Protocol - Passive Exposures to Tobacco Products

1. Not counting decks, porches, or garages, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did someone other than you smoke tobacco inside your home while you were at home?

0[ ]NUMBER OF DAYS

88[ ]NONE

77[ ]DON’T KNOW/NOT SURE

99[ ]REFUSED

2. Not counting decks, porches, or garages, inside your home, is smoking …?

1[ ]Always allowed

2[ ]Allowed only at some times or in some places

3[ ]Never allowed

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

Asked of respondents (who reported that no one else smoked tobacco in their home in the past 7 days and live in homes where smoking is never allowed) or (who reported that someone else smoked tobacco in their home in at least one of the past 7 days and live in homes where smoking is allowed at some times or in some places).

3. Not counting decks, porches, or garages, to your knowledge, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], has anyone, including yourself, smoked tobacco inside your home when he or she was not supposed to?

1[ ]YES

2[ ]NO

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

Now I am going to ask you about some questions about policies on tobacco use in the place where you work. But first, I need to know about your employment status.

4. Do you currently have one job or more than one job?

1[ ]ONE JOB

2[ ]MORE THAN ONE JOB

7[ ]DON’T KNOW

9[ ]REFUSED

Please answer the following questions for the job at which you spend the most time.

5. Most of the time, do you work…?

01[ ]Outdoors

02[ ]In a vehicle

03[ ]Indoors at home

04[ ]Indoors in a place like an office building, retail store, restaurant, or factory

96[ ]Somewhere else (Specify)

77[ ]DON’T KNOW/NOT SURE

99[ ]REFUSED

The next two questions refer to smoking in indoor areas. When answering the questions, please count your vehicle as an indoor area.

6. At your workplace, is smoking in indoor areas…?

1[ ]Always allowed

2[ ]Allowed only at some times or in some places

3[ ]Never allowed

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

7. At your workplace, is smoking in outdoor areas…?

1[ ]Always allowed

2[ ]Allowed only at some times or in some places

3[ ]Never allowed

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

8. At your workplace, is the use of chewing tobacco, snuff, dip, or snus …?

1[ ]Always allowed

2[ ]Allowed only at some times or in some places

3[ ]Never allowed

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

9. To your knowledge, during the past 30 days, that is, since [DATE FILL], has anyone, including yourself, used tobacco products of any kind, including electronic cigarettes, at your work when he or she was not supposed to?

1[ ]YES

2[ ]NO

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

Now we have two questions about smoking in vehicles.

10. During the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did you ride in a vehicle where someone other than you was smoking tobacco?

0[ ]NUMBER OF DAYS

88[ ]NONE

77[ ]DON’T KNOW/NOT SURE

99[ ]REFUSED

11. Not counting motorcycles, in the vehicles that you or family members who live with you own or lease, is smoking…

1[ ]Always allowed in all vehicles

2[ ]Sometimes allowed in at least one vehicle

3[ ]Never allowed in any vehicle

[DO NOT READ]

8[ ]RESPONDENT’S FAMILY DOES NOT OWN OR LEASE A VEHICLE

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

The next several questions ask about tobacco use in indoor and outdoor public places. Examples of indoor public places are the indoor areas of stores, restaurants, bars, casinos, clubs, and sports arenas. Examples of outdoor public places are stadiums and parks.

12. Not counting times while you were at work, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did you breathe the smoke from someone else who was smoking in an indoor or outdoor public place?

0[ ]NUMBER OF DAYS

88[ ]NONE

77[ ]DON’T KNOW/NOT SURE

99[ ]REFUSED

13. Not counting times while you were at work, to your knowledge, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], has anyone, including yourself, used tobacco of any kind in an indoor or outdoor public place when he or she was not supposed to?

1[ ]YES

2[ ]NO

7[ ]DON’T KNOW/NOT SURE

9[ ]REFUSED

Secondhand Smoke Exposure Section

The next questions ask about tobacco use at your workplace and your home.

14. Which best describes your current job or paid employment status?

1[ ]Work full-time at least 35 hours per week

2[ ]Work part-time 15 to 34 hours per week

3[ ]Work part-time less than 15 hours per week

4[ ]I don’t currently work for pay

-8[ ]DON’T KNOW

-7[ ]REFUSED

15. How recently did someone smoke around you while you were at work?

1[ ]Never

2[ ]Today

3[ ]In the past week

4[ ]In the past two weeks

5[ ]In the past month

6[ ]Longer than a month ago but within the past year

7[ ]More than a year ago

-8[ ]DON’T KNOW

-7[ ]REFUSED

16. In your childhood, did you live with a regular smoker who smoked inside your home?

Please think about anyone who smoked cigarettes, cigars, a pipe, or hookah.

1[ ]Yes

2[ ]No

-8[ ]DON’T KNOW

-7[ ]REFUSED

The next questions ask about the rules of using tobacco inside your home.

17. Does anyone who lives with you now do any of the following? Choose all that apply.

1[ ]Smoke cigarettes

2[ ]Use e-cigarettes or other electronic nicotine products

3[ ]Use snus

4[ ]Use other types of smokeless tobacco, such as chewing tobacco, dip, spit, or chew

5[ ]Smoke traditional cigars, cigarillos, or filtered cigars

6[ ]Smoke hookah

7[ ]Smoke pipe tobacco

8[ ]Use IQOS

9[ ]Use any other form of tobacco

10[ ]No one who lives with me now uses any form of tobacco

-8[ ]DON’T KNOW

-7[ ]REFUSED

18. During the past seven days, about how many hours were you around others who were smoking, whether or not you were smoking yourself?

Include time in your home, in a car, at school, or outdoors.

1[ ]I I__I__I

-8[ ]DON’T KNOW

-7[ ]REFUSED