Smoking Survey

What is your gender?

What is your age?

Where do you live?

1. What is your current smoking status?

2. What type of tobacco products do/did you smoke?

3. How old were you when you first smoked?

4. How would you describe yourself as a smoker?

5. How often do you currently smoke?

6. Have you ever tried to quit smoking?

7. What are the main reasons that made you try to quit smoking?

8. What made your attempts to quit smoking fail?

9. Are you addicted to smoking?

10. Are you planning to quit smoking?