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Hello:
You are invited to participate in our tobacco usage screener. It will take approximately 7-8 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Jill at (651) 644-3150 or by email at the email address specified below.
Thank you very much for your time and support. Please start with the screener now by clicking on the Continue button below. |
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| * For classification purposes, please tell me which of the following ranges best describes your age? |
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| * Do you consider yourself to be: |
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| * Have you EVER participated in a focus group/discussion regarding "Tobacco Products"? |
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| * Which, if any of the groups, were focused on? |
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| * Which, if any of these tobacco products do you use at least once a week? |
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| * Which ONE of the tobacco products you mentioned is your most preferred form of tobacco? |
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| * You mentioned that you use snus. What brand(s) of snus have you purchased in the last 30 days? |
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| * Which of the following best describes your typical snus usage? I use... |
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| * How many cans of moist snuff do you use per week? |
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| * How many packs of cigarettes do you smoke per week? |
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| * Are you aware of smokeless, spitless, oral tobacco product in a pouch called snus? |
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| * Have you ever used snus ("snoos") in the past? |
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| * Are you open to considering using a smokeless, spitless oral tobacco called snus? |
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* Now just a little information to make sure we have a good mix of people. What is the last grade of school or college you had the opportunity to complete?
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| * Which of the following best reflects your employment status? |
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| * What kind of work do you do for a living? | | |
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| * Which of these groups includes your total household income? |
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| * Do you or anyone in your household work for any of the following: an advertising or public relations agency, a marketing research firm, a government agency or any business or organization involved in the manufacturing, distribution, sales or regulation of tobacco? |
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| * Do you or anyone in your household currently have a health condition related to tobacco use? |
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| * Do you have a valid email address? |
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| * During the discussion group you will be asked to read and write in English. Are you comfortable with doing this? |
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