2013.7.1 Graphic Design 2 --- Students' smoking status questionnaire

Students' smoking status questionnaire

 

 

1. Is your gender  (single choice)

A. man

B. women

 

 

2. Do you smoke? (single choice)

A.YES

B.NO (please only answer questions 12-17)

C."Once in a while

 

 

3. When did you start smoking? (single choice)

A. the elementary school

B. the junior high school

C. high school

D. the university

 

 

4. The reason why start smoking? (multiple choice)

A. Influenced by friends, family, classmates

B. Like idol smoking, start from imitating

C. Just curious, fashion, like the feeling of smoking

D. suffered a setback

E. Affected by the negative emotion

F. other

 

 

5. A couple of a day on average?

A. 1

B.1-5

C. above 5 roots

 

 

6. A month to buy the cost of the smoke?

A. 30

B.30 to 50

C. 50-100

D. More than 100

 

 

7. What conditions are most likely to smoke? (multiple choice)

A. when depressed

B. When the lonely and helpless

C. do nothing when

D. Academic pressure is big

E. When miss girlfriend/boyfriend

F. Party when someone comity

G. other

 

 

8. When you are smoking on school grounds how do you think students will look at you? (single choice)

A. proud

B. harmless

C. dislike

D. Silent

E. other

 

 

9. Do you know smoking can harm people health? (single choice)

A. Yes, know from the start

B. Don't know, just know afterwards

C. is not clear

 

 

10. Did you want to quit smoking? (single choice)

A. Thought, had given up

B. Thought, don't quit

C. Never thought

 

 

11. If you want to quit smoking, what method is more effective (multiple choice)

A. By friends and classmates to supervise

B. most of the time with distraction in other places

C. away all cigarettes, lighters, etc related to cigarette

D. To smoke in the chewing gum or something else instead

E. Refuse the lure of cigarettes, remind yourself that cannot turn back

F. other

 

 

12. What do you think of college students' smoking? (single choice)

A. normal

B. too early

C. should not be

D. dislike

 

 

13. Do you think smoking is a major cause lung cancer? (single choice)

A. yes

B. No, but have a certain influence

C. is not clear

 

 

14. Do you dislike in secondhand smoke? (single choice)

A. Yes, damage is very large

B. it doesn't matter

 

 

15. Women smoking? (single choice)

A. Author agree with

B. don't agree with

C. it doesn't matter

 

 

16. Do you mind your partner smoking? (single choice)

A. Doesn't mind

B. it doesn't matter

 

 

17 what do you think smoking is? (single choice)

A. to enjoy

B. the bad habits

C. it doesn't matter