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ACTIVITY 1: Take a Tobacco and Nicotine Survey

For Teachers / Grades 5 & 6 / Activity 1 / Survey

ACTIVITY 1: Take a Tobacco and Nicotine Survey

For Teachers / Grades 5 & 6 / Activity 1 / Survey

This survey asks you questions about tobacco and nicotine products, including cigarettes, vapes, smokeless tobacco and nicotine pouches. Maybe you don't know much about tobacco or nicotine products, or maybe you know someone who uses it? Just answer based on what you think. Answer as honestly as you can. If you do not want to answer a question, you can skip it. This survey is anonymous!

Part 1

Have you ever tried cigarette smoking, even one or two puffs?
Have you ever tried an e-cigarette or vape?
Have you ever used chewing tobacco, snuff, or dip?
How many of your four closest friends smoke cigarettes?
How many of your four closest friends use vapes or another product like chewing tobacco, snuff or dip?
If one of your best friends offered you a cigarette, vape or other tobacco or nicotine product, would you try it?
Do you think it is safe to smoke or use vapes or other tobacco or nicotine products for only a year or two, as long as you quit after that?

Part 2

Do you think most middle school students smoke?
Do you think most middle school students use vapes?
Have you ever felt pressured to use tobacco or nicotine?
Do you think there are health consequences with using tobacco and nicotine?
Do you think it's easy or difficult for people to quit using tobacco or nicotine?
How do you feel about hanging out with young people who use tobacco or nicotine?

If you need to print this page, click "Print" before you click "Submit." Then, close the print window and click "Submit" to send your anonymous responses and see a final question.

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