definitely not SECTION B: CURRENT SMOKERS
HOW MUCH THEY SMOKE
HOW OFTEN THEY SMOKE
SMOKE MORE/LESS WEEKENDS OR WEEKDAYS, OR WITH OTHER PEOPLE
TYPICAL CIGARETTE BRAND
SMOKING HISTORY
PLANS TO QUIT
ATTEMPTS TO QUIT
Have you smoked any cigarettes during the past 30 days? On how many of the past 30 days did you smoke cigarettes? Have you ever smoked daily for 6 months or more? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ How long has it been since you smoked on a daily basis? <1> 0 - 1 MONTHS AGO <5> 1.1 - 2 YEARS AGO <2> 1.1 - 3 MONTHS AGO <6> 2.1 - 5 YEARS AGO <3> 3.1 - 6 MONTHS AGO <7> 5.1 - 14 YEARS AGO <4> 6.1 - 12 MONTHS AGO <8> 15+ YEARS AGO During the past 30 days, about how many cigarettes did you usually smoke per day?
During the past 30 days, on the days that you smoked, about how
many cigarettes did you usually smoke per day?
<1-98> (USE MIDPOINT IF R CAN ONLY GIVE RANGE) How soon after you awake in the morning do you usually smoke your first cigarette? On the days that you smoke, how soon after you awake in the morning do you usually smoke your first cigarette? <1> 0-30 MINUTES <2> 31-60 MINUTES <3> AFTER THAT How much do you smoke on weekends or holidays compared to during the week? Would you say that on weekends you smoke.
<1> the same as during the week <2> more than during the week, or <3> less than during the week Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >b40< daily, occasional, small current Do you smoke.
<1> mainly when you are with other people <2> mainly when you are alone <3> or do you smoke as often by yourself as with others? >b45< daily, occasional, small current What brand do you usually buy? Do you usually smoke light cigarettes, ultra light cigarettes or regular cigarettes? <1> LIGHT <2> ULTRA LIGHT <3> REGULAR Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ How old were you when you first began to smoke cigarettes on a regular basis? (IF R ASKS, REGULARLY=WEEKLY) Do you think you will ever quit smoking entirely? Are you planning to quit smoking in the next 30 days? Are you planning to quit in the next six months? daily, occasional, small current who aren’t quitting next 6 mo. What is your best guess about how much you will be smoking a <1> you will be smoking about as much as you do now <2> you will be smoking less than you do now <3> or do think you will be smoking more than you do now Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ How sure are you that you could refrain from smoking for at least one month if you wanted to? Would you say.
<1> very sure <2> somewhat sure <3> somewhat unsure Have you ever used the nicotine patch or nicotine gum when you
were not trying to quit, but wanted to cut down on the
amount you smoke?
Have you ever used the nicotine patch or nicotine gum when you
were not trying to quit but had to delay smoking for
some reason, for example, during work or on an airplane?
SECTION C: QUITTING HISTORY
QUIT ATTEMPTS
SMOKING HISTORY
QUITTING HISTORY
ASSISTANCE WITH QUITTING (NICOTINE REPLACEMENT THERAPY,
MEDICATION, MEDIA, PROGRAMS, PROFESSIONAL HELP, HELP LINES, WEB
SITES, TV COMMERCIALS)
In your whole life, have you ever made a serious attempt to quit smoking? <1> YES <5> NO [goto D section] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ During the past 12 months, did you quit smoking intentionally for one day or longer? <1> YES <5> NO [goto D section] daily, occasional who quit in the past year for rest of section How long did you actually stay off cigarettes during your most recent quit attempt? <1> ONE DAY <2> TWO TO 6 DAYS <3> 7 TO 14 DAYS <4> 15 DAYS TO ONE MONTH <5> MORE THAN ONE MONTH TO THREE MONTHS <6> MORE THAN THREE MONTHS TO SIX MONTHS <7> MORE THAN SIX MONTHS How old were you when you first began to smoke cigarettes on a regular basis? (IF R ASKS, REGULARLY=WEEKLY) formerif IEQR -(Sorry to have to ask this again, but could you tell me?) About how long has it been since you last smoked cigarettes on a regular basis? (IF R ASKS, REGULARLY=WEEKLY) ONE YEAR OR LESS MORE THAN A YEAR ----------------- ----------------- <1> 0 - 1 MONTHS AGO <5> 1.1 - 2 YEARS AGO <2> 1.1 - 3 MONTHS AGO <6> 2.1 - 5 YEARS AGO [goto D] <3> 3.1 - 6 MONTHS AGO <7> 5.1 - 14 YEARS AGO [goto D] <4> 6.1 - 12 MONTHS AGO <8> 15+ YEARS AGO [goto D] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ How much help or support did you receive from your family andfriends as you were trying to stay off cigarettes? Would you saya great deal, some, only a little or none at all? In the year before you quit smoking, about how many cigarettes did you usually smoke per day? Would you say.
<1> more than a pack (i.e. more than 20 cigarettes) How soon after you awoke in the morning did you usually smoke yourfirst cigarette? daily, occasional, past 2 yr. former Now we want to talk to you about (when you quit smoking/the last Did you use nicotine replacement to help you quit? (THE PATCH, Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ What type of nicotine replacement did you use? (PROBE FOR TYPE OF DELIVERY SYSTEM, NOT BRAND) <5> MORE THAN ONE OF THE ABOVE (specify) What was the longest period of time that you used the nicotine How did you get the nicotine replacement product that you used? Did you buy it from a drug store, did you get it at reduced cost as part of a stop smoking program, did a friend or family member give it to you, or did you get it some other way? <2> GOT AT REDUCED COST FROM PROGRAM <3> WAS GIVEN TO BY FRIEND OR FAMILY MEMBER Did you use a prescribed medication like Zyban to help you quit? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ There are books, pamphlets and video tapes on how to quit smoking.
Did you use any of these to help you quit? Where was the program held? (PROBE FOR EXACT NAME OF THE FACILITY AND THE TOWN- EG "GREAT BROOK VALLEY HEALTH Did you get help from a doctor, a counselor, or other What kind of professional was it who gave you help? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ if used counselor, tobacco treatment specialist Where did you see this person? (PROBE FOR EXACT NAME OF THE FACILITY AND THE TOWN- EG "GREAT BROOK VALLEY HEALTH Was it 1-800-TRY TO STOP or some other help line? <2> HELP LINE ADVERTISED WITH NRT PRODUCT Did you get any help or advice about quitting smoking online on Do you remember the web site where you got the help? Did any television commercials about cigarettes contribute to your <1> YES: Could you describe the commercial for me? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >c110a< former smokers who used NRT Please tell me how much each one contributed to your quitting: Did the nicotine replacement help you .
Did the brochures or self-help guides help you .
<1> a great deal <2> some <3> or not at all? Did the quit smoking program help you .
<1> a great deal <2> some <3> or not at all? Did the doctor, counselor or other professional help you .
<1> a great deal <2> some <3> or not at all? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ Did the telephone quit line help you .
<1> a great deal <2> some <3> or not at all? <1> a great deal <2> some <3> or not at all? SECTION D: OTHER TOBACCO USE
SECTION D: QUESTIONS FOR EVERYONE (NONSMOKERS ARE ROUTED STRAIGHT INTO
THIS SECTION)
USE OF TOBACCO IN OTHER FORMS (PIPES, CIGARS, CHEWING TOBACCO,
BIDIS, ETC.)
>d5< everyone answers this section In addition to cigarettes, some people use tobacco in other forms.
Do you now smoke a pipe, cigars or cigarillos.
<1> EVERYDAY <2> SOME DAYS <3> NOT AT ALL >d10< Which of those tobacco products do you use? <4> MORE THAN ONE OF THE ABOVE [goto d20] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ In the past twelve months, have you tried smoking a cigar -- Do you use any other form of tobacco that I haven't mentioned,such as chewing tobacco, dip, snuff or bidis? <1> YES <5> NO [goto E section] <3> BOTH BIDIS AND A MENTION FROM NUMBER 1 Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ SECTION E: SMOKING RESTRICTIONS AND EXPOSURE
SECTION E: QUESTIONS FOR ALL RESPONDENTS: SMOKING AND ETS EXPERIENCES AND
PERCEPTIONS OF NORMS
SECOND-HAND SMOKE (A.K.A. ETS)
SMOKING AMONG FRIENDS AND FAMILY
SMOKING ACCEPTABLE?
HOME RULES ABOUT SMOKING
WORK STATUS
SMOKING BANS AT WORK
SMOKING HABITS AT WORK
ENROLLED IN SCHOOL?
SCHOOL POLICY ON SMOKING
PERCEPTIONS OF TEEN SMOKING IN YOUR TOWN
PERCEPTIONS OF ADULT SMOKING IN YOUR TOWN
PUBLIC SMOKING IN YOUR TOWN
Next, I have some questions about exposure to second hand smoke.
How many of your friends are smokers? Would you say.
<1> none <2> a few <3> less than half <4> about half <5> most >e6< Think about family members who live in the area. How many of them are cigarette smokers? Would you say.
<1> none <2> a few <3> less than half <4> about half <5> most <6> NO FAMILY IN AREA When you were growing up, did either of your parents ever smoke?(INTERVIEWER: A PIPE OR CIGARS COUNT) Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ How do most of your friends feel about cigarette smoking among
adults? Would you say in general they think it is acceptable, ingeneral they disapprove, or they don't care one way or the other? <1> ACCEPTABLE <2> DISAPPROVE <3> DON'T CARE EITHER WAY How do most of your family members feel about cigarette smoking
among adults? Would you say in general they think it is
acceptable, in general they disapprove, or they don't care one way
<1> ACCEPTABLE <2> DISAPPROVE <3> DON'T CARE EITHER WAY Some households have rules about when and where people may smoke.
When you have visitors who smoke, are they allowed to
Do any smokers in your household smoke inside your home?(INTERVIEWER: THIS INCLUDES R, IF A SMOKER) <0> NO SMOKERS IN HOUSEHOLD [goto e33] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ Do they smoke only in certain rooms or wherever they want? <1> ONLY IN CERTAIN ROOMS <2> WHEREVER Thinking about the past 7 days, altogether, about how many minutes or hours were you exposed to other people's tobacco smoke at home? Now I have a few questions about smoking policy at work. Butfirst I need to know.
Are you currently working at a job for pay? >e45<
Is there one particular office or worksite outside of your home
where you do most of your work?
Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >e46pre< only if applies to R[if IEQR eq <&1>] You mentioned earlier that you live in [fill subtown].
In some questions we will be asking you about your experiences in [fill town]. Those questions are meant to include all the sections of [fill town] including [fill subtown].
A member of your household told us that your home is in [fill subtown].
In some questions we will be asking you about your experiences in [fill town]. Those questions are meant to include all the sections of [fill town] including [fill subtown].
>e46< Is your work place located in [fill town]? >e50< Do you work primarily indoors or outdoors? <1> INDOORS <2> OUTDOORS [goto e80] <3> BOTH >e65< I'm going to read you a list of typical workplace smoking policies. Please tell me which one is most like the policy at your workplace.
<1> Smoking is not allowed anywhere inside the building <2> Smoking is only allowed in a few designated smoking areas <3> Smoking is allowed in most areas. [goto e80] >e70< At your work place, how many smokers smoke in places where it is not permitted? Would you say .
<1> none <2> very few <3> some <4> or many? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >e80< daily, occasional, small current who are employed On an average work day, about how many cigarettes do you smoke at work? (INCLUDING MEALS AND BREAKS) Thinking about the past 7 days, altogether, about how many minutesor hours were you exposed to other people's tobacco smoke at work? In addition to working, are you also enrolled in any kind ofschool or college to get a degree or certificate? Are you enrolled in any kind of school or college to get a degreeor certificate? >e90< What kind of degree or certificate are you working on? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >e96< What is your school's policy about smoking? Does the school.
<1> prohibit smoking in all buildings <2> allow smoking only in a few designated areas <3> or does the school allow smoking in most areas? Now I'd like to find out how much smoking you notice in [fill About how many adults in [fill town] are smokers? Would you say.
<1> very few <2> less than half <3> about half <4> more than half <5> or almost all >e99< About how many teenagers in [fill town] are smokers? Would you say.
<1> very few <2> less than half <3> about half <4> more than half <5> or almost all >e100<
In the past 12 months, about how often have you eaten out at a
restaurant anywhere? Would you say.
<1> more than once a week <2> about once a week <3> about once or twice a month <4> less often than once a month <5> never [goto e115] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >e105< When you go out to eat, how often do you go to restaurants in <1> never [goto e115] <2> rarely <3> sometimes In the past 12 months, when you were eating in a restaurant in [fill town], how often did you see someone smoking? Would you say.
<1> never <2> rarely <3> sometimes <4> often <5> always >e115<
In the past 12 months, about how often have you gone out to a
bar or nightclub anywhere? Would you say.
<1> more than once a week <2> about once a week <3> about once or twice a month <4> less often than once a month <5> never [goto e125] >e120< When you go out to bars or nightclubs, how often do you go to bars or clubs in [fill town]? Would you say.
<1> never [goto e125] <2> rarely <3> sometimes <4> often <8> VOLUNTEERS THAT TOWN IS DRY/NO BARS OR CLUBS [goto e125] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ In the past 12 months, when you were out at a bar or club in [fill town], how often did you see someone smoking? Would you say.
<1> never <2> rarely <3> sometimes <4> often <5> always Thinking about the past 7 days, not including exposure at home (or at work), altogether, how many minutes or hours were youexposed to other people's tobacco smoke in [fill town]? How bothered are you when you are exposed to other peoples’ >e130< Next I would like to know how you feel about smoking in various In [fill town] restaurants, do you think smoking should be allowed throughout the restaurant, only in special smoking areas,or not at all? <1> ALLOWED THROUGHOUT THE RESTAURANT <2> ONLY IN SPECIAL SMOKING AREAS <3> NOT AT ALL Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >e135< everyone except dry towns In [fill town] bars and nightclubs, do you think smoking should be allowed throughout the bar or club, only in special smoking areas, <1> ALLOWED THROUGHOUT THE BAR OR CLUB How about public buildings in [fill town]? Do you think smoking should be allowed throughout the building, only in special How do most [fill town] adults that you know feel about smoking in restaurants? Do you think the majority would prefer that smoking be allowed throughout the restaurant, only in specialsmoking areas, or not at all? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ SECTION F: MARKETING AND SALE OF CIGARETTES
POSSESSION OF CIGARETTE COMPANY PROMOTIONAL ITEM
HOW ITEM OBTAINED (COUPONS, EVENT, PART OF CIGARETTE PURCHASE)
CIGARETTE BRANDS ADVERTISED AT EVENTS
FREE CIGARETTES OFFERED AT BARS OR EVENTS
PERCEPTIONS ABOUT CIGARETTE COMPANIES
TEEN ACCESS TO CIGARETTES IN YOUR TOWN
FEELINGS ABOUT TOBACCO PROMOTIONS
Some cigarette companies make catalogs that advertise items
like clothing, hats, bags or other things that you can get in
exchange for coupons or proofs of purchase from cigarette packs.
Do you have a piece of clothing or other item that has a cigarette brand name or logo on it? Think about the item you got most recently. Did you get it Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ Could you please describe it to me, tell me what the item is andwhat brand it is promoting? Now I'm going to read you a list of ways that people obtain items like this. For each one, please tell me whether or not you got your item this way. Did you get the item by sending in coupons that come on cigarette packs (e.g. Camel Cash or Marlboro Miles)? Did you get the item at a sporting event, a concert, or some Did you get the item as part of a cigarette purchase? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ Did you get the item in some other way that I have not mentioned? In the past 12 months, have you seen any cigarette brand nameadvertised at special events, concerts, bars or clubs? <1> YES (SPECIFY PLACES/EVENTS AND THE BRANDS)(up to 3 mentions) Some cigarette companies have toll-free or 800 numbers which youcan call to find out about its products, sponsored events or toget catalogs or coupons. Have you ever called a number like that? Have you ever purchased cigarettes over the Internet? Sometimes free cigarettes are made available by bartenders and other people working in bars, nightclubs, or at musical events.
Have you ever been to a place like that when free samples of cigarettes were available? Would you please describe the place or event and tell me whatbrand of cigarettes was available? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ Did anyone working there offer cigarettes to you? Did you smoke the cigarettes while you were at the event? Some people feel that providing free samples of cigarettes in bars and clubs is an appropriate way for tobacco companies
to promote their product. Others feel that it is not.
Where do you stand on this issue? Do you think it is or is notappropriate to provide free cigarettes in bars and In the past twelve months, have you seen any ads on TV that talk about how the Philip Morris tobacco company is contributing Would you please tell me more about one of those ads, for example, who appeared in the ad and what was said or shown? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ Do you think that in the past two years tobacco companies have changed for the better, for the worse, or do you think that they Do you believe cigarette companies use advertising and promotional
campaigns to try to get kids to start smoking, or do you believe
cigarette companies do not do this?
In the past 6 months, has anyone under the age of 18 asked you current smokers who are under 31 yrs. old In the past 6 months, how often has a sales clerk in [fill town] asked you to show proof of age when you wanted to buy cigarettes? <0> never <1> a few times <2> many times <3> or do you not buy cigarettes in [fill town]? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >f60< How easy or difficult would it be for teenagers to get a [fill town] adult they didn't know to buy cigarettes for them? Would you say.
<1> very easy <2> easy <3> difficult <4> very difficult Cigarette companies currently use many different methods to advertise or promote their product. I will describe a number of these. For each one, please tell me whether you think this method should be allowed or not allowed by law.
Should sponsorship of sporting or cultural events by tobacco Should advertising of tobacco products through newspapers and Should coupons to obtain free samples of cigarettes by mail be Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ As you may know, the state tax on cigarettes has been increased by 50 cents since 1993. Some have proposed that taxes on cigarettes be raised higher. Would you favor or oppose any SECTION G: EXPOSURE TO MEDIA CAMPAIGN
EXPOSURE TO ANY ANTI-SMOKING MESSAGES
OPEN-ENDED DESCRIPTION OF ANTI-SMOKING AD SEEN
RECALL, RATING, EFFECT ON MOTIVATION TO QUIT FOR SPECIFIC ADS (ADS
IN RANDOM ORDER)
Over the past few years different sorts of advertising messages have appeared against smoking. I'm referring to messages that try to discourage people from smoking or try to help smokers to quit.
I'm going to read you a list of places where you may have heard, seen or read anti-smoking information.
In the past twelve months, have you seen any anti-smoking messages In the past twelve months, have you heard any anti-smoking Have you seen any anti-smoking messages on outdoor billboards? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ Have you seen any anti-smoking messages on buses, trains or In the past twelve months, have you seen any anti-smoking messages In the past 12 months, have you been to any events or public places in [fill town] where someone was providing anti-smokinginformation? In the past twelve months, about how often have you seen anti-smoking messages on TV? Would you say.
About how often have you heard anti-smoking messages on the Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ Do you think anti-smoking ads on TV and radio exaggerate thedangers of smoking? Could you please describe an anti-smoking TV ad that you have seen recently? <1> YES (specify) <5> NO [goto adintro] How would you rate it on a scale from 0 to 10, where 0 means it is not a good anti-smoking ad at all and 10 means it is a very good ad? >g30< daily, occasional, small current How did it affect your motivation to quit smoking? Did it increase your motivation, decrease your motivation, or have no effect on your motivation to quit smoking? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >adintro< Now I'm going to describe some anti-smoking ads that may have appeared on television in your area. For each one, I'd like you to tell me whether you recall having seen or heard it, and if so how you felt about it.
THE ORDER OF THE ADS IS RANDOMIZED.
>ad1a< [#RICK] One series of ads shows a man talking about his wife Marie who died.
Have you seen any ads like that? <8> THIS IS THE AD R DESCRIBED EARLIER [goto ad2a] <9> NA [goto ad2a] >ad1b<
Would you please tell me more about the ad, for example,
who appeared in the ad and what was said or shown?
INTERVIEWER: DO NOT READ RESPONSE CATEGORIES. CODE ONE ONLY.
PROBE FOR MORE IF YOU DON'T GET ANYTHING SIMILAR TO THE LISTED
OPTIONS AND RECORD VERBATIM.
<1> The husband and wife are named Rick and Marie Stoddard.
<2> Marie died from smoking cigarettes.
<3> She was (about) 46 when she died. Died young.
<4> He never thought of (about) 23 as being middle aged.
<5> Marie got cancer from smoking cigarettes.
<6> She suffered from seizures.
<7> He had to light her cigarettes for her because she was too weak.
<8> The man starts to cry. Man was very sad/emotional.
<9> Shows pictures of Rick and his wife and their son.
<10> He saw a heart in the sky that he knew was for him.
<11> Happy face on lighter.
<98> Other (specify) <99> NA How would you rate it on a scale from 0 to 10, where 0 means it is not a good anti-smoking ad at all and 10 means it is a very good ad? [red](How good was the ad on a scale from 0 to 10?)[n] <0-10> Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >ad1d1< daily, occasional, small current How did it affect your motivation to quit smoking? Did it increase your motivation, decrease your motivation, or have no effect on your motivation to quit smoking? [red](Did it increase, decrease, or have no effect on your motivation to quit smoking?)[n] <1> INCREASE <2> DECREASE <3> NO EFFECT >ad2a< [#BODYBAGS ON SIDEWALK] One ad shows young people unloading white body bags from a truck onto a city sidewalk. Have you seen this ad? <8> THIS IS THE AD R DESCRIBED EARLIER [goto ad3a] <9> NA [goto ad3a] >ad2b< Would you please tell me more about the ad, for example, who appeared in the ad and what was said or shown? INTERVIEWER: DO NOT READ RESPONSE CATEGORIES. CODE ONE ONLY.
PROBE FOR MORE IF YOU DON'T GET ANYTHING SIMILAR TO THE LISTED
OPTIONS AND RECORD VERBATIM.
<1> The bags were supposed to be people who died from smoking cigarettes.
<2> Message on the screen: Outside a major tobacco company.
<3> One of the young people is using a megaphone to speak to the people in the building (Tobacco Executives).
<4> Young person asks if the tobacco executives know how many people tobacco kills every day.
<5> They say they will leave the body bags around the building so that the executives will know what 1200 dead people look like.
<6> They hang "Truth" signs on the posts around the building.
<98> Other (specify) <99> NA Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ How would you rate it on a scale from 0 to 10, where 0 means it is not a good anti-smoking ad at all and 10 means it is a very good ad? [red](How good was the ad on a scale from 0 to 10?)[n] >ad2d1< daily, occasional, small current How did it affect your motivation to quit smoking? Did it increase your motivation, decrease your motivation, or have no effect on your motivation to quit smoking? [red](Did it increase, decrease, or have no effect on your motivation to quit smoking?)[n] >ad5a< [#RONALDO] A series of ads features a man with a hole in his throat who talks about how his condition has limited his activities. Have you seen any ads like that? <8> THIS IS THE AD R DESCRIBED EARLIER [goto ad6a] <9> NA [goto ad6a] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >ad5b< Would you please tell me more about the ad, for example, who appeared in the ad and what was said or shown? INTERVIEWER: DO NOT READ RESPONSE CATEGORIES. CODE ONE ONLY.
PROBE FOR MORE IF YOU DON'T GET ANYTHING SIMILAR TO THE LISTED
OPTIONS AND RECORD VERBATIM.
<1> He loves baseball--could have been a major league umpire.
<2> He loves swimming but can't anymore.
<3> He has no voice box/larynx--talks with a voice synthesizer (sounds weird) <4> Has to be careful in the shower not to get water in.
<5> Cleans out the hole in his neck with a q-tip.
<6> He has to go to the doctor a lot to see if the cancer came back.
<7> He got throat cancer from smoking cigarettes.
<8> Hispanic man. English subtitles.
<9> Loved sports. Now he can’t do them.
<98> Other (specify) <99> NA How would you rate it on a scale from 0 to 10, where 0 means it is not a good anti-smoking ad at all and 10 means it is a very good ad? [red](How good was the ad on a scale from 0 to 10?)[n] >ad5d1< daily, occasional, small current How did it affect your motivation to quit smoking? Did it increase your motivation, decrease your motivation, or have no effect on your motivation to quit smoking? [red](Did it increase, decrease, or have no effect on your motivation to quit smoking?)[n] <1> INCREASE <2> DECREASE <3> NO EFFECT Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >ad6a< [#I KNOW YOU] One ad features a man who used to make advertisements for menthol (Newport) cigarettes. Have you seen this ad? <8> THIS IS THE AD R DESCRIBED EARLIER [goto ad7a] <9> NA [goto ad7a] >ad6b< Would you please tell me more about the ad, for example, who appeared in the ad and what was said or shown? INTERVIEWER: DO NOT READ RESPONSE CATEGORIES. CODE ONE ONLY.
PROBE FOR MORE IF YOU DON'T GET ANYTHING SIMILAR TO THE LISTED
OPTIONS AND RECORD VERBATIM.
<1> Man who created Newport ads name is Norman Black.
<2> He knew what kinds of clothes and music kids liked; used information <3> Newport targeted inner cities by advertising in African American magazines.
<4> Newport targeted inner cities by giving out free samples.
<5> His ideas helped menthol sales rise.
<6> He’s sorry.
<98> Other (specify) <99> NA How would you rate it on a scale from 0 to 10, where 0 means it is not a good anti-smoking ad at all and 10 means it is a very good ad? [red](How good was the ad on a scale from 0 to 10?)[n] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >ad6d1< daily, occasional, small current How did it affect your motivation to quit smoking? Did it increase your motivation, decrease your motivation, or have no effect on your motivation to quit smoking? [red](Did it increase, decrease, or have no effect on your motivation to quit smoking?)[n] <1> INCREASE <2> DECREASE <3> NO EFFECT >ad7a< [#BABY MONITOR] One ad shows a baby monitor on the screen and you can hear the baby coughing. Have you seen this ad? <8> THIS IS THE AD R DESCRIBED EARLIER [goto ad8a] <9> NA [goto ad8a] >ad7b< Would you please tell me more about the ad, for example, who appeared in the ad and what was said or shown? INTERVIEWER: DO NOT READ RESPONSE CATEGORIES. CODE ONE ONLY.
PROBE FOR MORE IF YOU DON'T GET ANYTHING SIMILAR TO THE LISTED
OPTIONS AND RECORD VERBATIM.
<1> Hear baby crying over a baby monitor.
<2> Hear baby coughing relentlessly due to second hand smoke.
The coughing causes the lights on the monitor to flash.
<3> The ad does not show any people in it. It only shows the monitor and a hand. No words spoken, just written.
<4> Words on screen: “Every year 300,000 babies get sick from second hand smoke.” <5> An adult hand shuts off the monitor and words on screen: “But the tobacco industry doesn’t want to hear it.” <98> Other (specify) <99> NA Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ How would you rate it on a scale from 0 to 10, where 0 means it is not a good anti-smoking ad at all and 10 means it is a very good ad? [red](How good was the ad on a scale from 0 to 10?)[n] >ad7d1< daily, occasional, small current How did it affect your motivation to quit smoking? Did it increase your motivation, decrease your motivation, or have no effect on your motivation to quit smoking? [red](Did it increase, decrease, or have no effect on your motivation to quit smoking?)[n] <1> INCREASE <2> DECREASE <3> NO EFFECT >ad8a< [#DAILY DOSE] One series of ads show a young person holding a long, narrow sign with flashing electronic numbers. Have you seen any of these ads? <8> THIS IS THE AD R DESCRIBED EARLIER [goto ad9a] <9> NA [goto ad9a] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >ad8b< Would you please tell me more about the ad, for example, who appeared in the ad and what was said or shown? DO NOT READ RESPONSE CATEGORIES. CODE ONE ONLY. PROBE FOR MORE IF
YOU DON'T GET ANYTHING SIMILAR TO THE LISTED OPTIONS AND RECORD
VERBATIM.
ILLNESS MESSAGES <1> Tobacco kills more people than suicide, traffic accidents, drugs, etc.
<2> Cigarette smoke is more poisonous than rat poison.
<3> Menthol cigarettes kill African Americans.
<4> Addiction can start after only two weeks of smoking.
<5> Cigarette smoke kills people who don’t even smoke.
<6> 1 out of 3 friends, smoking will kill one of them.
<7> Cigarettes kill 5 African Americans an hour.
ANTI-INDUSTRY MESSAGES <8> Every 8 seconds, tobacco companies lose another customer--they die <9> Tobacco advertising is like peer pressure with a big budget.
<10> Tobacco companies earn money from people dying.
<11> Our generation is smart enough to see through tobacco companies.
<12> Number of chemicals in cigarettes.
<98> Other (specify) <99> NA How would you rate it on a scale from 0 to 10, where 0 means it is not a good anti-smoking ad at all and 10 means it is a very good ad? [red](How good was the ad on a scale from 0 to 10?)[n] >ad8d1< daily, occasional, small current How did it affect your motivation to quit smoking? Did it increase your motivation, decrease your motivation, or have no effect on your motivation to quit smoking? [red](Did it increase, decrease, or have no effect on your motivation to <1> INCREASE <2> DECREASE <3> NO EFFECT Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >ad11a< [#PIERCING] One ad shows a young man walking into a dark alley, through a doorway and into a body-piercing parlor. Have you seen this ad? <8> THIS IS THE AD R DESCRIBED EARLIER [goto ad12a] <9> NA [goto ad12a] >ad11b<
Could you please tell me more about the ad, for example, who appeared
in the ad and what was said or shown?
INTERVIEWER: DO NOT READ RESPONSE CATEGORIES. CODE ONE ONLY.
PROBE FOR MORE IF YOU DON'T GET ANYTHING SIMILAR TO THE LISTED
OPTIONS AND RECORD VERBATIM.
<1> Young guy sees pictures of different body piercings on a wall.
<2> Piercing man (creepy looking) leans over young man and pulls his tongue out.
<3> Man pierces young guy's tongue.
<4> Piercing man says, "join me in a cigarette" and holds out a pack.
<5> Young man says "Do you think I'm crazy?" and walks away.
<6> Words on screen: "Leaders, not followers." <7> Words on screen: Tobacco is whacko if you're a teen.
<8> Piercing man smokes.
How would you rate it on a scale from 0 to 10, where 0 means it is not a good anti-smoking ad at all and 10 means it is a very good ad? [red](How good was the ad on a scale from 0 to 10?)[n] Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >ad11d1< daily, occasional, small current How did it affect your motivation to quit smoking? Did it increase your motivation, decrease your motivation, or have no effect on your motivation to quit smoking? [red](Did it increase, decrease, or have no effect on your motivation to quit smoking?)[n] <1> INCREASE <2> DECREASE <3> NO EFFECT >ad12a< [#QUITMAN] One ad shows a little cartoon smoker who is trying to quit, walking up a hill. Have you seen this ad? <8> THIS IS THE AD R DESCRIBED EARLIER [goto g65] <9> NA [goto g65] >ad12b< Would you please tell me more about the ad, for example, who appeared in the ad and what was said or shown? INTERVIEWER: DO NOT READ RESPONSE CATEGORIES. CODE ONE ONLY.
PROBE FOR MORE IF YOU DON'T GET ANYTHING SIMILAR TO THE LISTED
OPTIONS AND RECORD VERBATIM.
<1> Cartoon character walks up a hill symbolizing his efforts to quit, then slides back down when he gets discouraged.
<2> Character thinks he is a failure if he cannot quit cold turkey.
<3> The cartoon hill snaps like an elastic.
<4> A voiceover reminds him quitting takes practice.
<5> Character feels renewed hope that he can quit smoking gradually.
<6> A voiceover says to call them to learn how to quit slowly, for good.
<98> Other (specify) <99> NA Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ How would you rate it on a scale from 0 to 10, where 0 means it is not a good anti-smoking ad at all and 10 means it is a very good ad? [red](How good was the ad on a scale from 0 to 10?)[n] >ad12d1< daily, occasional, small current How did it affect your motivation to quit smoking? Did it increase your motivation, decrease your motivation, or have no effect on your motivation to quit smoking? [red](Did it increase, decrease, or have no effect on your motivation to quit smoking?)[n] <1> INCREASE <2> DECREASE <3> NO EFFECT I have a few questions about your TV watching patterns.
By watching, I mean paying attention to what is on the screen- not just having the TV on in the background while you During a typical week, how many days out of seven do you watch any television before 9 o'clock in the morning? During a typical week, how many days out of seven do you watch any TV between 9 in the morning and 4 in the afternoon? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ How many days out of seven do you watch any TV between 4 in How many days out of seven do you watch any TV between 8 and 11 On a typical weekday, about how many hours do you spend watching Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ SECTION H: HEALTH RISK/SOCIAL INFLUENCE
AS A FORM OF WEIGHT CONTROL
HELPS TO RELAX
EFFECT ON HEALTH
daily, occasional, small current answer this section The next few questions are about some possible costs and benefits Do you believe smoking at parties helps you relax and have a Some people feel, either because of their particular smoking patterns or their family history, that their cigarette smoking is not damaging their health; others feel that it is damaging their
health. How do you think smoking is affecting your health? Do
you think it is causing damage or not?
Do you think your risk of a heart attack is higher, lower, orabout the same as nonsmoking (men/women) your age? Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ SECTION I: CONNECTIONS TO [fill town]
WHEN MOVED TO TOWN
MARITAL STATUS
SPOUSE/PARTNER A SMOKER?
HH INCOME
CONTACT INFORMATION
This is the last section of the survey and I just have a few In what year did you move to [fill town]? (the most recent time) Two years from now, how likely is it that you will still be living in [fill town]- would you say very likely, Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ Does your (spouse/partner) smoke cigarettes? >i40< In studies like this, households are sometimes grouped according to income. I am going to read you some categories. Please stop me when I get to the one that best describes your total household income last year. That means income before taxes from all sources, such as salaries, interest, retirement or any other <1> 10,000 or less <2> 10,001 to 20,000 <3> 20,001 to 30,000 <4> 30,001 to 50,000 <5> 50,001 to 75,000 <6> over 75,000 We really appreciate your taking the time to participate in this We may want to talk with you again in two years to see how you are feeling about tobacco policy in Massachusetts.
I would like you to give me your name and address so that I can send you a small thank-you gift for participating in the study and to send you a letter in two years to tell you when we will be calling again. It will be kept confidential and be separated from the answers given in this interview.
[or] I would like you to give me your name and address so that I would be able to contact you again in two years. It will be kept confidential and be separated from the answers given in this interview. Would you please give me your name and address? <1> R IS WILLING TO GIVE CONTACT INFO <5> R IS UNWILLING TO GIVE CONTACT INFO Center for Survey Research
UMASS TOBACCO STUDY
ADULT BASELINE
______________________________________________________________________________ >name< What is your name and address? >othr< In case you move, would you give me the name and phone number of someone who does not live with you (SOMEONE WHO LIVES IN U.S.) who would know your current telephone number? I will also need the town and state in which he/she lives.
<1> R IS WILLING TO GIVE INFO <5> R IS NOT WILLING TO GIVE INFO >name2< What is this person's name and address? >out< Thank you for speaking with me today.

Source: http://www.csr.umb.edu/pdf/survey/2001%20Baseline%20Adult%20Survey.pdf