Survey Maker LogoSuper Survey Maker
Survey MakerSurvey TemplatesContactPrivacy & Security

Questionnaire on Tobacco Smoking Habits

Gender
Male
Female
Age
Year of study
1st year
2nd year
3rd year
4th year
5th year
Origin
Urbain
Rural
Parents Smoking Habits
Father smokes
Mother smokes
Both parents smoke
Neither parent smokes
No response
Tobacco Consumption Method
Cigarette
Hookah
Vape
Pipe
Cigar
Electronic cigarette
Frequency of Smoking
Occasionally
Daily
Do you tend to smoke more often in the early hours of the morning compared to the rest of the day
Yes
No
Duration before smoking the first cigarette in the morning
Within 5 minutes
6 to 30 minutes
31 to 60 minutes
More than 60 minutes
When did you start smoking?
How long have you been smoking?
How many cigarettes do you smoke per day?
Which brand do you smoke?
Marlboro
Gauloise
AFRAS
RYM
NASSIM
Other
What motivates you to smoke?
Curiosity
Peer influence
Family influence
Boredom
Enjoyment
Other
Prefer not to answer
Do you wish to quit smoking?
Yes
No
If yes, why ?
It's a habit I want to break free from
It's costly
For my health
Other
Your opinions on smoking risks
Smoking is harmful to your health
Smoking shortens smoker's lifespan
Tobacco smoke is harmful to non-smokers
Does smoking cause
Lung cancer
Mouth cancer
Chronic bronchitis
Pulmonary tuberculosis
Heart attack
High blood pressure
Peptic ulcers
Do you know anyone in your circle suffering from a tobacco-related illness
Yes
No
Where do you get your tobacco from
Shops
Supermarkets
Family
Friends
Other
How do you finance your tobacco purchases
Pocket money
Job earnings
Other
Do you consume coffee while smoking?
Yes
No
If yes, how many cups?
One cup
Two cups
More
Student suggestions you support to reduce smoking
Stop growing and ban the manufacture and sale of cigarettes
Decrease the number of cigarette retailers
Raise cigarette prices
Enhance quality and produce non-harmful cigarettes
Let smokers do their thing
{"name":"Questionnaire on Tobacco Smoking Habits", "url":"https://www.supersurvey.com/QPREVIEW","txt":"Gender, Age, Year of study","img":"https://www.supersurvey.com/3012/images/ogquiz.png"}

More Surveys

Bu 2 transportation systems (parts of escalator not included)
52260
TAX 222
11619
Friendship Insight Quiz
13612
Thursday training session topics
1360
The focus on maintaining balance in everyday life between school/work and leisure activities
5233
Jessica & Mikayla - Graphic Organisers
7430
S.P.R.A.S.A.A.M Applications
420
Reikäturnausmaksu
100
Make your own Survey
- it's free to start.
Super Survey Logo
Powered by
Super Survey Maker Make your own Survey