Smoking Bans Survey Statistics at Survelum Public Data Bank |
| Data collected: 453 survey responses Click on underlined response options to use corellation filters |
Part I |
How often do you smoke? | ||
| Don't Smoke | ||
| Pack a day | ||
| Pack a week | ||
| Two packs a week | ||
| Pack a month | ||
| Other | ||
| Not Checked | ||
Did your parents smoke? | ||
| No | ||
| Yes, both | ||
| Yes, father only | ||
| Yes, mother only | ||
| Not Checked | ||
Does anyone in your household, besides your parents, smoke? | ||
| Yes | ||
| No | ||
| Not Checked | ||
If you don't smoke now, were you ever a smoker? | ||
| Yes | ||
| No (If no, skip to question 13) | ||
| Not Checked | ||
If you did, or currently do smoke, how old were you when you started? | |
| See Responses |
If you have quit smoking, why did you? (Skip if this doesn't apply to you) | |
| See Responses |
How old were you when you quit? | |
| See Responses |
If you quit, but began to smoke again, why did you restart? | |
| See Responses |
How badly do you want to quit? | ||
| Very badly | ||
| Badly | ||
| Don't want to quit | ||
| Not Checked | ||
Why do you smoke? | ||
| Relieve Stress | ||
| Leisure | ||
| Social | ||
| Don't Know | ||
| Other | ||
| Not Checked | ||
How do you view people who smoke? | ||
| Very Appealing | ||
| Somewhat Appealing | ||
| Indifferent | ||
| Somewhat Unappealing | ||
| Very Unappealing | ||
| Not Checked | ||
How do you view someone of the opposite sex smoking? | ||
| Very Appealing | ||
| Somewhat Appealing | ||
| Indifferent | ||
| Somewhat Unappealing | ||
| Very Unappealing | ||
| Not Checked | ||
How do you feel about people smoking in public places? | ||
| It bothers me | ||
| It does not bother me | ||
| Not Checked | ||
Did you know that it is alleged that smoking harms nearly every organ of the body, causing many diseases and reducing the health of smokers in general? | ||
| Yes | ||
| No | ||
| Not Checked | ||
Did you know that non-smokers exposed to second hand smoke are at greater risk for many of the health problems associated with direct smoking? | ||
| Yes | ||
| No | ||
| Not Checked | ||
Do you personally know anyone who has passed away as a result of smoking? | ||
| Yes | ||
| No | ||
| Not Checked | ||
If you drink alcohol, do you smoke when you drink? | ||
| Don't Smoke | ||
| Yes | ||
| No | ||
| Not Checked | ||
Part II |
Please categorize yourself in terms of the race/ethnic category. | ||
| Black | ||
| White | ||
| Hispanic | ||
| Asian or Pacific Islander | ||
| Native American | ||
| Not Checked | ||
What religion do you affiliate yourself with? | ||
| None (Atheism, etc.) | ||
| Christianity | ||
| Islam | ||
| Buddhism | ||
| Hinduism | ||
| Other | ||
| Not Checked | ||
How often do you practice your religion? | ||
| More than once a week | ||
| Once a week | ||
| Once a month | ||
| Once every six months | ||
| Once a year | ||
| Never | ||
| Not Checked | ||
How old are you? | ||
| 15-17 | ||
| 18-20 | ||
| 21-25 | ||
| 26-35 | ||
| 36-50 | ||
| 51+ | ||
| Not Checked | ||
What are your political views? | ||
| Liberal | ||
| Coservative | ||
| Moderate | ||
| Apathetic | ||
| Not Checked | ||
Would you support a law that banned smoking in restaurants, bars, and clubs? | ||
| Yes | ||
| No | ||
| Not Sure | ||
| Not Checked | ||
Powered by Survelum.com - create online survey in minutes!
Copyright © 2002-2010 Survelum.com. All rights reserved
Survelum is online survey software