NIcorrete | QuestionPro

Dear Sir/Madam,

We, the students of Indian Institute of Management Kozhikode (IIM-K), are conducting a survey regarding Nicorette, a recently launched smoking cessation gum by Johnson & Johnson. Please take out 15 minutes from your busy schedule to respond to the questions below. This information shall be used for academic purposes only and the data collected herein shall be kept strictly confidential.

Do you / did you ever smoke tobacco?

Yes

No

If yes, then how many cigarettes do you smoke daily on an average?

Less than 5 cigarettes a day

5 – 10 cigarettes a day

More than 10 cigarettes a day

Divide 100 points among the main reasons behind smoking? Higher points reflect more importance to a reason.

It gives me a high

It has become a part of my day to day life

I smoke only for socializing with friends & colleagues

It helps me relax and acts as a stress buster

Any other, please specify

0

Do you want or have you ever tried to reduce/quit smoking?

Yes

No

If no, move directly to question No. 8

How would you rate yourself on a scale of 1 to 5 in terms of your willingness to quit? Tick mark

How important are the following reasons for you for quitting smoking?

What all steps you intend to take up to quit/reduce your smoking habits? Tick all applicable.

Test my will-power

Use anti-smoking patches and chewing gums

Consult medical practitioners

Other

How much would you be willing to spend per week for a quit smoking program (including chewing gum, anti-tobacco patches, and medical fees?