Quality Assessment of Data on Smoking Behaviour in the WHO MONICA Project

Appendix 2c. Smoking questionnaire, March 1992

(See Section 3.1, Appendix 2a and Appendix 2b.)

1. Do you smoke cigarettes now?
          1 = yes, regularly         Go to 2.
          2 = no                         Go to 5.
          3 = occasionally           Go to 3.
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2. On average, how many cigarettes do you smoke a day?
                                              Go to 7.                     Number:
|__|__|__|
3. On how many days a week do you smoke cigarettes?
          1 = usually on one day or less
          2 = usually on 2 to 4 days
          3 = almost every day
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4. On average, how many cigarettes do you smoke a day?
                                                                                Number:
|__|__|__|
5. Did you ever smoke cigarettes regularly in the past?
          1 = yes           Go to 6.
          2 = no             Go to 9.
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6. When did you stop smoking cigarettes regularly?       Year, 19--
          If in the last 12 months
          1 = less than 1 month ago
          2 = 1-6 months ago
          3 = 6-12 months ago 		|__|__|

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7. What is the highest average daily number
of cigarettes you have ever smoked for as
long as a year?                                                             Number:
|__|__|__|
8. How old were you when you began to smoke
cigarettes regularly?                                                           Age:
|__|__|
9. Have you ever smoked cigars/cigarillos?
          1 = now smoke regularly           Go to 10.
          2 = no                                       Go to 11.
          3 = now smoke occasionally (less than one/day)   Go to 10.
          4 = used to, but not now           Go to 11.
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10. How many do you smoke per week?                             Number: |__|__|__|
11. Have you ever smoked a pipe?
          1 = now smoke regularly           Go to 12.
          2 = no                                       Go to 13.
          3 = now smoke occasionally (less than once a day)   Go to 12.
          4 = used to, but not now           Go to 13.
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12. About how many grams of tobacco do you smoke
per week?                                                                     Grams:
|__|__|__|
13. To be completed by occasional and non-smokers only
(i.e. when item 1 is coded 2 or 3):
For how many hours, on average each day, are you
closely subjected to other people's tobacco smoke?

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