Tobacco Survey Part 1

Thank you for choosing to participate in the survey. Your feedback and participation is appreciated. The survey addresses the use of tobacco in an effort to assess the level of need of officers possibly impacted by the upcoming Instruction that PHS Commissioned Corps Officers are prohibited from using tobacco products while in uniform. The responses to this survey will be used to plan outreach efforts to those Officers who use tobacco products that are perhaps newly motivated to quit by the institution of this directive. Total time to complete the survey is 3 to 5 minutes.

* Have you EVER used any of the following products: Cigarettes, Cigars/Little Cigars/Cigarillos, Chewing Tobacco/Snuff/Dip/Snud, E-cigarettes/Electronic, or Vapor Cigarettes (like Ruyan, Blue, or NJoy), Tobacco Pipes, Tobacco smoked from a Hookah or Waterpipe, Roll-your-own Cigarettes, or some other tobacco product not listed above?

Yes

During the past 30 days, on how many days did you use the following products:

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

Yes

Thinking back to the last time you tried to quit smoking cigarettes, did you use any of the following to help you (select all that apply or none)?

Counseling from a health care provider, a class, a program, or a telephone-based quitline or helpline

Used an over the counter nicotine replacement product, including a patch, gum, or lozenge

Used a prescription medication obatined from a physician

Switch to a smokeless tobacco product such as chewing tobacco, snuff, or snus

Switch to cigars, cigarillos, little filtered cigars, or pipes filled with tobacco

Switch to an electronic or vapor cigarette

None

Other

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

Yes

Do you want to quit using all types of tobacco products for good?

Yes

* Do you currently use tobacco products while in uniform?

Yes

If you currently use tobacco products, how motivated are you to try to quit using tobacco products knowing that you will not be able to use tobacco products in uniform starting January 1, 2014?

Which of the following cessation benefits, programs, and treatments are you aware of (check all that apply)?

Tricare, including the Tricare Quitline

Your workplace

Resources in your community

1-800-QUIT-NOW

Smokefree.gov

SmokefreeTXT (mobile text messaging service)

Other websites

None of the above

Other