Survey of smoking habits in Québec

2011

QUESTIONNAIRE

Final English version

Institut de la statistique du Québec Direction des statistiques de santé

November 17th, 2011

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Content by section

Final English version ................................................................................................................................................ 1 SECTION I - Selection of the participant ............................................................................... 3

SECTION II – Profile of smoking habits ............................................................................... 4

SECTION III – Protection against environmental and second-hand smoke .......................... 5

SECTION IV – Smoking habits of smokers (frequency and quantity) .................................. 8

SECTION V – Use of tobacco products other than cigarettes ................................................ 9

SECTION VI - Types of products used ................................................................................ 10

SECTION VII - Supply mode............................................................................................... 12

SECTION VIII – Contraband [Smuggled] cigarettes ........................................................... 13

SECTION IX - Cessation...................................................................................................... 15

SECTION X – Participant’s social and demographical profile ............................................ 17

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SECTION I - Selection of the participant

1. [Technical question removed from this version of the questionnaire]

2. [Technical question removed from this version of the questionnaire]

3. How many people 14 years of age or younger live in your home at least half of the time? (By home, we mean a house or an apartment.)

0 None 1 One 2 Two 3 Three 4 Four 5 Five 6 Six 7 Seven 8 Eight 9 Nine 10 Ten or more 98 DNK 99 NA Universe : All the participants

4. Including yourself, how many people aged 15 and over live in your home? 0 None ............................................................................................................................ Validate 1 One .............................................................................................................................. Go to question 5a 2 Two ............................................................................................................................. Go to question 5b 3 Three .......................................................................................................................... Go to question 5b 4 Four ............................................................................................................................ Go to question 5b 5 Five ............................................................................................................................. Go to question 5b 6 Six .............................................................................................................................. Go to question 5b 7 Seven ......................................................................................................................... Go to question 5b 8 Eight ........................................................................................................................... Go to question 5b 9 Nine ............................................................................................................................ Go to question 5b 10 Ten or more ............................................................................................................. Go to question 5b 98 DNK 99 NA Universe : All the participants

5. [Technical question removed from this version of the questionnaire] 6. [Technical question removed from this version of the questionnaire]

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SECTION II – Profile of smoking habits

(INTRO) I'll begin the interview with questions about your tobacco use during your life. If this applies to you, please include cigarettes that you buy ready-made, as well as those you make yourself. [Note: Here, a person who exclusively smokes cigars and cigarillos is not considered a smoker]

7. Have you smoked at least 100 cigarettes in your life?

1 Yes.....................................................................................(Go to question <9>) 2 No 8 DNK 9 NA Universe : All the participants

8. Have you ever smoked a whole cigarette?

1 Yes 2 No........................................................................................(Go to question <11>) 8 DNK.....................................................................................(Go to question <11>) 9 NA .......................................................................................(Go to question <11>) Universe : Participants who never smoked (i.e. who did not smoke at least a hundred cigarettes in their life and were not smokers at the time of the interview, according to the person who answered the selection questions).

9. At the present time, do you smoke cigarettes every day, occasionally or not at all?

1 Every day ..............................................................................(Go to question <11>) 2 Occasionally 3 Not at all

8 DNK

9 NA

Universe :Participants who smoked at least a hundred cigarettes in their life and those who have not smoked one at least one hundred cigarettes but have smoked at least one full cigarette.

10. Have you ever smoked cigarettes daily?

1 Yes 2 No 8 DNK 9 NA Universe : Participants who have smoked at least one full cigarette in their life but are not everyday smokers.

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SECTION III – Protection against environmental and second-hand smoke

11. Is smoking cigarettes allowed inside your home? 1 Yes 2 No .......................................................................................... (Go to question <15>) 8 DNK 9 NA

Universe : All the participants.

12. [Including both household members and regular visitors, does anyone smoke inside your home every day or almost every day?

[Alternative formulation for participants living alone : Including both yourself and regular visitors, does…...]

1 Yes 2 No .......................................................................................... (Go to question <15>) 8 DNK 9 NA

Universe : Participants living in households where smoking is allowed inside the house

13. Are there any restrictions against smoking cigarettes in your home? 1 Yes 2 No.......................................................................................... (Go to question <15>) 8 DNK 9 NA

Universe : Participants living in households where at least one person smokes every day of almost every day inside the house

14. How is smoking restricted in your home? [The statements are read to the participant. The interviewer records affirmative or negative answers.]

1 It is allowed to smoke in certain rooms only 2 It is forbidden to smoke around young children 3 It is allowed to smoke near open windows or under the stove fan 4 Other restrictions (Specify) : _______ 8 DNK 9 NA

Universe : Participants living in households where at least one person smokes every day or almost every day inside the house and where restrictions against smoking are stated.

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15. Over the last 30 days, were you exposed to secondhand smoke every day or almost every day in a car or other private vehicle?

1 Yes 2 No 8 DNK 9 NA Universe : All the participants

16. Is smoking allowed inside the family car? [Definition used by the interviewers: Vehicle you use most often to transport members of your family (for family activities, daily transport (as an example: to school, for errands, trips etc).]

[When the participant mentions that he/she lives alone in Section I, the “family car” becomes “car”]

1 Yes 2 No………………………………………………………………………….. (Go to question <19>) 3 Does not apply……………………………………………………………. (Go to question <19>) 8 DNK 9 NA Universe : All the participants

17. Are there any restrictions on smoking inside the family car? [Definition used by the interviewers: Vehicle you use most often to transport members of your family (for family activities, daily transport (as an example: to school, for errands, trips etc).] [When the participant mentions that he/she lives alone in Section I, the “family car” becomes “car”]

1 Yes 2 No………………………………………………………………………….. (Go to question <19>) 8 DNK 9 NA Universe : Participants who allow smoking inside the family automobile

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18. How is smoking restricted inside the family car? [Definition used by the interviewers: Vehicle you use most often to transport members of your family (for family activities, daily transport (as an example: to school, for errands, trips etc).]

[The statements are read to the participant. The interviewer records affirmative or negative answers.]

[When the participant mentions that he/she lives alone in Section I, the “family car” becomes “car”]

1 Use of tobacco is limited or not allowed in the presence of children under 18 2 Restriction on the number of cigarettes smoked 3 Permitted if the driver is alone 4 Permitted only if the ventilation, air conditioning or heating is running or if the window is lowered 5 Other (specify) Universe : Participants who allow smoking inside the family car with some restrictions

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SECTION IV – Smoking habits of smokers (frequency and quantity)

19. On average, how many cigarettes do you smoke per day during the weekend, that is, on Saturdays and Sundays?

____ nb of cigarettes 97 Less than one cigarette 98 DNK 99 NA Universe : Smokers

20. On average, how many cigarettes do you smoke per day during the week, that is Monday through Friday?

____ nb of cigarettes 97 Less than one cigarette 98 DNK 99 NA Universe : Smokers

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SECTION V – Use of tobacco products other than cigarettes

21. In the last 30 days, did you smoke little cigars or cigarillos? [Plain or flavoured products are included]

1 Yes 2 No.............................................................................................. (Go to question 23) 8 DNK .......................................................................................... (Go to question 23) 9 NA ............................................................................................. (Go to question 23) Universe : All participants

22. On the days you smoked cigars or cigarillos, how many did you smoke on average? ___ nb of cigars or cigarillos 97 Less than one cigar or cigarillo 98 DNK 99 NA Universe : Participants who smoked cigars and cigarillos in the last 30 days

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SECTION VI - Types of products used

23. Which brand of cigarettes do you currently smoke

Loose tobacco / roll-your-own (RYO) or hand-rolled ZIPLOC BAG [Includes the different ways of naming contraband cigarettes] Other cigarettes/Smuggled tobacco Accord Alpine Aria Avantage Avanti Azur Bailey's Belmont Belvedere Benson & Hedges Camel Cameo Canadian Classics Canyon Carreras Chippewas Craven A Davidoff Discretion Djarum Du Maurier Dunhill Export 'A' Fusion Gauloises Giimaa Gipsy Gitanes John Player Standard Kool La Québécoise Legend Lépine Macdonald Mark Ten Marlboro Match 1 Matinée Maximum Medaillon

Mirage More Natural American Spirit Northfield Number 7 Pall Mall Parliament Peter Jackson Pihtwa Platinum 1 Player's Podium Premium Pulsar Québec Classique Regular Rooftop Rothmans Selesta Similar Smoking Studio Styxx Suprême Sweet Caporal Sweet Dreams Tabec 27 Trad-A Tremblay Vantage Viceroy Virginia Viscount VitaCig Vogue Winston Autres (précisez) Aucune marque précise 98 NSP 99 RF

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Universe : Smokers

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SECTION VII - Supply mode

24. Where do you usually get your cigarettes?

[“To obtain” the cigarettes includes buying them or getting them in some other way] 1 I buy them at the grocery store/supermarket 2 I buy them at the convenience store/tobacconist 3 I buy them at the gas station 4 I buy them from a duty-free shop 5 I buy them in a discount store/big box store (Giant Tiger, Costco, etc) 6-I buy them from a friend or another person 7 I buy them by mail order 8 I buy them on the Internet........................................................(Ask question about Internet

<Q25>.) 9 My brother or sister gives them to me 10 My mother or father gives them to me 11 A friend or someone else gives them to me 12 I take them from my mother, my father or siblings 13 I buy them on Indian reserves 13 Other, specify____________ 98 DNK 99 NA Universe : Smokers

25. [Question removed] 26. Has your consumption of cigarettes purchased on the Internet accounted for more

than half, half or less than half of the cigarettes you've smoked? 1...more than half 2...half 3...less than half 8 DNK 9 NA Universe : Smokers who usually buy their cigarettes on the Internet.

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SECTION VIII – Contraband [Smuggled] cigarettes

27. To the best of your knowledge, in your circle of family and friends, do you know anyone who’s had the opportunity to buy smuggled tobacco products over the last 3 months?

1 Yes 2 No 8 DNK 9 NA Universe : All participants

28. Over the last 3 months, have you smoked smuggled cigarettes? 1 Yes 2 No...........................................................................................................(Go to question <33>) 8 DNK 9 NA Universe : Smokers

29. During the last 3 months, has your consumption of smuggled cigarettes accounted for more than half, half or less than half of the cigarettes you smoked?

1...more than half 2...half 3...less than half 8 DNK...........................................................................................................(Go to question <33>) 9 NA..............................................................................................................(Go to question <33>) Universe : Participants who declare having smoked smuggled cigarettes in the last 3 months

30. In most cases, where do you obtain these smuggled cigarettes? [The choices of answer are read to the participant. Only one answer is accepted]

[“To obtain” the cigarettes includes buying them or getting them is some other way]

1... friends or parents 2... a reseller 3... directly on an Indian reserve 4... in a retail store 8 DNK 9 NA Universe : Participants who declare having smoked smuggled cigarettes in the last 3 months

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31. Most of the times, do you get these cigarettes yourself or does someone deliver them at your place? [Both answers are read]

1... I go get them myself 2... Someone delivers them 3… I set up a meeting point with the seller 4… Other (specify) Universe : Participants who declare having smoked smuggled cigarettes in the last 3 months

32. Most often, in what format do you get these smuggled cigarettes? [All choices are read]

1... In a Ziploc bag of 200 cigarettes 2... In a carton containing packages 3... An individual pack 4... In a bag of tobacco (in bulk or loose tobacco) 5… Other (specify) 8 DNK 9 NA Universe : Participants who declare having smoked smuggled cigarettes in the last 3 months

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SECTION IX - Cessation

33. Are you seriously considering quitting smoking within the next 6 months?

1 Yes 2 No...............................................................................................(Go to question <36>) 8 DNK 9 NA Universe : Smokers

34. Are you seriously considering quitting within the next 30 days?

1 Yes 2 No 8 DNK 9 NA Universe : Smokers who seriously consider quitting in the next 6 months

35. Please tell me if the following might help you stop smoking a lot, quite a lot, not much or not at all. [All choices of answer are read every time]

35a) Pharmacological aids such as patches, nicotine gum, Zyban or Champix.

1 A lot 2 Quite a lot 3 Not much 4 Not at all 8 DNK 9 NA

35b) Monitoring by a health professional such as a doctor, nurse or pharmacist.

1 A lot 2 Quite a lot 3 Not much 4 Not at all 8 DNK 9 NA

35c) Monitoring by the specialists of nicotine addiction help centres, in the form of individual or group help. [Note: Nicotine addiction help centres offer free services to help quit smoking. Services are provided by specialists, especially in CLSCs]

1 A lot 2 Quite a lot 3 Not much 4 Not at all 8 DNK 9 NA

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35d) Access to a phone help line (for example, one such as the "iQUIT now" help line).

1 A lot 2 Quite a lot 3 Not much 4 Not at all 8 DNK 9 NA

35e) Access to a Website (for example, one such as the "iQUIT now" Website)

(www.jarrete.qc.ca)

1 A lot 2 Quite a lot 3 Not much 4 Not at all 8 DNK 9 NA Universe : Smokers who seriously consider quitting in the next 6 months

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SECTION X – Participant’s social and demographical profile

This section contains some general questions. The information is collected for statistical purposes. Rest assured that, like all other information you have provided, these responses will remain strictly confidential.

36. What language do you speak most often at home? 1 French 2 English 3 Other 8 DNK 9 NA Universe : All participants

37. What is the highest level of education you have completed? [All choices are read if necessary]

1 No diploma 2 Elementary school 3 Partial secondary education (8th, 9th, 10th or 11th grade,

incomplete classical education/Rudiments of Latin, Syntax, Method, Versification)

4 Secondary school diploma (completed) ) (12th grade, incomplete classical education/ Literature, Rhetoric, Philosophy I)

5 Cegep, Trades certificate or professional training Diploma (Completed classical education/PhilosophyII/Bachelor of Arts

6 University diploma (certificate, minor, major, bachelor's degree, advanced graduate diploma, MBA, masters, doctorate, etc.)

7 Other, specify_________ 98 DNK 99 NA Universe : All participants

38. For the year <2010>, what was approximately the total income of all household members from all sources, before taxes and other deductions? [Household members income should include roommates, intergeneretional households etc.]

$_ _ _ _ _ _........................................................................(Go to question <40>)

98 DNK 99 NA

Universe : All the participants

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39. Without giving disclosing the exact amount, could you indicate in which category you would place your family’s annual income? [All choices are read]

1 Less than $10 000 2 From $10 000 to less than $20 000 3 From $20 000 to less than $30 000 4 From $30 000 to less than $40 000 5 From $40 000 to less than $50 000 6 From $50 000 to less than $60 000 7 From $60 000 to less than $80 000 8 From $80 000 to $100 000 9 $100 000 and more 98 DNK 99 NA Universe : Participants who declined to disclose their family annual income

40. What type of situation best reflects the composition of your household? [All choices are read]

[Families who adopted children or are host families are recorded as « Couple with children living at home »]

1 Person living alone 2 Couple without children living at home 3 Couple with children living at home 4 Single-parent family (with children of any age) 5 Other (multiple families, roommates, etc.), specify___________ 98 DNK 99 NA Universe : All the participants

41. (Which statement best describes your principal occupation? [All choices are read. Participants are asked to specify if need arises]

[Principal occupation has to be present occupation]

[Present occupation has to be at least 30 hours/week to be considered full-time]

1 ...full-time worker 2 ...part-time worker 3 ...student 4 ...retired 5 ...at home 6 ...on maternity/paternity leave 7 ...person receiving employment insurance 8 ...person receiving social aid 96 Other Specifiy 98 DNK 99 NA Universe : All the participants

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42. How old are you?

_ _ . …………………………… …………………………………… (Go to question <44>) 8 DNK 9 NA

Universe : Participants who live alone or of age unknown after Section I

43. Without disclosing your exact age, can you indicate in what age group you

belong? 1 15-19 years old 2 20-24 years old 3 25-34 years old 4 35-44 years old 5 45-54 years old 6 55-64 years old 7 65 years old or more 8 DNK 9 NA Universe : Participants who live alone or of age unknown after Section I who wont disclose age at Q42

44. Indicate the sex of the respondent 1 Male 2 Female 8 DNK 9 NA

Universe : Participants who live alone or of gender unknown after Section I

45. Technical question removed from this version of the questionnaire

46. CPOST. Lastly, for statistical purposes, can you tell us your postcode? AXA XAX……………………………………………………..Go to END 98 NSP 99 PR Universe: All the participants

47. CPOST2. Can you then tell us the first 3 digits of your postcode? AXA 98 NSP 99 PR Universe: Participants who refuse to disclose six digits postal code

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End: This is the end of the questionnaire. On behalf of Statistique Québec, I thank you for

your cooperation.

End (not selected): I'm sorry but no one in your household was randomly selected for our

survey. Thank you for your time.

End of questionnaire