KillTheCan.org Tobacco Questionaire

A fellow quitter on KillTheCan.org is writing a discertation for grad school and would like this website to be a focus group. Below is a quote from him.

I always thought I was strong enough to beat the tobacco industry on my own and I could quit whenever I wanted to. After many attempts to quit, I realized that I couldn't; then I found this website. The data that I get from this research will help me write a general thesis for my paper and eventually formulate my discussion and conclusion for the paper.

Please take a moment to fill out this brief survey. At the end of the polling period, results will be tabulated and posted here on KillTheCan.org. Thank you in advance!

Name: (Optional)

Email Address: (Required)

Current Age: -- Select One -- Under 18 18-24 25-32 Over 32

Gender: -- Select One -- Male Female

How many years total did you use a form of tobacco? -- Select One -- Less Than 2 2-10 11-20 More Than 20

How old were you when you first tried tobacco? -- Select One -- Less Than 10 10-18 19-24 More Than 24

What was your primary form of tobacco? -- Select One -- Cigarettes/Cigars (smoke) Dip/Chew/Snuff (smokeless) Both

What was your primary brand?

How long (years), after your first experience with tobacco, did you realized you were addicted? -- Select One -- Less Than 1 1-2 2-3 More Than 3

Did you have a parent that used tobacco? -- Select One -- No Yes, Both Yes - Mother Yes - Father

If Yes above, what was their primary form of tobacco? -- Select One -- Cigarettes/Cigars (smoke) Dip/Chew/Snuff (smokeless) Both

On average, how much did you spend on tobacco each week? -- Select One -- Less Than $5 $5-$10 $10-$20 More Than $20

List three (3) tobacco manufacturers:

What type of location did you buy your tobacco at? -- Select One -- Convenience Store Grocer Super Center Package Store Other

Comments/Questions: