This article shows a sample questionnaire with insert notes for every section. When you were smoking most frequently during this phase, about how often did you smoke a daily or almost daily b at least weekly, but less than daily c at least monthly, but less than weekly d less than monthly e don't know/not sure 16 during your experimental smoking phase, you may have smoked more cigarettes at some times than others. The ttm questionnaire for smoking cessation was developed by prochaska and colleagues [12,13] and it is available in two versions: the original questionnaire containing 83 items and the short form containing 38 items in the current study we used the short form.
During your experimental smoking phase, did you use any of the following tobacco or nicotine products chewing tobacco or snuff, cigars, tobacco pipes, clove cigarettes or bidis, nicotine replacement products such as gum or patch, or any other tobacco products besides cigarettes.
Tobacco questions for surveys a subset of key questions from the global adult tobacco survey (gats) 2nd edition gtss all of these questions, the three tobacco smoking prevalence questions (q1, q2a, and q2b discussed above) need to be included as well, for proper survey administration and. All of these questions, the three tobacco smoking prevalence questions (q1, q2a, and q2b discussed above) need to be included as well, for proper survey administration and analysis indicator construction.
Questions smk1-smk7 should be kept together even if the smoking questionnaire is expanded for local purposes an alternative place for the questions on exposure to environmental tobacco smoke (smk8, smk9) is in the beginning of the smoking questionnaire. The aim of this survey is to identify the best questions to assess smoking behavior, in a list of somewhat nbsp questionnaire-based second-hand smoke assessment in adults exposure to second-hand smoke (shs) is a well-known risk factor for a .
Questionnaire thesis smoking intensive smoking cessation: topics by nbsp note: this page contains sample records for the topic intensive smoking cessation from while these samples are representative of the content of ,. Thesis questionnaire about smoking smoking behavior research questionnaire was completed mm/dd/yyyy 1 about how many do you find it difficult to refrain from smoking in places where it is forbidden a no b yes 8 smoking survey –.
The current study aimed to test the validity and reliability of the persian version of a ttm based questionnaire for smoking cessation in iran methods this was a cross-sectional validation study among adult male smokers using the ttm questionnaire. In this article, we will take a look at a sample questionnaire about customer satisfaction on qrz family restaurant, and briefly discuss each section from the introduction to the end of the survey this article is a part of the guide.
Questionnaire direction: please answer the following questions completely all information will be used for academic purposes only we assure you that your answers will be respected and kept highly confidentially kindly choose the best answer and put a checkmark on the provided parenthesis beside the item, which corresponds to your answer.