0920-0621 NYTS Survey Questionnaire

Form Approved

OMB No. 0920-0621

Exp. Date 01/31/2024

National Youth Tobacco Survey (NYTS)

2024 Questionnaire

This survey is about tobacco. We would like to know about you and things you do that may affect your health. Your answers will be used for programs for young people like yourself.

The answers you give will be kept private.

NO one will know what you answered. Answer the questions based on what you really do and know.

Completing the survey is voluntary. Whether or not you answer the questions will not affect your grade in this class. Try to answer all the questions. If you do not want to answer a question, just leave it blank. There are no wrong answers.

The questions that ask about your background will only be used to describe the types of students completing this survey. The information will not be used to find out your name. No names will ever be reported.

Please read every question. Try to answer all the questions. Select the squares next to the response you choose. When you are finished, follow the instructions of the person giving you the survey.

Public reporting burden for this collection of information is estimated to average 45 minutes per survey, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC Reports Clearance Officer, 1600 Clifton Road, NE, MS D-74, Atlanta, GA 30329, ATTN: PRA (0920-0621).

Thank You Very Much For Your Help.

Q_NUM

Question Text and Skip Instructions

Location

Instruction Universe: all students

Where are you currently taking this survey?

1. In a school building/classroom

2. At home (virtual learning)

3. Some other place

INSTRUCT_1

Instruction Universe: all students

The first five questions ask some background information about you.

1

Question Universe: all students

How old are you?

1. 9 years old

2. 10 years old

3. 11 years old

4. 12 years old

5. 13 years old

6. 14 years old

7. 15 years old

8. 16 years old

9. 17 years old

10. 18 years old

11. 19 years old or older

2

Question Universe: all students

What is your sex?

1. Male

2. Female

3

Question Universe: all students

What grade are you in?

1. 6th

2. 7th

3. 8th

4. 9th

5. 10th

6. 11th

7. 12th

8. Ungraded or other grade

4

Question Universe: all students

What is your race and/or ethnicity?

Select all that apply.

1. American Indian or Alaska Native For example, Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, Aztec, Maya, etc.

2. Asian For example, Chinese, Asian Indian, Filipino, Vietnamese, Korean, Japanese, etc.

3. Black or African American For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somali, etc.

4. Hispanic or Latino For example, Mexican, Puerto Rican, Salvadoran, Cuban, Dominican, Guatemalan, etc.

5. Middle Eastern or North African For example, Lebanese, Iranian, Egyptian, Syrian, Iraqi, Israeli, etc.

6. Native Hawaiian or Pacific Islander For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc.

7. White For example, English, German, Irish, Italian, Polish, Scottish, etc.

INSTRUCT_2

Instruction Universe: all students

The next several sections of questions ask about your use of particular kinds of tobacco products, such as e-cigarettes, cigarettes, cigars, smokeless tobacco, snus, nicotine pouches, other oral nicotine products, hookahs, heated tobacco products, pipe tobacco, bidis, and roll-your-own cigarettes.

At the beginning of each section, you will see a brief description and an image showing examples of each kind of tobacco product.

INSTRUCT_3

Instruction Universe: all students

The next several questions are about electronic cigarettes or e-cigarettes, such as JUUL, Vuse, NJOY, Elf Bar, or blu. You also may know them as vapes, mods, e-cigs, e-hookahs, or vape-pens.

For the rest of this survey, these products and devices will be called e-cigarettes.

E-cigarettes are battery powered devices that usually contain a nicotine-based liquid that is vaporized and inhaled.

5

Question Universe: all students

Have you ever used an e-cigarette, even once or twice?

1. Yes  [CONTINUE TO Q6]

2. No  [SKIP TO Q28]

[IF Q5 EQ (NA) [Not Answered]  SOFT VALIDATION]

[IF Q5 EQ (NA) à SKIP TO Q8]

6

Question Universe: ever e-cigarette users [known]

How old were you when you first used an e-cigarette, even once or twice?

1. 8 years old or younger

2. 9 years old

3. 10 years old

4. 11 years old

5. 12 years old

6. 13 years old

7. 14 years old

8. 15 years old

9. 16 years old

10. 17 years old

11. 18 years old

12. 19 years old or older

7

Question Universe: ever e-cigarette users [known]

In total, on how many days have you used e-cigarettes in your entire life?

1. 1 day

2. 2 to 10 days

3. 11 to 20 days

4. 21 to 50 days

5. 51 to 100 days

6. Over 100 days

8

Question Universe: ever e-cigarette users [or unknown]

During the past 30 days, on how many days did you use e-cigarettes?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

IF Q8 EQ (NA)  SOFT VALIDATION

[IF Q5 EQ (NA) AND Q8 EQ (NA)  SKIP TO INSTRUCT_4]

[IF Q5 EQ (NA) AND Q8 EQ (0)  SKIP TO INSTRUCT_4]

[IF Q5 EQ (1) AND Q8 EQ (NA)  CONTINUE TO Q9: show all options]

[IF Q5 EQ (NA) AND Q8 EQ (1-30)  CONTINUE TO Q9: show options A-C only]

[IF Q5 EQ (1) AND Q8 EQ (0)  CONTINUE TO Q9: show options D-G only]

[IF Q5 EQ (1) AND Q8 EQ (1-30)  CONTINUE TO Q9: show options A-C only]

9

Question Universe: ever/current e-cigarette users [known]

When was the last time you used an e-cigarette, even one or two times? (Please choose the first answer that fits)

1. Earlier today

2. Not today, but sometime during the past 7 days

3. Not during the past 7 days, but sometime during the past 30 days

4. Not during the past 30 days, but sometime during the past 6 months

5. Not during the past 6 months, but sometime during the past year

6. 1 to 4 years ago

7. 5 or more years ago

[ALL RESPONSES  CONTINUE TO Q10]

10

Question Universe: ever/current e-cigarette users [known]

Why did you first use an e-cigarette? (Select one or more)

1. A friend used them

2. A family member used them

3. To try to quit using other tobacco products, such as cigarettes

4. They cost less than other tobacco products, such as cigarettes

5. They were easier to get than other tobacco products, such as cigarettes

6. I’ve seen people on TV, online, or in movies use them

7. They are less harmful than other forms of tobacco, such as cigarettes

8. They were available in flavors, such as menthol, mint, candy, fruit, or chocolate

9. I could use them unnoticed at home or at school

10. I could use them to do tricks

11. I was curious about them

12. I was feeling anxious, stressed, or depressed

13. To get a high or buzz from nicotine

14. I used them for some other reason (specify: _____________________)

[IF Q10 EQ (NA) AND Q8 EQ (1-30) CONTINUE TO Q11]

[IF Q10 EQ (NA) AND Q8 EQ (0 or NA)  SKIP TO Q23]

[IF Q8 EQ (0 or NA)  SKIP TO Q23]

[ELSE IF Q8 EQ (1-30) à CONTINUE TO Q11]

11

Question Universe: current e-cigarette users [known]

Why do you currently use e-cigarettes? (Select one or more)

1. A friend uses them

2. A family member uses them

3. To try to quit using other tobacco products, such as cigarettes

4. They cost less than other tobacco products, such as cigarettes

5. They are easier to get than other tobacco products, such as cigarettes

6. I’ve seen people on TV, online, or in movies use them

7. They are less harmful than other forms of tobacco, such as cigarettes

8. They are available in flavors, such as menthol, mint, candy, fruit, or chocolate

9. I can use them unnoticed at home or at school

10. I can use them to do tricks

11. I am curious about them

12. Because I feel anxious, stressed, or depressed

13. To get a high or buzz from nicotine

14. I use them for some other reason (specify: _____________________)

12

Question Universe: past 30-day e-cigarette user [known]

Which of the following best describes the type of e-cigarette you have used in the past 30 days?

If you have used more than one type, please think about the one you use most often.

1. A disposable e-cigarette (for example, Elf Bar, or Kangvape)

2. An e-cigarette that uses pre-filled or refillable pods or cartridges (for example, JUUL Vuse, or Suorin)

3. An e-cigarette with a tank that you refill with liquids (including mod systems that can be customized by the user)

4. I don’t know the type

13

Question Universe: past 30-day e-cigarette user [known]

During the past 30 days, what e-cigarette brands did you use? (Select one or more)

1. blu

2. Breeze

3. Elf Bar

4. Esco Bars

5. Fuum

6. JUUL

7. HQD

8. Kangvape (including Onee Stick)

9. Logic

10. Mr. Fog

11. NJOY

12. SMOK (including NOVO)

13. Suorin (including Air Bar)

14. Vuse

15. Some other brand(s) not listed here (specify): ______________________________

16. Not sure / I don’t know the brand

[IF >1 OPTION SELECTED  CONTINUE TO Q14]

[IF 1 OPTION SELECTED  SKIP TO Q15]

[IF Q13 EQ (NA) à SKIP TO Q15]

14

Question Universe: past 30-day e-cigarette user reporting >1 brand [known]

During the past 30 days, what brand of e-cigarettes did you usually use? (Choose only one answer)

1. I did not use a usual brand

2. blu

3. Breeze

4. Elf Bar

5. Esco Bars

6. Fume

7. JUUL

8. HQD

9. Kangvape (included Onee Stick)

10. Logic

11. Mr. Fog

12. NJOY

13. SMOK (including NOVO)

14. Suorin (including Air Bar)

15. Vuse

16. Some other brand not listed here (specify): ____________________________

17. Not sure / I don’t know the brand

[ALL RESPONSES à CONTINUE TO Q15]

15

Question Universe: past 30-day e-cigarette users [known]

Did any of the e-cigarettes that you used in the past 30 days contain nicotine?

A. Yes

B. No

C. Don’t know

16

Question Universe: past 30-day e-cigarette users [known]

Nicotine salts, or “nic salts”, is a type of nicotine that is found in some e-liquids, pods, and cartridges. Did any of the e-cigarettes that you used in the past 30 days contain nicotine salts?

1. Yes

2. No

3. Don’t know

17a

Question Universe: past 30-day e-cigarette users [known]

In the past 30 days when you used e-cigarettes, what flavors did you use? (Select one or more)

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drink (such as coffee, soda, lemonade, or other beverage)

9. Candy, desserts, or other sweets

10. Unflavored

11. Some other flavor not listed here (Specify: _____________________________)

[[IF ONLY 1 OPTION SELECTED FOR Q17a AND 17a_J EQ 1 CONTINUE TO 20a

[ELSE  CONTINUE TO Q18]

18

Question Universe: past 30-day user of flavored e-cigarettes

Did any of the flavors that you used in the past 30 days have names or descriptions that included the word “ice” or “iced” (for example, blueberry ice or strawberry ice)?

1. Yes

2. No

3. Don’t know

19

Question Universe: past 30-day user of flavored e-cigarettes

Did any of the flavors that you used in the past 30 days have a name that did not describe a specific flavor, such as “solar,” “purple,” “jazz,” “island bash,” “fusion” or some other word or phrase?

1. Yes (specify): ___________________

2. No

3. Don’t know

20a

Question Universe: past 30-day e-cigarette user [known]

During the past 30 days, how did you get your e-cigarette devices, pods, cartridges, or e-liquid refills? (Select one or more)

1. I bought them myself

2. I had someone else buy them for me

3. I asked someone to give me some

4. Someone offered them to me

5. I got them from a friend

6. I got them from a family member

7. I took them from a store or another person

8. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES  CONTINUE TO Q21a]

21a

Question Universe: past 30-day e-cigarette user [known]

During the past 30 days, where did you buy your e-cigarette devices, pods, cartridges, or e-liquid refills? (Select one or more)

1. I did not buy e-cigarettes during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought them from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify):_______________________________

[IF [((Q20a_B EQ (1)) OR (Q20a_C EQ (1)) OR (Q20a_D EQ (1)) OR (Q20a_E EQ (1)) OR (Q20a_F EQ (1)) OR Q21a_B EQ (1))]  CONTINUE TO Q22]

[ELSE  SKIP TO Q23]

22

Question Universe: past 30-day e-cigarette user (who got a product from someone else)

During the past 30 days, which of the following e-cigarette product(s) did you get or buy from another person? (Select one or more)

1. A new e-cigarette device (including disposable devices)

2. A pod, cartridge, or e-liquid refill

3. A hit or a drag from another person’s e-cigarette device

4. Something else (specify:___________________________________________)

23

Question Universe: ever e-cigarette user [known]

Have you ever purchased an e-cigarette device (including disposable devices), pod, cartridge, single hit, or e-liquid refill while at school or on school property?

1. Yes

2. No

[IF Q23 EQ (NA) AND Q8 EQ (0 or NA) SKIP TO INSTRUCT_4]

[IF Q23 IN (1,2) AND Q8 EQ (0 or NA)  SKIP TO INSTRUCT_4]

[ELSE IF Q8 EQ (1-30) à CONTINUE TO Q24]

24

Question Universe: past 30-day e-cigarette user [known]

When you have used an e-cigarette during the past 30 days, how often did you use someone else’s e-cigarette device?

1. Never

2. Rarely

3. Sometimes

4. Most of the Time

5. Always

25

Question Universe: past 30-day users of e-cigarettes [known]

Are you seriously thinking about quitting e-cigarettes? (Please choose the first answer that fits)

1. Yes, during the next 30 days

2. Yes, during the next 6 months

3. Yes, during the next 12 months

4. Yes, but not during the next 12 months

5. No, I am not thinking about quitting e-cigarettes

26

Question Universe: past 30-day users of e-cigarettes [known]

During the past 12 months, how many times have you stopped using e-cigarettes for one day or longer because you were trying to quit using e-cigarettes for good?

1. I did not try to quit during the past 12 months  [SKIP TO INSTRUCT_4]

2. 1 time

3. 2 times

4. 3 to 5 times

5. 6 to 9 times

6. 10 or more times

[IF Q26 EQ (2,3,4,5,6)  CONTINUE TO Q27]

[IF Q23 EQ (NA)  SKIP TO INSTRUCT_4]

27

Question Universe: e-cigarette users who reported ≥1 quit attempt in past 12 months [known]

When you tried to quit using e-cigarettes, did you use any of the following? (Select one or more)

1. I did not use any resources  [EXCLUSIVE]

2. Help or advice from a parent or caregiver

3. Help or advice from a friend or peer

4. Help or advice from a teacher or coach

5. Help, advice, or counseling from a doctor or health care provider

6. Treatment from a hospital, medical center, or some other facility

7. Help or advice from the Internet

8. A mobile app or texting program

9. A telephone helpline or Quitline

10. Something else (specify): ______________________________________

[ALL RESPONSES  SKIP TO INSTRUCT_4]

28

Question Universe: never e-cigarette users [known]

Have you ever been curious about using an e-cigarette?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

29

Question Universe: never e-cigarette users [known]

Do you think that you will try an e-cigarette soon?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

30

Question Universe: never e-cigarette users [known]

Do you think you will use an e-cigarette in the next year?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

31

Question Universe: never e-cigarette users [known]

If one of your best friends were to offer you an e-cigarette, would you use it?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

[ALL RESPONSES CONTINUE TO INSTRUCT_4]

INSTRUCT_4

Instruction Universe: all students

The next questions ask about other substances that could be vaped.

32

Question Universe: all students

Have you ever vaped any of the following substances (even once)?

	Yes	No	Don’t Know
A. Marijuana (also called pot, weed, or cannabis), including THC, THC concentrates, hash oil, or waxes	A	B	C
B. CBD or CBD oils	A	B	C
C. Synthetic marijuana or cannabinoids, such as K2 or Spice	A	B	C
D. Another substance (Specify):________________	A	B	C

[IF Q32A EQ (2) AND Q32B EQ (2) AND Q32C EQ (2) AND Q32D EQ (2)  SKIP TO INSTRUCT_5]

[ELSE IF Q32A EQ (1,3,NA) OR Q32B EQ (1,3,NA) OR Q32C EQ (1,3,NA) OR Q32D EQ (1,3,NA)  CONTINUE TO Q33]

33

Question Universe: all students

Have you vaped any of the following substances during the past 30 days?

 

	Yes	No	Don’t Know
[SHOW IF Q32A EQ (1, 3, NA)]: A. Marijuana (also called pot, weed, or cannabis), including THC, THC concentrates, hash oil, or waxes	A	B	C
[SHOW IF Q32B EQ (1, 3, NA)]: B. CBD or CBD oils	A	B	C
[SHOW IF Q32C EQ (1, 3, NA)]: C. Synthetic marijuana or cannabinoids, such as K2 or Spice	A	B	C
[SHOW IF Q32D EQ (1, 3, NA)]: D. Another substance (Specify):_________________	A	B	C

[ALL RESPONSES CONTINUE TO INSTRUCT_5]

INSTRUCT_5

Instruction Universe: all students

The next several questions are about smoking cigarettes (ones that have to be lit and burned).

34

Question Universe: all students

Have you ever smoked a cigarette, even one or two puffs?

1. Yes  [CONTINUE TO Q35]

2. No  [SKIP TO Q45]

[IF Q34 EQ (NA)  SOFT VALIDATION]

[IF Q34 EQ (NA)  SKIP TO Q37]

35

Question Universe: ever cigarette smokers [known]

How old were you when you first smoked a cigarette, even one or two puffs?

1. 8 years old or younger

2. 9 years old

3. 10 years old

4. 11 years old

5. 12 years old

6. 13 years old

7. 14 years old

8. 15 years old

9. 16 years old

10. 17 years old

11. 18 years old

12. 19 years old or older

36

Question Universe: ever cigarette smokers [known]

About how many cigarettes have you smoked in your entire life?

1. 1 or more puffs but never a whole cigarette

2. 1 cigarette

3. 2 to 5 cigarettes

4. 6 to 15 cigarettes (about 1/2 a pack total)

5. 16 to 25 cigarettes (about 1 pack total)

6. 26 to 99 cigarettes (more than 1 pack, but less than 5 packs)

7. 100 or more cigarettes (5 or more packs)

37

Question Universe: ever cigarette smokers [or unknown]

During the past 30 days, on how many days did you smoke cigarettes?

Specify: |__|__| (Range: 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

IF Q37 EQ (NA) –SOFT VALIDATION

[IF Q34 EQ (NA) AND Q37 EQ (NA)  SKIP TO INSTRUCT_6]

[IF Q34 EQ (NA) AND Q37 EQ (0)  SKIP TO INSTRUCT_6]

[IF Q34 EQ (NA) AND Q37 EQ (1-30)  CONTINUE TO Q39: show options A-C only]

[IF Q34 EQ (1) AND Q37 EQ (NA)  CONTINUE TO Q39: show all options]

[ELSE, IF Q34 EQ (1) AND Q37 EQ (0)  CONTINUE TO Q39: show options D-G only]

[ELSE, IF Q34 EQ (1) AND Q37 EQ (1-30)  CONTINUE TO Q39: show options A-C only]

38

Question Universe: ever/current cigarette smokers [known]

When was the last time you smoked a cigarette, even one or two puffs? (Please choose the first answer that fits)

1. Earlier today

2. Not today but sometime during the past 7 days

3. Not during the past 7 days but sometime during the past 30 days

4. Not during the past 30 days but sometime during the past 6 months

5. Not during the past 6 months but sometime during the past year

6. 1 to 4 years ago

7. 5 or more years ago

[IF Q37 EQ (NA)  GO TO INSTRUCT_6]

[IF Q37 EQ (0)  GO TO INSTRUCT_6]

[ELSE IF Q37 EQ (1-30)  CONTINUE TO Q39]

39

Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, on the days you smoked, about how many cigarettes did you smoke per day? A pack usually has 20 cigarettes in it.

1. Less than 1 cigarette per day

2. 1 cigarette per day

3. 2 to 5 cigarettes per day

4. 6 to 10 cigarettes per day

5. 11 to 20 cigarettes per day

6. More than 20 cigarettes per day

40

Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, what brands of cigarettes did you smoke? (Select one or more)

1. American Spirit

2. Camel

3. Eagle

4. Kool

5. Marlboro

6. Maverick

7. Newport

8. L&M

9. Lucky Strike

10. Pall Mall

11. Winston

12. Some other brand not listed here (Please specify: _____________________)

13. Not sure / I don’t know the brand

[IF >1 OPTION SELECTED  CONTINUE TO Q41]

[IF 1 OPTION SELECTED  SKIP TO Q42]

[IF Q40 EQ (NA)  SKIP TO Q42]

41

Question Universe: past 30-day cigarette smokers reporting more than 1 brand [known]

During the past 30 days, what brand of cigarettes did you usually smoke? (Choose only one answer)

1. I did not smoke a usual brand

2. American Spirit

3. Camel

4. Eagle

5. Kool

6. Marlboro

7. Maverick

8. Newport

9. L&M

10. Lucky Strike

11. Pall Mall

12. Winston

13. Some other brand not listed here (Please specify: _____________________)

14. Not sure / I don’t know the brand

42

Question Universe: past 30-day cigarette smokers [known]

Menthol cigarettes are cigarettes that taste like mint. During the past 30 days, were the cigarettes that you usually smoked menthol?

1. Yes

2. No

3. Not sure

20b

Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, how did you get your cigarettes? (Select one or more)

1. I bought them myself

2. I had someone else buy them for me

3. I asked someone to give me some

4. Someone offered them to me

5. I got them from a friend

6. I got them from a family member

7. I took them from a store or another person

8. I got them in some other way (specify: __________________________________)

[ALL RESPONSES CONTINUE TO Q21b]

21b

Question Universe: past 30-day cigarette smokers [known]

During the past 30 days, where did you buy your cigarettes? (Select one or more)

1. I did not buy cigarettes during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought them from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or another online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): _______________________________

[ALL RESPONSES CONTINUE TO Q43]

43

Question Universe: past 30-day users of cigarettes [known]

Are you seriously thinking about quitting cigarettes? (Please choose the first answer that fits)

1. Yes, during the next 30 days

2. Yes, during the next 6 months

3. Yes, during the next 12 months

4. Yes, but not during the next 12 months

5. No, I am not thinking about quitting cigarettes

44

Question Universe: past 30-day users of cigarettes [known]

During the past 12 months, how many times have you stopped smoking cigarettes for one day or longer because you were trying to quit smoking cigarettes for good?

1. I did not try to quit during the past 12 months

2. 1 time

3. 2 times

4. 3 to 5 times

5. 6 to 9 times

6. 10 or more times

[ALL RESPONSES  SKIP TO INSTRUCT_6]

45

Question Universe: never cigarette smokers [known]

Have you ever been curious about smoking a cigarette?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

46

Question Universe: never cigarette smokers [known]

Do you think that you will try a cigarette soon?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

47

Question Universe: never cigarette smokers [known]

Do you think you will smoke a cigarette in the next year?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

48

Question Universe: never cigarette smokers [known]

If one of your best friends were to offer you a cigarette, would you smoke it?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

INSTRUCT_6

Instruction Universe: all students

The next several questions are about the use of cigars, cigarillos, or little cigars such as Swisher Sweets, Middleton’s (Black & Mild), Backwoods, Garcia y Vega, Cheyenne, White Owl, or Dutch Masters.

49

Question Universe: all students

Have you ever smoked a cigar, cigarillo, or little cigar, even one or two puffs?

1. Yes  [CONTINUE TO Q50]

2. No  [SKIP TO Q58]

[IF Q49 EQ (NA)  SOFT VALIDATION]

[IF Q49 EQ (NA)  SKIP TO Q51]

50

Question Universe: ever cigar smokers [known]

How old were you when you first smoked a cigar, cigarillo, or little cigar, even one or two puffs?

1. 8 years old or younger

2. 9 years old

3. 10 years old

4. 11 years old

5. 12 years old

6. 13 years old

7. 14 years old

8. 15 years old

9. 16 years old

10. 17 years old

11. 18 years old

12. 19 years old or older

51

Question Universe: ever cigar smokers [or unknown]

During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

IF Q51 EQ (NA) – SOFT VALIDATION

[IF Q49 EQ (1) AND Q51 EQ (0)  SKIP TO INSTRUCT_7]

[IF Q49 EQ (NA) AND Q51 EQ (NA)  SKIP TO INSTRUCT_7]

[IF Q49 EQ (NA) AND Q51 EQ (0)  SKIP TO INSTRUCT_7]

[IF Q49 EQ (NA) AND Q51 EQ (1-30)  CONTINUE TO Q52]

[IF Q49 EQ (1) AND Q51 EQ (1-30)  CONTINUE TO Q52]

[IF Q49 EQ (1) AND Q51 EQ (NA) à SKIP TO INSTRUCT_7]

52

Question Universe: past 30-day cigar smokers [known]

During the past 30 days, on the days that you smoked, about how many cigars, cigarillos, or little cigars did you smoke per day?

1. Less than 1 cigar, cigarillo, or little cigar per day

2. 1 per day

3. 2 to 5 per day

4. 6 to 10 per day

5. 11 to 20 per day

6. More than 20 per day

53

Question Universe: past 30-day cigar smokers [known]

During the past 30 days, which of the following types of cigars have you smoked? (Select one or more)

1. Regular cigars

2. Cigarillos

3. Little Cigars

4. Don’t Know  [EXCLUSIVE]

54

Question Universe: past 30-day cigar smokers [known]

During the past 30 days, what brands of cigars, cigarillos, or little cigars did you smoke? (Select one or more)

1. Al Capone

2. Backwoods

3. Cheyenne

4. Djarum

5. Dutch Masters

6. Garcia Y Vega

7. Grabba Leaf

8. Middleton’s (including Black & Mild)

9. Optimo

10. Phillies

11. Swisher Sweets

12. White Owl

13. Some other brand not listed here (specify): ____________________

14. Not Sure / I don’t know the brand

[IF >1 OPTION SELECTED  CONTINUE TO Q55]

[IF 1 OPTION SELECTED  SKIP TO Q17b]

[IF Q54 EQ (NA) à SKIP TO Q17b]

55

Question Universe: past 30-day cigar user reporting >1 brand [known]

During the past 30 days, what brand of cigars, cigarillos, or little cigars did you usually use? (Choose only one answer)

1. I did not use a usual brand

2. Al Capone

3. Backwoods

4. Cheyenne

5. Djarum

6. Dutch Masters

7. Garcia Y Vega

8. Grabba Leaf

9. Middleton’s (including Black & Mild)

10. Optimo

11. Phillies

12. Swisher Sweets

13. White Owl

14. Some other brand not listed here (specify): ____________________

15. Not Sure / I don’t know the brand

[ALL RESPONSES à CONTINUE TO Q17b]

17b

Question Universe: past 30-day cigar user [known]

In the past 30 days when you used cigars, cigarillos, or little cigars, what flavors did you use? (Select one or more)

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drink (such as coffee, soda, lemonade, or other beverage)

9. Candy, desserts, or other sweets

10. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES CONTINUE TO 56]

56

Question Universe: past 30-day cigar users

Did any of the flavors that you used in the past 30 days have names or descriptions that included the word “ice” or “iced” (for example, blueberry ice or strawberry ice)?

A. Yes

B. No

C. Don’t know

57

Question Universe: past 30-day cigar users

Did any of the flavors that you used in the past 30 days have a name that did not describe a specific flavor, such as “solar,” “purple,” “jazz,” “island bash,” “fusion” or some other word or phrase?

A. Yes (specify): ___________________

B. No

C. Don’t know

20c

Question Universe: past 30-day cigar smokers [known]

During the past 30 days, how did you get your cigars, cigarillos, or little cigars? (Select one or more)

1. I bought them myself

2. I had someone else buy them for me

3. I asked someone to give me some

4. Someone offered them to me

5. I got them from a friend

6. I got them from a family member

7. I took them from a store or another person

8. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21c]

21c

Question Universe: past 30-day cigar smokers [known]

During the past 30 days, where did you buy your cigars, cigarillos, or little cigars? (Select one or more)

1. I did not buy cigars, cigarillos, or little cigars during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought them from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or another online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): ________________________________

[ALL RESPONSES à SKIP TO INSTRUCT_7]

58

Question Universe: never cigar smokers [known]

Have you ever been curious about smoking a cigar, cigarillo, or little cigar?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

59

Question Universe: never cigar smokers [known]

Do you think you will try a cigar, cigarillo, or little cigar soon?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

60

Question Universe: never cigar smokers [known]

Do you think you will smoke a cigar, cigarillo, or little cigar in the next year?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

61

Question Universe: never cigar smokers [known]

If one of your best friends were to offer you a cigar, cigarillo, or little cigar, would you smoke it?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

INSTRUCT_7

Instruction Universe: all students

The next question asks about marijuana use in cigars, cigarillos, or little cigars. Sometimes people take the tobacco out of a cigar, cigarillo, or little cigar and replace it with marijuana (also called pot, weed, or cannabis). This is sometimes called a blunt.

62

Question Universe: all students

Have you ever smoked part or all of a cigar, cigarillo, or little cigar with marijuana in it?

1. Yes

2. No

INSTRUCT_8

Instruction Universe: all students

The next several questions are about the use of chewing tobacco, snuff, or dip, such as Copenhagen, Grizzly, Skoal, or Red Seal.

Do not think about snus, nicotine pouches, or other oral nicotine products when you answer these questions.

63

Question Universe: all students

Have you ever used chewing tobacco, snuff, or dip, even just a small amount?

1. Yes  [CONTINUE TO Q64]

2. No  [SKIP TO Q68]

[IF Q63 EQ (NA) – SOFT VALIDATION]

[IF Q63 EQ (NA)  SKIP TO Q65]

64

Question Universe: ever smokeless tobacco users [known]

How old were you when you first used chewing tobacco, snuff, or dip, even just a small amount?

1. 8 years old or younger

2. 9 years old

3. 10 years old

4. 11 years old

5. 12 years old

6. 13 years old

7. 14 years old

8. 15 years old

9. 16 years old

10. 17 years old

11. 18 years old

12. 19 years old or older

65

Question Universe: ever smokeless tobacco users [or unknown]

During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q65 EQ (NA)  SOFT VALIDATION]

[IF Q65 EQ (0, NA)  SKIP TO INSTRUCT_9]

[ELSE IF Q65 EQ (1-30) CONTINUE TO 66]

66

Question Universe: past 30-day smokeless tobacco users [known]

During the past 30 days, what brands of chewing tobacco, snuff, or dip did you use? (Select one or more)

1. Copenhagen

2. Grizzly

3. Kayak

4. Kodiak

5. Longhorn

6. Red Man

7. Red Seal

8. Skoal

9. Stoker’s

10. Timber Wolf

11. Some other brand(s) not listed here (specify): ______________

12. Not sure / I don’t know the brand

[IF >1 OPTION SELECTED  CONTINUE TO Q67]

[IF 1 OPTION SELECTED  SKIP TO Q17c]

[IF Q66 (NA) à SKIP TO Q17c]

67

Question Universe: past 30-day chewing tobacco, snuff, or dip user reporting >1 brand [known]

During the past 30 days, what brand of chewing tobacco, snuff, or dip did you usually use? (Choose only one answer)

1. I did not use a usual brand

2. Copenhagen

3. Grizzly

4. Kayak

5. Kodiak

6. Longhorn

7. Red Man

8. Red Seal

9. Skoal

10. Stoker’s

11. Timber Wolf

12. Some other brand not listed here (specify): __________________

13. Not sure / I don’t know the brand

[ALL RESPONSES à CONTINUE TO Q17c]

17c

Question Universe: past 30-day smokeless tobacco user [known[

In the past 30 days when you used smokeless tobacco, what flavors did you use? (Select one or more)

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drink (such as coffee, soda, lemonade, or other beverage)

9. Candy, desserts, or other sweets

10. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE Q20d]

20d

Question Universe: past 30-day smokeless tobacco user [known]

During the past 30 days, how did you get your chewing tobacco, snuff, or dip? (Select one or more)

1. I bought it myself

2. I had someone else buy it for me

3. I asked someone to give me some

4. Someone offered it to me

5. I got it from a friend

6. I got it from a family member

7. I took it from a store or another person

8. I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21d]

21d

Question Universe: past 30-day smokeless tobacco user [known]

During the past 30 days, where did you buy your chewing tobacco, snuff, or dip? (Select one or more)

1. I did not buy chewing tobacco, snuff, or dip during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought it from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify):________________________________

[ALL RESPONES  SKIP TO INSTRUCT_9]

68

Question Universe: never smokeless tobacco product users [known]

Have you ever been curious about using chewing tobacco, snuff, or dip?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

INSTRUCT_9

Instruction Universe: all students

The next few questions are about snus, such as Camel Snus, Marlboro Snus, or General Snus. Snus is a type of smokeless tobacco that comes in a small pouch that you put under your lip. Snus is different from some other smokeless tobacco products such as nicotine pouches, because it does contain tobacco leaf.

Do not think about chewing tobacco, snuff, dip, nicotine pouches, or other oral nicotine products when answering these questions.

69

Question Universe: all students

Have you ever used snus, even just one time?

1. Yes à [CONTINUE TO Q70]

2. No  [SKIP TO INSTRUCT_10]

[IF Q69 EQ (NA)  SOFT VALIDATION]

[IF Q69 EQ (NA)  CONTINUE TO Q70]

70

Question Universe: ever users of snus [or unknown]

During the past 30 days, on how many days did you use snus?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q70 EQ (NA)  SOFT VALIDATION]

[IF Q70 EQ (1-30)  CONTINUE TO Q17d]

[ELSE IF Q70 EQ (NA)  SKIP TO INSTRUCT_10]

[ELSE IF Q70 EQ (0)  SKIP TO INSTRUCT_10]

17d

Question Universe: past 30-day snus user [known]

In the past 30 days when you used snus, what flavors did you use? (Select one or mor

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drinks (such as coffee, soda, lemonade, or other beverage)

9. Candy, desserts, or other sweets

10. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20e]

20e

Question Universe: past 30-day snus user [known]

During the past 30 days, how did you get your snus? (Select one or more)

1. I bought it myself

2. I had someone else buy it for me

3. I asked someone to give me some

4. Someone offered it to me

5. I got it from a friend

6. I got it from a family member

7. I took it from a store or another person

8. I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21e]

21e

Question Universe: past 30-day snus user [known]

During the past 30 days, where did you buy your snus? (Select one or more)

1. I did not buy snus during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought it from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): ______________________________

[ALL RESPONSES CONTINUE TO INSTRUCT_10]

INSTRUCT_10

Instruction Universe: all students

The next section is about nicotine pouches such as ZYN, on!, VELO or Rogue. These small, flavored pouches are filled with a nicotine-containing powder. Users place nicotine pouches in their mouth and do not need to spit. Nicotine pouches are different from some other smokeless tobacco products such as snus, dip, or chewing tobacco, because they do not contain any tobacco leaf.

Do not think about chewing tobacco, snuff, dip, snus, or other oral nicotine products when answering these questions.

71

Question Universe: all students

Have you ever used a nicotine pouch, even just one time?

1. Yes  [CONTINUE TO Q72]

2. No  [SKIP TO INSTRUCT_11]

3. Don’t Know/Not Sure  [CONTINUE TO Q72]

[IF Q71 EQ (NA)  SOFT VALIDATION]

[IF Q71 EQ (NA)  CONTINUE TO Q72]

72

Question Universe: ever nicotine pouch user [or unknown/don’t know]

During the past 30 days, on how many days did you use a nicotine pouch?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q72 EQ (NA)  SOFT VALIDATION]

[IF Q72 EQ (1-30)  CONTINUE TO Q73]

[ELSE IF Q72 EQ (0)  SKIP TO INSTRUCT_11]

[ELSE IF Q72 EQ (NA)  SKIP TO INSTRUCT_11]

73

Question Universe: past 30-day nicotine pouch user [known]

During the past 30 days, what nicotine pouch brands did you use? (Select one or more)

1. 2ONE

2. FRE

3. on!

4. Rogue

5. VELO

6. ZYN

7. Juice Head ZTN

8. Some other brand(s) not listed here (specify): _____________________

9. Not sure / I don’t know the brand

[IF >1 OPTION SELECTED  CONTINUE TO Q74]

[IF 1 OPTION SELECTED  SKIP TO Q17e]

[IF Q73 EQ (NA) à SKIP TO Q17e]

74

Question Universe: past 30-day nicotine pouch user reporting >1 brand [known]

During the past 30 days, what brand of nicotine pouches did you usually use? (Choose only one answer)

1. I did not use a usual brand

2. 2ONE

3. FRE

4. on!

5. Rogue

6. VELO

7. ZYN

8. Juice Head ZTN

9. Some other brand(s) not listed here (specify): _____________________

10. Not sure / I don’t know the brand

[ALL RESPONSES à CONTINUE TO Q17e]

17e

Question Universe: past 30-day nicotine pouch user [known]

In the past 30 days that you used nicotine pouches, what flavors did you use? (Select one or more)

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcholohic drinks (such as coffee, soda, lemonade, or other beverage)

9. Candy, desserts, or other sweets

10. Unflavored

11. Some other flavor not listed here (Specify: _____________________________)

[[IF ONLY 1 OPTION SELECTED FOR Q17e AND 17e_J EQ 1 CONTINUE TO 20f

[ELSE  CONTINUE TO Q75]

75

Question Universe: past 30-day user of flavored nicotine pouches

Did any of the flavors that you used in the past 30 days have names or descriptions that included the word “ice” or “iced” (for example, blueberry ice or strawberry ice)?

A. Yes

B. No

C. Don’t know

76

Question Universe: past 30-day user of flavored nicotine pouches

Did any of the flavors that you used in the past 30 days have a name that did not describe a specific flavor, such as “solar,” “purple,” “jazz,” “island bash,” “fusion” or some other word or phrase?

A. Yes (specify): ___________________

B, No

C. Don’t know

20f

Question Universe: past 30-day nicotine pouch user [known]

During the past 30 days, how did you get your nicotine pouches? (Select one or more)

1. I bought them myself

2. I had someone else buy them for me

3. I asked someone to give me some

4. Someone offered them to me

5. I got them from a friend

6. I got them from a family member

7. I took them from a store or another person

8. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21f]

21f

Question Universe: past 30-day nicotine pouch user [known]

During the past 30 days, where did you buy your nicotine pouches? (Select one or more)

1. I did not buy nicotine pouches during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought them from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): _______________________________

INSTRUCT_11

Instruction Universe: all students

The next few questions are about other oral nicotine products. Oral nicotine products come in a variety of shapes and types, such as lozenges, discs, tablets, gums, dissolvable tobacco products, and other products. Examples of these products include Velo Nicotine Lozenges, Rogue Lozenges, Rogue Tablets, Verve discs or Stonewall. Most oral nicotine products dissolve in your mouth and do not require spitting.

Do not think about chewing tobacco, snuff, dip, snus, or nicotine pouches when answering these questions.

77

Question Universe: all students

Have you ever used any oral nicotine products, even just one time?

1. Yes  [CONTINUE TO Q78]

2. No  [SKIP TO INSTRUCT_12]

[IF Q77 EQ (NA)  SOFT VALIDATION]

[IF Q77 EQ (NA)  CONTINUE TO Q77]

78

Question Universe: ever users of oral nicotine products [or unknown]

During the past 30 days, on how many days did you use oral nicotine products?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q78 EQ (NA)  SOFT VALIDATION]

[IF Q78 EQ (1-30)  CONTINUE TO Q17f]

[ELSE IF Q78 EQ (NA)  SKIP TO INSTRUCT_12]

[ELSE IF Q78 EQ (0)  SKIP TO INSTRUCT_12]

17f

Question Universe: past 30-day oral nicotine product user [known]

In the past 30 days when you used oral nicotine products, what flavors did you use? (Select one or more)

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drinks (such as coffee, soda, lemonade, or other beverage)

9. Candy, desserts, or other sweets

10. Unflavored

11. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20g]

20g

Question Universe: past 30-day oral nicotine product user [known]

During the past 30 days, how did you get your oral nicotine products? (Select one or more)

1. I bought them myself

2. I had someone else buy them for me

3. I asked someone to give me some

4. Someone offered them to me

5. I got them from a friend

6. I got them from a family member

7. I took them from a store or another person

8. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21g]

21g

Question Universe: past 30-day oral nicotine product user [known]

During the past 30 days, where did you buy your oral nicotine products? (Select one or more)

1. I did not buy oral nicotine products during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought them from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): _________________________________

INSTRUCT_12

Instruction Universe: all students

The next several questions are about smoking tobacco in a hookah, which is a type of waterpipe. Shisha (or hookah tobacco) is smoked in a hookah.

79

Question Universe: all students

Have you ever smoked tobacco in a hookah or waterpipe, even one or two puffs?

1. Yes  [CONTINUE TO Q80]

2. No  [SKIP TO Q83]

[IF Q79 EQ (NA) – SOFT VALIDATION]

[IF Q79 EQ (NA) à SKIP TO Q81]

80

Question Universe: ever hookah users [known]

How old were you when you first smoked tobacco in a hookah or waterpipe, even one or two puffs?

1. 8 years old or younger

2. 9 years old

3. 10 years old

4. 11 years old

5. 12 years old

6. 13 years old

7. 14 years old

8. 15 years old

9. 16 years old

10. 17 years old

11. 18 years old

12. 19 years old or older

81

Question Universe: ever hookah users [or unknown]

During the past 30 days, on how many days did you smoke tobacco in a hookah or waterpipe?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q79 EQ (NA)  SOFT VALIDATION]

[IF Q79 EQ (1) AND Q81 EQ (0)  SKIP TO INSTRUCT_13]

[IF Q79 EQ (NA) AND Q81 EQ (NA)  SKIP TO INSTRUCT_13]

[IF Q79 EQ (1) AND Q81 EQ (NA)  SKIP TO INSTRUCT_13]

[IF Q79 EQ (NA) AND Q81 EQ (0)  SKIP TO INSTRUCT_13]

[IF Q79 EQ (NA) AND Q81 EQ (1-30)  CONTINUE TO Q82]

[IF Q79 EQ (1) AND Q81 EQ (1-30)  CONTINUE TO Q82]

82

Question Universe: past 30-day hookah users [known]

During the past 30 days, where did you smoke tobacco in a hookah or waterpipe? (Select one or more)

1. At my house

2. At a friend’s house

3. At a family member’s house, other than my house

4. At a hookah bar

5. At a café or restaurant

6. Some other place not listed here

17g

Question Universe: past 30-day hookah user [known]

In the past 30 days when you used hookah or waterpipe, what flavors did you use? (Select one or more)

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drinks (such as coffee, soda, lemonade, or other beverage)

9. Candy, desserts, or other sweets

10. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20h]

20h

Question Universe: past 30-day hookah user [known]

During the past 30 days, how did you get your hookah tobacco? (Select one or more)

1. I bought it myself

2. I had someone else buy it for me

3. I asked someone to give me some

4. Someone offered it to me

5. I got it from a friend

6. I got it from a family member

7. I took it from a store or another person

8. I got it in some other way (Specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21h]

21h

Question Universe: past 30-day hookah user [known]

During the past 30 days, where did you buy your hookah tobacco? (Select one or more)

1. I did not buy hookah tobacco during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought it from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): ________________________________

[ALL RESPONSES  SKIP TO INSTRUCT_13]

83

Question Universe: never hookah users [known]

Have you ever been curious about smoking tobacco in a hookah or waterpipe?

1. Definitely yes

2. Probably yes

3. Probably not

4. Definitely not

INSTRUCT_13

Instruction Universe: all students

The next section is about heated tobacco products such as IQOS or Eclipse. You may know them as heated cigarettes or “heat-not-burn” tobacco products. Heated tobacco products heat processed tobacco leaf in the form of sticks (“heatsticks”), plugs, or capsules to produce a vapor that the user inhales. They are different from e-cigarettes, which heat a liquid to produce a vapor.

Do not think about e-cigarettes when answering these questions.

84

Question Universe: all students

Have you ever used a heated tobacco product, even just one time?

1. Yes  [CONTINUE TO Q85]

2. No  [SKIP TO INSTRUCT_14]

3. Don’t Know/Not Sure  [CONTINUE TO Q85]

[IF Q91 EQ (NA)  SOFT VALIDATION]

[IF Q91 EQ (NA)  CONTINUE TO Q85]

85

Question Universe: ever heated tobacco product user [or unknown/don’t know]

During the past 30 days, on how many days did you use a heated tobacco product?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q85 EQ (NA)  SOFT VALIDATION]

[IF Q85 EQ (1-30)  CONTINUE TO Q17h]

[ELSE IF Q85 EQ (0)  SKIP TO INSTRUCT_14]

[ELSE IF Q85 EQ (NA)  SKIP TO INSTRUCT_14]

17h

Question Universe: past 30-day heated tobacco product user [known]

In the past 30 days when you used heated tobacco products, what flavors did you use? (Select one or more)

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drinks (such as coffee, soda, lemonade, or other beverage)

9. Candy, desserts, or other sweets

10. Unflavored

11. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20i]

20i

Question Universe: past 30-day heated tobacco product user [known]

During the past 30 days, how did you get your heated tobacco products? (Select one or more)

1. I bought them myself

2. I had someone else buy them for me

3. I asked someone to give me some

4. Someone offered them to me

5. I got them from a friend

6. I got them from a family member

7. I took them from a store or another person

8. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21i]

21i

Question Universe: past 30-day heated tobacco product user [known]

During the past 30 days, where did you buy your heated tobacco products? (Select one or more)

1. I did not buy heated tobacco products during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought them from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): _________________________________

INSTRUCT_14

Instruction Universe: all students

The next few questions are about smoking tobacco in a pipe.

Do not think about smoking tobacco in a hookah (waterpipe) when answering these questions.

86

Question Universe: all students

Have you ever smoked pipes filled with tobacco (not hookah or waterpipe), even just one time?

1. Yes  [CONTINUE TO Q87]

2. No  [SKIP TO INSTRUCT_15]

[IF Q86 EQ (NA)  SOFT VALIDATION]

[IF Q86 EQ (NA)  CONTINUE TO Q87]

87

Question Universe: ever users of pipes [or unknown]

During the past 30 days, on how many days did you smoke pipes filled with tobacco?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q87 EQ (NA) – SOFT VALIDATION]

[IF Q87 EQ (1-30)  CONTINUE TO Q17i]

[ELSE IF Q87 EQ (NA)  SKIP TO INSTRUCT_15]

[ELSE IF Q87 EQ (0)  SKIP TO INSTRUCT_15]

17i

Question Universe: past 30-day pipe tobacco user [known]

In the past 30 days when you smoked pipes filled with tobacco, what flavors did you use? (Select one or more)

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drinks (such as coffee, soda, lemonade, or other beverages)

9. Candy, desserts, or other sweets

10. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20j]

20j

Question Universe: past 30-day pipe tobacco user [known]

During the past 30 days, how did you get your pipe tobacco? (Select one or more)

1. I bought it myself

2. I had someone else buy it for me

3. I asked someone to give me some

4. Someone offered it to me

5. I got it from a friend

6. I got it from a family member

7. I took it from a store or another person

8. I got it in some other way (specify: ______________________________________)

[ALL RESPONSES CONTINUE TO Q21j]

21j

Question Universe: past 30-day pipe tobacco user [known]

During the past 30 days, where did you buy your pipe tobacco? (Select one or more)

1. I did not buy pipe tobacco during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought it from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): _________________________________

[ALL RESPONSES CONTINUE TO INSTRUCT_15]

INSTRUCT_15

Instruction Universe: all students

The next few questions are about bidis. Bidis are small brown cigarettes wrapped in a leaf that are typically tied on one or both ends with a string.

88

Question Universe: all students

Have you ever smoked bidis, even just one time?

1. Yes  [CONTINUE TO Q89]

2. No  [SKIP TO INSTRUCT_16]

[IF Q88 EQ (NA)  SOFT VALIDATION]

[IF Q55 EQ (NA)  CONTINUE TO Q89]

89

Question Universe: ever users of bidis [or unknown]

During the past 30 days, on how many days did you smoke bidis?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q89 EQ (NA)  SOFT VALIDATION]

[IF Q89 EQ (1-30)  CONTINUE TO Q17j]
[ELSE IF Q89 EQ (NA)  SKIP TO INSTRUCT_16]

[ELSE IF Q89 EQ (0)  SKIP TO INSTRUCT_16]

17j

Question Universe: past 30-day bidis user [known]

In the past 30 days when you used bidis, what flavors did you use? (Select one or more

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drinks (such as coffee, soda, lemonade, or other beverages)

9. Candy, desserts, or other sweets

10. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO 20k]

20k

Question Universe: past 30-day bidis user [known]

During the past 30 days, how did you get your bidis? (Select one or more)

1. I bought them myself

2. I had someone else buy them for me

3. I asked someone to give me some

4. Someone offered them to me

5. I got them from a friend

6. I got them from a family member

7. I took them from a store or another person

8. I got them in some other way (specify: ___________________________________)

[ALL RESPONSES CONTINUE TO Q21k]

21k

Question Universe: past 30-day bidis user [known]

During the past 30 days, where did you buy your bidis? (Select one or more)

1. I did not buy bidis during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought them from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): ________________________________

[ALL RESPONSES  CONTINUE TO INSTRUCT_16]

INSTRUCT_16

Instruction Universe: all students

The next few questions are about roll-your-own cigarettes.

Do not think about manufactured cigarettes when answering these questions.

90

Question Universe: all students

Have you ever smoked roll-your-own cigarettes, even just one time?

1. Yes [CONTINUE TO Q91]

2. No  [SKIP TO INSTRUCT_17]

[IF Q90 EQ (NA) SOFT VALIDATION]

[IF Q90 EQ (NA)  CONTINUE TO Q91]

91

Question Universe: ever users of roll-your-own tobacco products [or unknown]

During the past 30 days, on how many days did you smoke roll-your-own cigarettes?

Specify: |__|__| (Range 0 – 30)

[PROGRAMMING: RANGE (0 – 30) ALLOWED]

[IF Q91 EQ (NA)  SOFT VALIDATION]

[IF Q91 EQ (1-30)  CONTINUE TO Q17k]

[ELSE IF Q91 EQ (NA)  SKIP TO INSTRUCT_17]

[ELSE IF Q91 EQ (0)  SKIP TO INSTRUCT_17]

17k

Question Universe: past 30-day roll-your-own user [known]

In the past 30 days when you used roll-your-own cigarettes, what flavors did you use? (Select one or more)

1. Tobacco-flavor

2. Menthol

3. Mint

4. Spice (such as cinnamon, vanilla, or clove)

5. Fruit

6. Chocolate

7. Alcoholic drinks (such as wine, margarita, or other cocktails)

8. Non-alcoholic drinks (such as coffee, soda, lemonade, or other beverages)

9. Candy, desserts, or other sweets

10. Some other flavor not listed here (Specify: _____________________________)

[ALL RESPONSES  CONTINUE TO Q20l]

20l

Question Universe: past 30-day roll-your-own user [known]

During the past 30 days, how did you get your roll-your-own cigarettes? (Select one or more)

1. I bought them myself

2. I had someone else buy them for me

3. I asked someone to give me some

4. Someone offered them to me

5. I got them from a friend

6. I got them from a family member

7. I took them from a store or another person

8. I got them in some other way (specify: __________________________________)

[ALL RESPONSES CONTINUE TO Q21l]

21l

Question Universe: past 30-day roll-your-own user [known]

During the past 30 days, where did you buy your roll-your-own cigarettes? (Select one or more)

1. I did not buy roll-your-own cigarettes during the past 30 days  [EXCLUSIVE RESPONSE]

2. I bought them from another person (a friend, family member, or someone else)

3. A gas station or convenience store

4. A grocery store

5. A drugstore

6. A mall or shopping center kiosk/stand

7. A vending machine

8. On the Internet (such as a product website, online vape or tobacco store or other online marketplace)

9. Through the mail

10. Through a delivery service (such as DoorDash or Postmates)

11. A vape shop or tobacco shop

12. Some other place not listed here (specify): ________________________________

[ALL RESPONSES CONTINUE TO INSTRUCT_17]

INSTRUCT_17

Programming Universe: all students

Programming note, only.

CONDITION #1: “current tobacco product user”

IF { [Q9=(1-30)] OR [Q39=(1-30)] OR [Q54=(1-30)] OR [Q69=(1-30)] OR [Q75=(1-30)] OR [Q78=(1-30)] OR [Q84=(1-30)] OR [Q87=(1-30)] OR [Q93=(1-30)] OR [Q95=(1-30)] OR [Q97=(1-30)] OR [(Q99=(1-30)] }  CONTINUE TO INSTRUCT_18

CONDITION #2: “never tobacco product user”; “former user of at least one product”

ELSE  SKIP TO INSTUCT_20

INSTRUCT_18

Instruction Universe: current (past 30-day) tobacco product user (any product) [known]

In answering the next 5 questions, please think about all of the tobacco products that you have used in the past 30 days, including e-cigarettes, cigarettes, cigars, smokeless tobacco, snus, nicotine pouches, other oral nicotine products, hookahs, heated tobacco products, pipe tobacco, bidis, and roll-your-own cigarettes.

92

Question Universe: current (past 30-day) tobacco product user (any product) [known]

During the past 30 days, on how many days did you use any tobacco product(s)?

Specify: |__|__| (Range 1 – 30)

[PROGRAMMING: RANGE (1 – 30) ALLOWED]

93

Question Universe: past 30-day users of any tobacco product [known]

During the past 30 days, have you had a strong craving or felt like you really needed to use a tobacco product of any kind?

1. Yes

2. No

94

Question Universe: past 30-day users of any tobacco product [known]

How soon after you wake up do you want to use a tobacco product of any kind?

1. I do not want to use tobacco products

2. Within 5 minutes

3. From 6 to 30 minutes

4. From more than 30 minutes to 1 hour

5. After more than 1 hour but less than 24 hours

6. I rarely want to use tobacco products

95

Question Universe: past 30-day tobacco product users (any product) [known]

Are you seriously thinking about quitting the use of all tobacco products? (Please choose the first answer that fits)

1. Yes, during the next 30 days

2. Yes, during the next 6 months

3. Yes, during the next 12 months

4. Yes, but not during the next 12 months

5. No, I am not thinking about quitting the use of all tobacco products

96

Question Universe: past 30-day tobacco product users (any product) [known]

During the past 12 months, how many times have you stopped using all tobacco products for one day or longer because you were trying to quit all tobacco products for good?

1. I did not try to quit all tobacco products during the past 12 months

2. 1 time

3. 2 times

4. 3 to 5 times

5. 6 to 9 times

6. 10 or more times

INSTRUCT_19

Instruction Universe: past 30-day tobacco product users (any product) [known]

The next few questions are about getting tobacco products.

97

Question Universe: past 30-day tobacco product users (any product) [known]

During the past 30 days, did anyone refuse to sell you any tobacco products because of your age?

1. I did not try to buy any tobacco products during the past 30 days

2. Yes

3. No

[ALL RESPONSES  SKIP TO Q98]

INSTRUCT_20

Instruction Universe: never, former users of any tobacco product [known/unknown]

The next two questions ask your thoughts about getting tobacco products.

98

Question Universe: all students

How easy do you think it is for people your age to buy tobacco products in a store?

1. Easy

2. Somewhat easy

3. Not easy at all

99

Question Universe: all students

How easy do you think it is for people your age to buy tobacco products online?

1. Easy

2. Somewhat easy

3. Not easy at all

INSTRUCT_21

Instruction Universe: Universe: all students

The next several questions are about visits to a doctor, dentist, nurse, or other health professional during

the past 12 months.

100

(Added for

2024)

Question Universe: all students

Have you visited a doctor, dentist, or nurse in the past 12 months?

A. Yes → [CONTINUE TO INSTRUCT_22]

B. No → [SKIP TO INSTRUCT_24]

[IF 100 EQ (NA) SKIP TO INSTRUCT_24]

INSTRUCT_22

Instruction Universe: all students who have visited a doctor, dentist, or nurse in the past 12 months

Please think about cigarettes, only, when answering the next two questions.

101

(Added for

2024)

Question Universe: all students who have visited a doctor, dentist, or nurse in the past 12 months

During any of these visits to a doctor, dentist, nurse, or other health professional, were you asked if you

used cigarettes?

A. Yes

B. No

102

(Added for

2024)

Question Universe: all students who have visited a doctor, dentist, or nurse in the past 12 months

During any of these visits, were you advised to not use cigarettes?

A. Yes

B. No

INSTRUCT_23

Instruction Universe: all students who have visited a doctor, dentist, or nurse in the past 12 months

Please think about e-cigarettes, only, when answering the next two questions.

103

(Added for

2024)

Question Universe: all students who have visited a doctor, dentist, or nurse in the past 12 months

During any of these visits to a doctor, dentist, nurse, or other health professional, were you asked if you

used e-cigarettes?

A. Yes

B. No

104

(Added for

2024)

Question Universe: all students who have visited a doctor, dentist, or nurse in the past 12 months

During any of these visits, were you advised to not use e-cigarettes?

A. Yes

B. No

INSTRUCT_24

Instruction Universe: all students

The next five questions are related to antitobacco messaging.

105

106

107

108

109

Question Universe: all students

A warning label tells you if a product is harmful to you and can be either a picture or words.

During the past 30 days, how often did you see a warning label on…

	Never	Rarely	Sometimes	Most of the Time	Always	I didn’t see this tobacco product packaging in the past 30 days
An e-cigarette package?	A	B	C	D	E	F
A cigarette package?	A	B	C	D	E	F
A cigar, cigarillo, or little cigar package?	A	B	C	D	E	F
A package of chewing tobacco, snuff, or dip?	A	B	C	D	E	F
A package of hookah tobacco?	A	B	C	D	E	F

INSTRUCT_25

Instruction Universe: all students

The next several questions ask about your thoughts on tobacco products.

110

Question Universe: all students

How much do you think people harm themselves when they smoke cigarettes on some days but not every day?

1. No harm

2. Little harm

3. Some harm

4. A lot of harm

111

Question Universe: all students

How much do you think people harm themselves when they smoke cigars, cigarillos, or little cigars, on some days but not every day?

1. No harm

2. Little harm

3. Some harm

4. A lot of harm

112

Question Universe: all students

Do you believe that cigars, cigarillos, or little cigars are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

1. Less addictive

2. Equally addictive

3. More addictive

4. I have never heard of cigars, cigarillos, or little cigars

5. I don’t know enough about these products

113

Question Universe: all students

How much do you think people harm themselves when they use e-cigarettes on some days but not every day?

1. No harm

2. Little harm

3. Some harm

4. A lot of harm

114

Question Universe: all students

Do you believe that e-cigarettes are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

1. Less addictive

2. Equally addictive

3. More addictive

4. I have never heard of e-cigarettes

5. I don’t know enough about these products

115

Question Universe: all students

Compared to a typical cigarette, would you think that a cigarette advertised as low nicotine would be…

1. Much less harmful

2. Slightly less harmful

3. Equally harmful

4. Slightly more harmful

5. Much more harmful

116

(added for 2024)

Question Universe: all students

How much do you think people harm themselves when they use nicotine pouches on some days but not every day?

A. No harm

B. Little harm

C. Some harm

D. A lot of harm

117

(added for 2024)

Question Universe: all students

Do you believe that nicotine pouches are (LESS ADDICTIVE, EQUALLY ADDICTIVE, or MORE ADDICTIVE) than cigarettes?

A. Less addictive

B. Equally addictive

C. More addictive

D. I have never heard of nicotine pouches

E. I don’t know enough about these products

INSTRUCT_26

Instruction Universe: all students

The next two questions are about synthetic nicotine. Some tobacco products contain tobacco leaves or nicotine from tobacco plants (i.e., tobacco-derived). Now, some products contain synthetic or artificial nicotine. Synthetic nicotine is nicotine created in a lab from chemicals that do not come from tobacco plants.

118

Question Universe: all students

Before today, have you heard of synthetic nicotine?

1. Yes

2. No

3. Don’t know/Not Sure

119

Question Universe: all students

Compared to nicotine from tobacco leaves or plants, would you think that synthetic nicotine (created in a lab from chemicals) would be…

1. Much less harmful

2. Slightly less harmful

3. Equally harmful

4. Slightly more harmful

5. Much more harmful

120

Question Universe: all students

Out of every 10 students in your grade at school, how many do you think smoke cigarettes?

1. 0

2. 1

3. 2

4. 3

5. 4

6. 5

7. 6

8. 7

9. 8

10. 9

11. 10

121

Question Universe: all students

Out of every 10 students in your grade at school, how many do you think use e-cigarettes?

1. 0

2. 1

3. 2

4. 3

5. 4

6. 5

7. 6

8. 7

9. 8

10. 9

11. 10

INSTRUCT_27

Instruction Universe: all students

The next five questions ask about e-cigarette advertisements.

Do not think about cigarettes or other tobacco products when answering these questions.

122

(Added for

2024)

Question Universe: all students

When you are using the Internet, how often do you see ads or promotions for e-cigarettes?

A. I do not use the Internet

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

123

(Added for

2024)

Question Universe: all students

When you read newspapers or magazines, how often do you see ads or promotions for e-cigarettes?

A. I do not read newspapers or magazines

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

124

(Added for

2024)

Question Universe: all students

When you go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping center,

how often do you see ads or promotions for e-cigarettes?

1. I never go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping center

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

125

(Added for

2024)

Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the

movies, how often do you see ads or promotions for e-cigarettes?

A. I do not watch TV or streaming services, or go to the movies

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

126

(Added for

2024)

Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the

movies, how often do you see people or characters using e-cigarettes?

A. I do not watch TV or streaming services, or go to the movies

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

INSTRUCT_28

Instruction Universe: all students

The next five questions ask about advertisements for cigarettes and other tobacco products

(cigarettes, cigars, smokeless tobacco, hookahs, roll-your-own cigarettes, pipes, snus, dissolvable

tobacco, bidis, heated tobacco products, and nicotine pouches).

Do not think of e-cigarettes when answering these questions.

127

(Added for

2024)

Question Universe: all students

When you are using the Internet, how often do you see ads or promotions for cigarettes or other

tobacco products?

A. I do not use the Internet

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

128

(Added for

2024)

Question Universe: all students

When you read newspapers or magazines, how often do you see ads or promotions for cigarettes or

other tobacco products?

A. I do not read newspapers or magazines

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

129

(Added for

2024)

Question Universe: all students

When you go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping center,

how often do you see ads or promotions for cigarettes or other tobacco products?

1. I never go to a convenience store, supermarket, gas station, kiosk/storefront, or shopping

center

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

130

(Added for

2024)

Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the

movies, how often do you see ads or promotions for cigarettes or other tobacco products?

A. I do not watch TV or streaming services, or go to the movies

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

131

(Added for

2024)

Question Universe: all students

When you watch TV or streaming services (such as Netflix, Hulu, or Amazon Prime), or go to the

movies, how often do you see people or characters using cigarettes or other tobacco products?

A. I do not watch TV or streaming services, or go to the movies

B. Never

C. Rarely

D. Sometimes

E. Most of the time

F. Always

INSTRUCT_29

Instruction Universe: all students

The next four questions ask about you being around other people’s tobacco smoke.

Do not include exposure to vapor from e-cigarettes.

132

Question Universe: all students

During the past 7 days, on how many days did someone smoke tobacco products in your home while you were there?

1. 0 days

2. 1 day

3. 2 days

4. 3 days

5. 4 days

6. 5 days

7. 6 days

8. 7 days

133

Question Universe: all students

During the past 7 days, on how many days did you ride in a vehicle when someone was smoking a tobacco product?

1. 0 days

2. 1 day

3. 2 days

4. 3 days

5. 4 days

6. 5 days

7. 6 days

8. 7 days

134

Question Universe: all students

During the past 30 days, on how many days were you exposed to the smoke from someone who was smoking tobacco products in an indoor public place?

Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Do not think about homes when answering this question.

1. 0 days

2. 1 or 2 days

3. 3 to 5 days

4. 6 to 9 days

5. 10 to 19 days

6. 20 to 29 days

7. All 30 days

135

Question Universe: all students

During the past 30 days, on how many days were you exposed to the smoke from someone who was smoking tobacco products in an outdoor public place?

Examples of outdoor public places are school grounds, sidewalks, parking lots, stadiums, and parks.

1. 0 days

2. 1 or 2 days

3. 3 to 5 days

4. 6 to 9 days

5. 10 to 19 days

6. 20 to 29 days

7. All 30 days

INSTRUCT_30

Instruction Universe: all students

The next five questions ask about being around other people’s e-cigarette vapor.

Do not include exposure to smoke from cigarettes or other tobacco products.

136

Question Universe: all students

During the past 7 days, on how many days did someone use e-cigarettes in your home while you were there?

1. 0 days

2. 1 day

3. 2 days

4. 3 days

5. 4 days

6. 5 days

7. 6 days

8. 7 days

137

Question Universe: all students

During the past 7 days, on how many days did you ride in a vehicle when someone was using an e-cigarette?

1. 0 days

2. 1 day

3. 2 days

4. 3 days

5. 4 days

6. 5 days

7. 6 days

8. 7 days

138

Question Universe: all students

During the past 30 days, on how many days were you exposed to the vapor from someone who was using an e-cigarette in an indoor public place?

Examples of indoor public places are school buildings, stores, restaurants, and sports arenas. Do not think about homes when answering this question.

1. 0 days

2. 1 or 2 days

3. 3 to 5 days

4. 6 to 9 days

5. 10 to 19 days

6. 20 to 29 days

7. All 30 days

139

Question Universe: all students

During the past 30 days, on how many days were you exposed to the vapor from someone who was using an e-cigarette in an outdoor public place?

Examples of outdoor public places are school grounds, sidewalks, parking lots, stadiums, and parks.

1. 0 days

2. 1 or 2 days

3. 3 to 5 days

4. 6 to 9 days

5. 10 to 19 days

6. 20 to 29 days

7. All 30 days

INSTRUCT_31

Instruction Universe: all students

The next two questions ask about your experiences with tobacco products at school and at home.

140

Question Universe: all students

While at school or on school property, have you ever seen anyone using an e-cigarette, such as JUUL, Vuse, NJOY, Elf Bar or blu,in any of the following locations? (Select one or more)

1. Yes, inside a school bathroom or locker room

2. Yes, inside a classroom

3. Yes, inside some other area of the school (hallway, cafeteria)

4. Yes, outside of the school, such as in the parking lot, sidewalk, sports field, or other school grounds

5. Yes, somewhere else not listed here [SPECIFY: ________________________]

6. No  [EXCLUSIVE]

141

Question Universe: all students

Does anyone who lives with you now…? (Select one or more)

1. Use e-cigarettes

2. Smoke cigarettes

3. Smoke cigars, cigarillos, or little cigars

4. Use chewing tobacco, snuff, or dip

5. Use snus

6. Use nicotine pouches

7. Use other oral nicotine products

8. Smoke tobacco in a hookah or waterpipe

9. Use heated tobacco products

10. Smoke pipes filled with tobacco (not hookah or waterpipe)

11. Smoke bidis

12. Smoke roll-your-own cigarettes

13. No one who lives with me now uses any form of tobacco  [EXCLUSIVE]

INSTRUCT_32

Instruction Universe: all students

The next two sets of questions ask about discrimination you may have experienced because of your race and ethnicity.

142

Question Universe: all students

After each statement in this question, tell us whether you have experienced each of the following types of discrimination because of your race or ethnicity. Remember, we are only interested in occasions when racial-ethnic discrimination was at least partly responsible for your experience.

Have you experienced this?

Experience	A. Yes	B. No
A. You were discouraged from joining an advanced level class.
B. You were wrongly disciplined or given after-school detention.
C. You were given a lower grade than you deserved.
D. You were discouraged from joining a club.
E. Others your age did not include you in their activities.
F. People expected more of you than they expected of others your age.
G. People expected less of you than they expected of others your age.
H. People assumed your English was poor.
I. You were hassled by the police.
J. You were hassled by a store clerk or store guard.
K. You were called racially insulting names.
L. You received poor service at a restaurant or store.
M. People acted as if they thought you were not smart.
N. People acted as if they were afraid of you.
O. You were threatened.

[IF (Q142a | Q142b | Q142c | Q142d | Q142e | Q142f | Q142g | Q142h | Q142i | Q142j | Q142k | Q142l | Q142m | Q142n | Q142o) EQ (1)  CONTINUE TO Q143(a-o)]

[ELSE SKIP TO INSTRUCT_33]

143

Question Universe: all students

How much did this experience upset you?

Experience	A. Not at all	B. Slightly	C. Moderately	D. Considerably	E. Extremely
[SHOW IF 142a = 1] A. You were discouraged from joining an advanced level class.
[SHOW IF 142b = 1] B. You were wrongly disciplined or given after-school detention.
[SHOW IF 142c = 1] C. You were given a lower grade than you deserved.
[SHOW IF 142d = 1] D. You were discouraged from joining a club.
[SHOW IF 142e = 1] E. Others your age did not include you in their activities.
[SHOW IF 142f = 1] F. People expected more of you than they expected of others your age.
[SHOW IF 142g = 1] G. People expected less of you than they expected of others your age.
[SHOW IF 142h = 1] H. People assumed your English was poor.
[SHOW IF 142i = 1] I. You were hassled by the police.
[SHOW IF 142j = 1] J. You were hassled by a store clerk or store guard.
[SHOW IF 142k = 1] K. You were called racially insulting names.
[SHOW IF 142l = 1] L. You received poor service at a restaurant or store.
[SHOW IF 142m = 1] M. People acted as if they thought you were not smart.
[SHOW IF 142n = 1] N. People acted as if they were afraid of you.
[SHOW IF 142o = 1] O. You were threatened.

[ALL RESPONSES  CONTINUE TO INSTRUCT_28]

INSTRUCT_33

Instruction Universe: all students

The next set of questions ask about the neighborhood where you live.

144

Question Universe: all students

How true are the following statements about your neighborhood?

	A. Not at all true	B. A Little true	C. Sort of true	D. Very true
A. There are plenty of safe places to walk or spend time outdoors in my neighborhood.
B. Every few weeks, some kid in my neighborhood gets beat-up or mugged.
C. Every few weeks, some adult gets beat-up or mugged in my neighborhood.
D. I have seen people using or selling drugs in my neighborhood.
E. In the morning or later in the day, I often see drunk people on the street in my neighborhood.
F. Most adults in my neighborhood respect the law.
G. I feel safe when I walk around my neighborhood by myself during the day.
H. People who live in my neighborhood often damage or steal each other’s property.
I. I feel safe when I walk around my neighborhood by myself at night.
J. In my neighborhood, the people with the most money are the drug dealers.

[ALL RESPONSES  CONTINUE TO INSTRUCT_34]

INSTRUCT_34

Instruction Universe: all students

The last several questions ask about your experiences at home and at school.

145

Question Universe: all students

Do you speak a language other than English at home?

1. Yes

2. No

146

Adding Updated FAS/

Question Universe: all students

Does your family own a vehicle (such as a car, van, or truck)?

A. No

B. Yes, one

C. Yes, two or more

147

Adding Updated FAS

Question Universe: all students

Do you have your own bedroom?

A. No

B. Yes

148

Adding Updated FAS

Question Universe: all students

How many computers (including laptops and tablets, not including game consoles and smartphones) does your family own?

A. None

B. One

C. Two

D. More than two

149

Adding Updated FAS/

Question Universe: all students

How many times did you and your family travel out of U.S for a holiday/vacation last year

A. Not at all

B. Once

C. Twice

D. More than twice

150

Adding Updated FAS

Question Universe: all students

Does your family have a dishwasher at home?

A. No

B. Yes

151

Adding Updated FAS

Question Universe: all students

How many bathrooms (rooms with a bath/shower or both) in your home?​

1. None​

2. One​

3. Two​

4. More than two

152

Parent SES

Question Universe: all students

What is the highest level of education obtained by your parent(s)? If your parents obtained different levels of education, select the highest one.

  A. Elementary/Junior High School ​

  B. Some High School ​

  C. High School graduate/GED ​

  D. Some college

E. 2-year college degree ​

  F. 4-year college degree ​

  G. Graduate or professional degree (Master’s, Ph.D., M.D., J.D., etc.) ​

  H. Don’t know

153

Question Universe: all students

Sexual orientation is a person’s emotional, romantic, and/or sexual attraction to another person. There are many ways a person can describe their sexual orientation and many labels a person can use. Which of these options best describes your sexual orientation?

1. Straight or heterosexual

2. Gay or lesbian

3. Bisexual, pansexual, or queer

4. Asexual

5. I am not sure or I am questioning

6. I do not know what this question means

7. Something else not included here [Specify:_____________________]

8. Decline to answer

154

Question Universe: all students

Which of the following best describes your gender?

A. Girl or woman

B. Boy or man

C. Nonbinary, genderfluid, or genderqueer

D. Something else not included here [Specify:_________________]

E. I am not sure or I am questioning

F. Decline to answer

155

Question Universe: all students

Some people describe themselves as transgender when their sex at birth does not match the way they think or feel about their gender. Are you transgender?

A. No, I am not transgender

B. Yes, I am transgender

C. I am not sure or I am questioning if I am transgender

D. I do not know what this question means

E. Decline to answer

156

157

158

159

Question Universe: all students

During the past two weeks, how often have you been bothered by any of the following problems?

	Not at all	Several Days	More than half of the days	Nearly every day
Little interest or pleasure in doing things	A	B	C	D
Feeling down, depressed, or hopeless	A	B	C	D
Feeling nervous, anxious, or on edge	A	B	C	D
Not being able to stop or control worrying	A	B	C	D

160

Question Universe: all students

During the past 12 months, how would you describe your grades in school?

1. Mostly A’s

2. Mostly B’s

3. Mostly C’s

4. Mostly D’s

5. Mostly F's

6. None of these grades

7. Not sure

161

Question Universe: all students

Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?

1. Yes

2. No