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Free Tobacco Use Survey

50+ Expert Crafted Tobacco Use Survey Questions

Understanding your community's tobacco use patterns is key to designing targeted health interventions that save lives. A Tobacco Use survey gathers vital data on smoking habits, e-cigarette use, and cessation efforts - insights that drive more effective prevention and treatment programs. Download our free template loaded with example questions or build your own survey instantly with our online form builder.

Have you used any tobacco products in the past 30 days?
Yes
No
Which of the following tobacco products have you used in the past 30 days?
Cigarettes
E-cigarettes
Cigars
Smokeless tobacco
Other
How often do you use tobacco products?
Daily
Weekly
Monthly
Less than monthly
At what age did you first try tobacco products?
I am concerned about the health risks associated with my tobacco use.
1
2
3
4
5
Strongly disagreeStrongly agree
I intend to quit using tobacco products within the next six months.
1
2
3
4
5
Strongly disagreeStrongly agree
What factors would help motivate you to reduce or quit tobacco use?
What is your age range?
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
What is your gender?
Male
Female
Non-binary
Prefer not to say
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Top Secrets Every Researcher Must Know for a Tobacco Use survey

Launching a Tobacco Use survey? You're asking the right question. A Tobacco Use survey helps you gather reliable data about smoking patterns, nicotine consumption, and quitting motivation. Clear data means better interventions and targeted support for those who need it most.

To use this survey effectively, start by defining your audience - smokers, vapers, or both - and choose precise wording. Ask direct questions like "What is your average daily tobacco consumption?" or "How motivated are you to quit tobacco in the next month?" Balance closed and open-ended items to capture depth without overwhelming respondents. This approach answers "How do I use this survey effectively?" right up front.

Imagine a campus health team aiming to reduce smoking. They crafted a short Tobacco Use survey and tested it on 50 students in a pilot run. Early feedback highlighted unclear terms - so they replaced "smokers" with "tobacco users" and improved clarity. The result? A 20% boost in completion rates and richer data on peer influences.

Maintaining respondent trust is key. Assure anonymity and avoid jargon like "pack-year" unless you define it. Use conditional follow-ups - if someone answers they've tried quitting, ask "What methods did you use?" This ensures every question feels relevant and respects respondent time.

For proven insights, see the American Journal of Public Health's study Current Tobacco Use Among Adults in the United States, which shows state-by-state variations in smoking habits. Ready to refine your questions? Explore our Smoking Survey template to get started today.

Illustration depicting the crafting of effective Tobacco Use survey questions to address addiction
Illustration of topics to address in a Tobacco Use survey, revealing hidden dimensions.

5 Must-Know Tips to Avoid Common Mistakes in Your Tobacco Use survey

Mistakes can sink your Tobacco Use survey before you gather any real insights. Common pitfalls include vague questions, unbalanced response options, or forgetting to track demographics. When that happens, data loses value and you'll struggle to draw clear conclusions. Don't let small errors derail your research.

First, avoid leading or loaded questions. A query like "Do you agree smoking is harmful?" pushes respondents toward "yes." Instead, ask "How harmful do you believe smoking is to your health?" with a scale from "Not at all" to "Extremely." This simple change gives you honest, nuanced feedback. "Which of the following best describes your tobacco use habits?" is a non-leading way to gauge frequency without bias.

Second, lock down clear definitions. If you include e-cigarettes or smokeless tobacco, spell it out. Otherwise respondents might skip questions or misinterpret "tobacco use." A study in Tobacco Use and Its Determinants in the 2015 Kenya WHO STEPS Survey found that young adults often mix up terms without clear definitions. Give brief examples - like "cigarettes, cigars, and vaping devices" - so every answer aligns with your goals.

Third, pilot test your draft with a small group. Use a quick poll among team members or volunteers to spot confusing questions and technical hiccups. Real-world testing shines a light on response patterns and completion time. Once you've refined wording and flow, you can launch confidently, knowing respondents will engage and finish.

Finally, don't ignore socio-demographic filters. Age, gender, education, and location influence tobacco habits and quitting success. Without this context, your analysis risks oversimplification. If you aim to study cessation strategies, check our Smoking Cessation Survey template, which we designed with demographic branching in mind. Follow these tips, and your next Tobacco Use survey will be error-proof and insights-rich.

Youth Tobacco Use Questions

This section focuses on understanding tobacco experimentation and regular use among adolescents to inform targeted prevention efforts. Data collected here can highlight early initiation patterns. For benchmarks and methodology, see the National Youth Tobacco Survey .

  1. Have you ever tried smoking a cigarette, even one or two puffs?

    This question establishes baseline experimentation rates among youth and identifies initial exposure to tobacco.

  2. At what age did you first smoke a whole cigarette?

    Identifying the age of first use helps pinpoint critical intervention periods for prevention programs.

  3. In the past 30 days, on how many days did you smoke cigarettes?

    Frequency of recent use indicates current engagement and potential dependence among adolescents.

  4. How many cigarettes per day do you usually smoke?

    Measuring daily consumption provides insight into usage intensity and health risk levels.

  5. Have you used any other tobacco products (e.g., cigars, hookahs, smokeless) in the past month?

    This assesses poly-tobacco use, which can compound health risks and inform comprehensive prevention strategies.

  6. What is your primary reason for trying tobacco? (Select all that apply: curiosity, peer pressure, stress, etc.)

    Understanding motivations helps tailor messaging and support initiatives to address youth-specific drivers of use.

  7. Do any of your close friends smoke tobacco products?

    Peer influence is a strong predictor of youth smoking, so this question maps social risk factors.

  8. Does anyone in your household smoke tobacco products?

    Household exposure data reveal environmental factors that may normalize smoking behavior for youth.

  9. How easy is it for you to purchase or access tobacco products?

    Assessing access barriers or enablers helps evaluate the effectiveness of age restrictions and retail compliance.

  10. Have you ever received information or education about the risks of tobacco use at school?

    This question measures reach of school-based prevention efforts and highlights potential gaps in health education.

Adult Smoking Habits Questions

This category examines smoking patterns and behaviors among adult users to guide cessation support and policy development. Insights here help tailor interventions to adult lifestyles and risk factors. For detailed methodology, refer to the Smoking Habits Survey .

  1. Do you currently smoke cigarettes?

    This establishes current smoking prevalence among adults and separates current users from former or never smokers.

  2. Do you smoke daily or only on some days?

    Distinguishing daily from occasional use helps quantify dependence levels and tailor support programs.

  3. On average, how many cigarettes do you smoke per day?

    Average consumption data indicate the intensity of use and potential for addiction.

  4. For how many years have you been smoking?

    Duration of smoking correlates with cumulative health risks and informs long-term intervention strategies.

  5. Do you use any other tobacco or nicotine products regularly?

    Understanding poly-nicotine use patterns is critical for comprehensive cessation planning.

  6. At what age did you start smoking?

    Age of initiation among adults sheds light on historical trends and prevention opportunities earlier in life.

  7. How soon after waking do you smoke your first cigarette?

    This question serves as an indicator of nicotine dependence severity based on morning cravings.

  8. What triggers or situations most often lead you to smoke?

    Identifying triggers such as stress or social settings informs targeted behavioral interventions.

  9. Have you ever tried to reduce or quit smoking on your own?

    Self-initiated quit attempts reveal motivation levels and perceived barriers to professional support.

  10. In which locations do you typically smoke (home, car, work, public places)?

    Location data help evaluate smoke-free policy impact and identify high-risk environments for exposure.

E-Cigarette Use Questions

This section explores electronic cigarette and vaping behaviors to understand emerging nicotine delivery trends. Responses will guide regulation and harm-reduction strategies. For comparative data, see the E-Cigarette Survey .

  1. Have you ever used an e-cigarette or vape device?

    This question establishes lifetime vaping prevalence and initial trials among respondents.

  2. At what age did you first try vaping?

    Knowing the age of first use pinpoints trends in youth versus adult adoption of e-cigarettes.

  3. In the past 30 days, on how many days did you vape?

    Frequency of recent vaping indicates current engagement and potential for nicotine dependence.

  4. What nicotine concentration do you most commonly use in your e-liquid?

    Nicotine strength data help assess risk of addiction and inform regulation of product standards.

  5. Which e-liquid flavors do you use most often?

    Flavor preferences highlight market trends and potential appeal factors for different age groups.

  6. Do you refill cartridges or use prefilled pods?

    Usage patterns reveal consumer behaviors and potential environmental impact from disposable products.

  7. Have you experienced any health symptoms (e.g., cough, throat irritation) from vaping?

    Documenting adverse effects helps identify safety concerns and guide public health advisories.

  8. What is your primary reason for using e-cigarettes?

    Understanding motivations - such as smoking cessation or social factors - supports targeted interventions.

  9. Do you believe vaping is less harmful than smoking traditional cigarettes?

    Perception of risk influences adoption and continued use of e-cigarettes versus combustible tobacco.

  10. Have you ever attempted to quit vaping?

    This question gauges interest in cessation support specific to e-cigarette users.

Tobacco Purchase Behaviors Questions

This category investigates how users obtain tobacco products to inform retail compliance and age-restriction enforcement strategies. Insights here can shape policy on sales channels and pricing. For procurement trends, consult the Cigarette Purchase Survey .

  1. How do you usually obtain tobacco products?

    Identifying common acquisition methods helps target enforcement and retailer education efforts.

  2. In the past 30 days, where did you most often purchase tobacco (e.g., store, online, peer)?

    This pinpoints primary retail or social sources and highlights potential policy gaps.

  3. Have you ever used an online source to buy tobacco products?

    Online purchasing behaviors influence digital enforcement and age-verification policy design.

  4. Have you ever asked someone else (e.g., friend, family) to buy tobacco for you?

    Proxy purchasing undermines age restrictions and indicates areas for targeted compliance checks.

  5. What is the average amount you spend on tobacco per week?

    Spending patterns provide economic context for consumption levels and potential taxation impact.

  6. Do price promotions or discounts influence your tobacco purchasing decisions?

    Promotional sensitivity data can inform regulation of advertising and discount bans.

  7. Have you been asked for age verification when buying tobacco?

    This measures retailer compliance with legal sale age requirements.

  8. How difficult is it for you to legally purchase tobacco products?

    Perceived difficulty highlights enforcement effectiveness and potential loopholes.

  9. Do you prefer to buy tobacco in packages or as single sticks?

    Package-size preferences impact pricing strategies and youth affordability of tobacco.

  10. Have you ever imported tobacco from another region or country?

    Cross-border purchasing behaviors affect tax revenue and international regulatory coordination.

Cessation Intentions Questions

This section gauges users' readiness to quit and past quit attempts to tailor support services effectively. Responses will guide program design and resource allocation. For proven interventions, explore the Smoking Cessation Survey .

  1. Are you interested in quitting tobacco use within the next month?

    This measures immediate motivation and informs timing of intervention outreach.

  2. Have you attempted to quit smoking in the past year?

    Past quit attempts reveal user persistence and potential needs for additional support.

  3. What methods have you used when trying to quit (e.g., cold turkey, reduction, therapy)?

    Understanding preferred strategies helps tailor cessation resources and guidance.

  4. Have you ever used nicotine replacement therapy (patches, gum, lozenges)?

    Usage of NRT indicates engagement with evidence-based aids and potential gaps in access.

  5. Have you taken prescription medications (e.g., varenicline, bupropion) to quit?

    Prescription use highlights medical involvement and informs healthcare provider outreach.

  6. Have you sought support from counseling, quitlines, or support groups?

    Behavioral support engagement reflects awareness and availability of community resources.

  7. How confident are you in your ability to quit tobacco use?

    Self-efficacy ratings predict success and help in customizing motivational interventions.

  8. What factors make it most difficult for you to quit?

    Identifying barriers allows programs to address specific challenges like stress or social cues.

  9. Would incentives (e.g., vouchers, cash rewards) motivate you to quit?

    Exploring incentive appeal informs design of reward-based cessation programs.

  10. Would you participate in a structured cessation program if offered free of charge?

    Interest in formal programs guides resource allocation and program development.

Secondhand Smoke Exposure Questions

This set explores exposure to environmental tobacco smoke to inform smoke-free policy and public health messaging. Collected data will guide legislation on indoor and outdoor smoking bans. See related findings in the Smoking Survey .

  1. In the past week, how many times were you exposed to secondhand smoke?

    Quantifying recent exposure assesses risk levels and identifies high-exposure groups.

  2. Where did most of your secondhand exposure occur (home, work, public places)?

    Location insights help target smoke-free policies to the most problematic settings.

  3. Do any household members smoke inside your home?

    Household behaviors directly affect indoor air quality and resident health risks.

  4. Are there smoke-free rules or policies in your home?

    Home smoking rules indicate level of indoor policy adoption and potential enforcement needs.

  5. Does your workplace or school enforce smoke-free policies?

    Enforcement data highlight compliance levels and areas for institutional policy strengthening.

  6. Have you ever avoided certain places to reduce your exposure to secondhand smoke?

    Avoidance behaviors reflect personal coping strategies and perceived policy effectiveness.

  7. Have you experienced any health symptoms (e.g., coughing, eye irritation) from secondhand smoke?

    Symptom reporting underscores the immediate health impacts of involuntary exposure.

  8. How concerned are you about the health effects of secondhand smoke?

    Concern levels predict support for smoke-free initiatives and public health campaigns.

  9. Do you support local smoke-free ordinances in public spaces?

    Measuring support helps gauge public backing for legislative measures on smoke-free zones.

  10. Have you ever asked someone to stop smoking around you?

    This question assesses personal empowerment and willingness to enforce smoke-free preferences.

FAQ

What are the most effective questions to include in a Tobacco Use survey?

Use precise example questions in your tobacco use survey template: start with consumption frequency, product type, age of initiation, quit attempts motives, health impact, and social triggers. These example questions offer a structured framework for a free survey that captures qualitative and quantitative data on respondent behavior and attitudes toward tobacco use.

How can I assess the frequency and patterns of tobacco use among respondents?

In your free survey template, include example questions that ask respondents to report daily, weekly, and monthly tobacco use frequencies using clear timeframes. Use Likert scale items for pattern intensity and follow-up multiple-choice questions to differentiate between habitual, social, or occasional use, ensuring comprehensive data on tobacco use behavior patterns.

What questions help determine the age of initiation for tobacco use?

In the survey template, include example questions like "At what exact age did you first try any tobacco product?" and "How old were you when you started regular use?" Use default numeric fields or dropdown menus in your free survey to gather precise initiation age, supporting clearer demographic segmentation.

How do I evaluate the impact of tobacco use on daily activities and health?

Add structured questions in your survey template asking respondents to rate on a 5-point scale how tobacco affects daily activities such as work, exercise, and concentration. Include health impact example questions about respiratory symptoms, stress levels, and overall wellbeing in your free survey for clear insight into tobacco use consequences.

What are the best ways to measure attempts and motivations to quit tobacco?

Use your survey template to include example questions about quit history, like "How many quit attempts have you made in the past year?" and motivation scales asking respondents to rate reasons (health, cost, family) on a 5-point scale. A free survey with these detailed questions surfaces actionable quitting insights.

How can I gauge the influence of social factors on tobacco use?

In the survey template, include example questions about household and peer tobacco use, such as "Do people you live with use tobacco products?" and "How often do friends influence your smoking?" Use multiple choice or frequency scales in your free survey to measure social pressures and contextual triggers for tobacco use.

What questions assess awareness and attitudes toward tobacco-related health risks?

Add awareness and attitude example questions in your survey template like "How serious do you consider the health risks of tobacco?" on a 5-point scale, plus "Which health issues do you associate with smoking?" Use checkbox and scale formats in your free survey to capture respondent knowledge and risk perception exactly.

How do I identify the types of tobacco products used by individuals?

In your survey template, include example questions listing specific product categories - cigarettes, e-cigarettes, cigars, pipes, smokeless tobacco - and ask "Which have you used in the past 30 days?" Use checkboxes or multi-select in a free survey to capture comprehensive data on tobacco product usage patterns for each respondent.

What are effective questions to understand the challenges faced during tobacco cessation?

Include targeted example questions in your survey template like "Which withdrawal symptoms did you experience?" and "What barriers prevented successful quitting?" Use multiple-choice with an "Other" field and open-text responses in your free survey to detail emotional, social, and physical challenges during tobacco cessation, guiding better support strategies.

How can I measure the perceived addictiveness of different tobacco products?

In the survey template, add example questions that ask respondents to rate on a 5-point scale how addictive they perceive each product - cigarettes, e-cigarettes, smokeless tobacco, cigars. Use matrix rating scales in your free survey to compare perceived addictiveness across tobacco product types quickly and effectively for targeted intervention planning.