What is your gender? Male Female
How old were you when you started smoking? less than 18 18-21 22 or older
How many cigarettes did you smoke per day? 1-10 11-19 20 21-39 40 or more
At what age did you quit smoking? 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 or older