Smoking

1. Have you ever tried cigarette smoking, even one or two puffs?
   Yes No
   
2. Have you smoked 100 or more cigarettes in your entire life?
   Yes No
   
3. During the past 30 days, 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
   
4. During the past 30 days, on the days you smoked, how many cigarettes did you smoke per day?
   I did not smoke cigarettes during the past 30 days
   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
   
5. How old were you when you smoked a whole cigarette for the first time?
   I have never smoked a whole cigarette
   8 years old or younger
   9 or 10 years old
   11 or 12 years old
   13 or 14 years old
   15 or 16 years old
   17 years or older
   
6. Have you ever tried to quit smoking cigarettes?
   Yes No I have never smoked cigarettes

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Some text provided by the Center for Disease Control.
Copyright © 1999 University of Colorado Health Sciences Center. All rights reserved.