Thank you in advance. I'll be forwarding her the results. :)
E-mail answers to where?
You should set it up for her on one of the free online survey sites. Survey Monkey, etc.
I qualify and would gladly take a couple minutes to whip through such a version, but I hate doing things like this when I have to cut, paste, format, etc. Many others are likely to feel the same.
MM
bttt
Done. Check your FReepmail, let me know if my answers need clarification.
Sounds like this seventh grader is auditioning for a future job as a government bureaucrat!!!
Cigar?
1. 45
2. 23
3. 14
4. 8 years
5. Friends
6. No
7. Too many to count
8. 1 to 1 1/2 packs of cigarettes
9. No
10. Yes
11. c. Medications or Antidepressants, d. Cold-turkey
12. b. Some what improved (not as much as I thought)
13. My lifestyle isn’t much different.
May I answer for my mother who died of lung cancer last June? She was 81 1/2, healthy as a horse in every other way. Died of the smokers lung cancer.
She had good strong genes in every way, but the smoking did it to her.
SURVEY
1. How old are you currently? 33
2. How many years have you smoked or chewed tobacco? 20
3. How old were you when you started smoking or chewing? 12-13 when I first tried them
4. How long (mo./yrs.) have you been free from tobacco use? 4 months (this time)
5. Who/What influenced you to start smoking or chewing tobacco? friends and seeing my dad smoke and my friend’s parents smoke
6. Are you currently using tobacco product(s) regularly? How often? No
7. Have you tried to QUIT using tobacco products? How many attempts? 3+ times
8. How many cigarettes or cans of chewing tobacco do/did you use per day? 1 pack
9. Does anyone in your immediate family use tobacco products regularly/daily? How often? Husband - 1/2 pack to 1 pack a day; Dad - cigars daily; brother - cigarettes and cigars occasionally
10. Do you believe tobacco use is an addictive substance? yes
11. If you are now NOT using tobacco; what method did you use to quit successfully long-term? (highlight one)
a. Group Therapy
b. Nicotine patch or gum
c. Medications or Antidepressants
d. Cold-turkey ****
e. Hypnosis
f. Other _____________(please list)
Cold Turkey (this time) because of pregnancy
12. Since quitting tobacco use, would you say your level of overall physical and mental health has: (highlight one)
a. Grown worse
b. Some what improved ****
c. Improved greatly
d. Stayed the same as before
13. What is the most significant lifestyle change youve made since quitting tobacco use? (explain) Pregnancy
__ PERSONAL COMMENTS:
I quit cold turkey when I was pregnant with my first and while I was nursing but started again. Hopefully, I will not make the same mistakes this time.
ARE YOU A FORMER TOBACCO USER???
7th Grade Science Fair
SURVEY
1. How old are you currently? - 51
2. How many years have you smoked or chewed tobacco? - 20 years smoked
3. How old were you when you started smoking or chewing? - 14 smoking
4. How long (mo./yrs.) have you been free from tobacco use? 17 1/2 yrs.
5. Who/What influenced you to start smoking or chewing tobacco? - father smoked, peer pressure in jr. high
6. Are you currently using tobacco product(s) regularly? How often? NO
7. Have you tried to QUIT using tobacco products? How many attempts? tried probably half a dozen times before success
8. How many cigarettes or cans of chewing tobacco do/did you use per day? - 2 packs but many burned up in the ashtray
9. Does anyone in your immediate family use tobacco products regularly/daily? How often? NONE
10. Do you believe tobacco use is an addictive substance? YES
11. If you are now NOT using tobacco; what method did you use to quit successfully long-term? (highlight one)
a. Group Therapy
b. Nicotine patch or gum
c. Medications or Antidepressants
d. Cold-turkey
e. Hypnosis
f. Other _____________(please list)
d. COLD Turkey and lots of sleep the first few days so I didn’t have to think about it
12. Since quitting tobacco use, would you say your level of overall physical and mental health has: (highlight one)
a. Grown worse
b. Some what improved - depending on IF I’m exercising I tend to fall off the exercise wagon between getting ready for big vacations
c. Improved greatly
d. Stayed the same as before
13. What is the most significant lifestyle change youve made since quitting tobacco use? (explain) Having two wonderful children and a wonderful husband, felt like a smelly ashtray when we started dating so I QUIT
__ PERSONAL COMMENTS:
Quitting smoking is very hard but worth it and now I can’t stand the smell of smoke.
1. 67
2. 53
3.13
4. Almost 2 years
5. Father & Grandfather both smoked
6. NO! No longer.
7. Yes, several times.
8. 1-1/2 to 2 packs/day
9. No, I was the only one.
10. Absolutely.
11. f. Combination, actually, of medications (4 different inhalers daily), permanent
oxygen therapy and cold turkey, due to a diagnosis of COPD & emphysema ( due to smoking,
which forced medical retirement).
12. b. somewhat improved
13. Since I now must haul an oxygen tank around 24/7, as a result of a bout of severe pneumonia,
I’ve learned to pay more attention to my health.
COMMENTS: Please don’t follow my example. Don’t ever start tobacco use.
See your mail for my reply.
2. How many years have you smoked or chewed tobacco? Three years
3. How old were you when you started smoking or chewing? 21
4. How long (mo./yrs.) have you been free from tobacco use?11 years
5. Who/What influenced you to start smoking or chewing tobacco? My then girlfriend
6. Are you currently using tobacco product(s) regularly? How often? No
7. Have you tried to QUIT using tobacco products? How many attempts? I tried to quit once
8. How many cigarettes or cans of chewing tobacco do/did you use per day? 1 pack of cigarettes a day
9. Does anyone in your immediate family use tobacco products regularly/daily? How often? No
10. Do you believe tobacco use is an addictive substance? yes
11. If you are now NOT using tobacco; what method did you use to quit successfully long-term? (highlight one)
a. Group Therapy
b. Nicotine patch or gum
c. Medications or Antidepressants
d. Cold-turkey
e. Hypnosis
f. Other _____________(please list)
D. I went cold turkey because paying for cigarettes while unemployed was really dumb
12. Since quitting tobacco use, would you say your level of overall physical and mental health has: (highlight one)
a. Grown worse
b. Some what improved
c. Improved greatly
d. Stayed the same as before
D.
13. What is the most significant lifestyle change youve made since quitting tobacco use? (explain)
I have become almost a total recluse and rarely if ever venture out of the house. I don't blame smoking or now lack thereof but it is the most significant lifestyle change I made.
__ PERSONAL COMMENTS:
Smoking is a waste of money.
Thank You for taking this survey!!!
You are welcome