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Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health
Tel: 1-800-CDC-INFO
(1-800-232-4636)
TTY: 1-888-232-6348
E-mail: tobaccoinfo@cdc.gov
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Global Youth Tobacco Survey (GYTS)
English Core Questionnaire 2001
The next 13 questions ask about your use of tobacco.
- Have you ever tried or experimented with cigarette smoking, even
one or two puffs?
- Yes
- No
- How old were you when you first tried a cigarette?
- I have never smoked cigarettes
- 7 years old or younger
- 8 or 9 years old
- 10 or 11 years old
- 12 or 13 years old
- 14 or 15 years old
- 16 years old or older
- During the past 30 days (one month), on how many days did you smoke
cigarettes?
- 0 days
- 1 or 2 days
- 3 to 5 days
- 6 to 9 days
- 10 to 19 days
- 20 to 29 days
- All 30 days
- During the past 30 days (one month), on the days you smoked, how
many cigarettes did you usually smoke?
- I did not smoke cigarettes during the past 30 days (one month)
- Less than 1 cigarette per day
- 1 cigarette per day
- 2 to 5 cigarettes per day
- 6 to 10 cigarettes per day
- 11 to 20 cigarettes per day
- More than 20 cigarettes per day
- During the past 30 days (one month), how did you usually get your
own cigarettes? (SELECT ONLY ONE RESPONSE)
- I did not smoke cigarettes
during the past 30 days (one month)
- I bought them in a store, shop or from a street vendor
- I bought them from a vending machine
- I gave someone else money to buy them for me
- I borrowed them from someone else
- I stole them
- An older person gave them to me
- I got them some other way
- During the past 30 days (one month), what brand of cigarettes did
you usually smoke? (SELECT ONLY ONE RESPONSE)
- I did not smoke cigarettes
during the past 30 days
- No usual brand
- (Add 5 most common brands)
- Other
- How much do you usually pay for a pack of 20 cigarettes?
- I
don’t smoke cigarettes.
- I don’t buy cigarettes, or I don’t buy them in packs.
- (include a range of prices from cost of a pack of 20 of cheapest
local brand through to cost of pack of 20 imported cigarettes.)
- During the past 30 days (one month) how much do you think you spent
on cigarettes?
- I don’t smoke cigarettes.
- I don’t buy my cigarettes.
- (add range of local currency amounts based on cost of….)
- In a usual month (30 days) how much pocket money (can be changed
to allowance, income, etc) do you get?
- I don’t receive any pocket
money (or income, allowance, etc)
- less than US$1 (change all to your local currency equivalent)
- 1 to 5 US$
- 6–10 US$
- 11–20 US$
- 20–30 US$
- more than 30 US$
- During the past 30 days (one month), did anyone ever refuse to sell
you cigarettes because of your age?
- I did not try to buy cigarettes
during the past 30 days (one month)
- Yes, someone refused to sell me cigarettes because of my age
- No, my age did not keep me from buying cigarettes
- During the past 30 days (one month), have you ever used any form
of tobacco products other than cigarettes (e.g. chewing tobacco, snuff,
dip, cigars, cigarillos, little cigars, pipe)?
- Yes
- No
- Where do you usually smoke? (SELECT ONLY ONE RESPONSE)
- I have
never smoked cigarettes
- At home
- At school
- At work
- At friends’ houses
- At social events
- In public spaces (e.g. parks, shopping centres, street corners)
- other
- Do you ever have a cigarette or feel like having a cigarette first
thing in the morning?
- I have never smoked cigarettes
- I no longer smoke cigarettes
- No, I don’t have or feel like having a cigarette first thing in the
morning
- Yes, I sometimes have or feel like having a cigarette first thing
in the morning
- Yes, I always have or feel like having a cigarette first thing in
the morning
The next 17 questions ask about your knowledge and attitudes toward tobacco
- Do your parents smoke?
- None
- Both
- Father only
- Mother only
- I don’t know
- If one of your best friends offered you a cigarette, would you smoke
it?
- Definitely not
- Probably not
- Probably yes
- Definitely yes
- Has anyone in your family discussed the harmful effects of smoking
with you?
- Yes
- No
- At any time during the next 12 months do you think you will smoke
a cigarette?
- Definitely not
- Probably not
- Probably yes
- Definitely yes
- Do you think you will be smoking cigarettes 5 years from now?
- Definitely not
- Probably not
- Probably yes
- Definitely yes
- Once someone has started smoking, do you think it would be difficult
to quit?
- Definitely not
- Probably not
- Probably yes
- Definitely yes
- Do you think boys who smoke cigarettes have more or less friends?
- More friends
- Less friends
- No difference from non-smokers
- Do you think girls who smoke cigarettes have more or less friends?
- More friends
- Less friends
- No difference from non–smokers
- Does smoking cigarettes help people feel more or less comfortable
at celebrations, parties, or in other social gatherings?
- More comfortable
- Less comfortable
- No difference from non–smokers
- Do you think smoking cigarettes makes boys look more or less attractive?
- More attractive
- Less attractive
- No difference from non-smokers
- Do you think smoking cigarettes makes girls look more or less attractive?
- More attractive
- Less attractive
- No difference from non-smokers
- Do you think that smoking cigarettes makes you gain or lose weight?
- Gain weight
- Lose weight
- No difference
- Do you think cigarette smoking is harmful to your health?
- Definitely
not
- Probably not
- Probably yes
- Definitely yes
- Do any of your closest friends smoke cigarettes?
- None of them
- Some of them
- Most of them
- All of them
- When you see a man smoking what do you think of him? (SELECT ONLY
ONE RESPONSE)
- Lacks confidence
- Stupid
- Loser
- Successful
- Intelligent
- Macho
- When you see a woman smoking, what do you think of her? (SELECT
ONLY ONE RESPONSE)
- Lacks confidence
- Stupid
- Loser
- Successful
- Intelligent
- Sophisticated
- Do you think it is safe to smoke for only a year or two as long
as you quit after that?
- Definitely not
- Probably not
- Probably yes
- Definitely yes
The next 4 questions ask about your exposure to other people’s smoking
- Do you think the smoke from other people’s cigarettes is harmful
to you?
- Definitely not
- Probably not
- Probably yes
- Definitely yes
- During the past 7 days, on how many days have people smoked in your
home, in your presence?
- 0
- 1 to 2
- 3 to 4
- 5 to 6
- 7
- During the past 7 days, on how many days have people smoked in your
presence, in places other than in your home?
- 0
- 1 to 2
- 3 to 4
- 5 to 6
- 7
- Are you in favor of banning smoking in public places (such as in
restaurants, in buses, streetcars, and trains, in schools, on playgrounds,
in gyms and sports arenas, in discos)?
- Yes
- No
The next 6 questions ask about your attitudes toward stopping smoking
- Do you want to stop smoking now?
- I have never smoked cigarettes
- I do not smoke now
- Yes
- No
- During the past year, have you ever tried to stop smoking cigarettes?
- I have never smoked cigarettes
- I did not smoke during the past year
- Yes
- No
- How long ago did you stop smoking?
- I have never smoked cigarettes
- I have not stopped smoking
- 1-3 months
- 4-11 months
- One year
- 2 years
- 3 years or longer
- What was the main reason you decided to stop smoking? (SELECT ONE
ONLY)
- I have never smoked cigarettes
- I have not stopped smoking
- To improve my health
- To save money
- Because my family does not like it
- Because my friends don’t like it
- Other
- Do you think you would be able to stop smoking if you wanted to?
- I have never smoked cigarettes
- I have already stopped smoking cigarettes
- Yes
- No
- Have you ever received help or advice to help you stop smoking?
(SELECT ONLY ONE RESPONSE)
- I have never smoked cigarettes
- Yes, from a program or professional
- Yes, from a friend
- Yes, from a family member
- Yes, from both programs or professionals and from friends or family
members
- No
The next 9 questions ask about your knowledge of media messages about smoking
- During the past 30 days (one month), how many anti-smoking media
messages (e.g., television, radio, billboards, posters, newspapers,
magazines, movies) have you seen?
- A lot
- A few
- None
- When you go to sports events, fairs, concerts, community events,
or social gatherings, how often do you see anti-smoking messages?
- I never go to sports events, fairs, concerts, community events, or
social gatherings
- A lot
- Sometimes
- Never
- When you watch TV, videos, or movies, how often do you see actors
smoking?
- I never watch TV, videos, or movies
- A lot
- Sometimes
- Never
- Do you have something (t-shirt, pen, backpack, etc.) with a cigarette
brand logo on it?
- Yes
- No
- During the past 30 days (one month), when you watched sports events
or other programs on TV how often did you see cigarette brand names?
- I never watch TV
- A lot
- Sometimes
- Never
- During the past 30 days (one month), how many advertisements for
cigarettes have you seen on billboards?
- A lot
- A few
- None
- During the past 30 days (one month), how many advertisements or
promotions for cigarettes have you seen in newspapers or magazines?
- A lot
- A few
- None
- When you go to sports events, fairs, concerts, or community events,
how often do you see advertisements for cigarettes?
- I never attend sports events, fairs, concerts, or community events
- A lot
- Sometimes
- Never
- Has a (cigarette representative) ever offered you a free cigarette?
- Yes
- No
The next 4 questions ask about what you were taught about smoking in school
- During this school year, were you taught in any of your classes
about the dangers of smoking?
- Yes
- No
- Not sure
- During this school year, did you discuss in any of your classes
the reasons why people your age smoke?
- Yes
- No
- Not sure
- During this school year, were you taught in any of your classes
about the effects of smoking like it makes your teeth yellow, causes
wrinkles, or makes you smell bad?
- Yes
- No
- Not sure
- How long ago did you last discuss smoking and health as part of
a lesson?
- Never
- This term
- Last term
- 2 terms ago
- 3 terms ago
- More than a year ago
The last 3 questions ask for some background information about yourself
- How old are you?
- 11 years old or younger
- 12 years old
- 13 years old
- 14 years old
- 15 years old
- 16 years old
- 17 years old or older
- What is your sex?
- Male
- Female
- In what grade/form are you?
- List locally appropriate
Page last reviewed 02/28/2007
Page last modified 02/28/2007