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What is your gender?
 
Male
 
Female
 
Other
 
 
 
What year are you at UMass?
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
 
 
How many semesters have you attended UMass? (including this semester)
   
 
 
 
What is your housing situation?
 
on campus dorm
 
on campus house/apartment
 
off campus house/apartment
 
commuter from home
 
Other
 

 
 
 
Do you use tobacco products?
 
Yes
 
No
 
 
 
If yes, what do you use? (select all that apply)
 
Cigarettes
 
Cigars
 
Shisha/Hookah
 
Pipe
 
Chewing Tobacco
 
Other
 

 
 
 
How many times per day do you use tobacco?
   
 
 
 
How many times per week do you use tobacco?
   
 
 
 
Has the tobacco ban on campus affected your tobacco use?
 
Yes
 
No
 
 
 
If yes, how many times per day did you use tobacco before the tobacco ban on campus?